DOVER – As part of its multi-pronged approach to addressing the opioid crisis and reducing the number of individuals dying from drug overdoses in Delaware, the Division of Public Health (DPH) is announcing the launch of a new smartphone app that provides lifesaving step-by-step instructions on how to use naloxone during an opioid overdose.

OpiRescue Delaware is a free, state-supported app available for download on all Android and Apple devices. The app contains detailed information on how to recognize signs of an overdose, and includes animations on how to provide rescue breathing and administer naloxone, an overdose-reversing medication. Additionally, individuals can use the app to find the nearest available pharmacy carrying naloxone, which can be purchased without a prescription.

The app also includes an easy-to-navigate tab that links people to the state’s HelpIsHereDE.com website, which provides prevention, treatment and recovery resources for those struggling with addiction.

“About 80 percent of all overdoses happen in a private residence, whether it’s their own or someone else’s, which is why we are strongly encouraging friends, family members, and those struggling with opioid addiction not only to have naloxone on hand, but also to download this app, which will walk individuals through the steps of administering the medication and potentially save a life,” said DPH Director Dr. Karyl Rattay.

Within three to five minutes after administration, naloxone can counteract the life-threatening respiratory depression of an opioid-related overdose and stabilize a person’s breathing, buying time for emergency medical help to arrive. DPH recommends calling 9-1-1 immediately if you find someone in the midst of a suspected overdose, starting rescue breathing, and then administering naloxone. Naloxone is not a replacement for emergency medical care and seeking immediate help and follow-up care is still vital.

There were at least 291 deaths last year in Delaware from suspected overdoses, according to the state’s Division of Forensic Science (DFS). Tragically, the final number is expected to exceed 400 after all toxicology screens are finished and final death determinations are made on outstanding cases by DFS. The Centers for Disease Control and Prevention ranked Delaware number six in the nation for overdose mortality rate in 2017.

In 2018, first responders administered 3,728 doses of naloxone, compared to 2,861 in 2017, a 30 percent increase. The app will, for the first time, allow community members to report their opioid overdose rescue, which will provide state health officials with additional information on how naloxone is used in the community. No personal information will be collected as part of this process.

Community access to naloxone has increased significantly since 2014 when legislation was enacted making it available to the public. In 2017, Governor John Carney signed additional legislation ensuring pharmacists had the same legal protections as doctors, peace officers and good Samaritans when dispensing the medicine without a prescription.

To download the OpiRescue Delaware app, visit your mobile device app store or https://www.helpisherede.com/Get-Help/OpiRescue-App. Information on community training and pharmacy access to naloxone can be found at https://www.helpisherede.com/Get-Help/Overdose-Prevention.

A person who is deaf, hard-of-hearing, deaf-blind or speech-disabled can call the DPH phone number above by using TTY services. Dial 7-1-1 or 800-232-5460 to type your conversation to a relay operator, who reads your conversation to a hearing person at DPH. The relay operator types the hearing person’s spoken words back to the TTY user. To learn more about TTY availability in Delaware, visit http://delawarerelay.com.

Delaware Health and Social Services is committed to improving the quality of the lives of Delaware’s citizens by promoting health and well-being, fostering self-sufficiency, and protecting vulnerable populations. DPH, a division of DHSS, urges Delawareans to make healthier choices with the 5-2-1 Almost None campaign: eat 5 or more fruits and vegetables each day, have no more than 2 hours of recreational screen time each day (includes TV, computer, gaming), get 1 or more hours of physical activity each day, and drink almost no sugary beverages.

GEORGETOWN (March 1, 2019) – In an effort to reduce the number of individuals dying from drug overdoses in Delaware, the Division of Public Health (DPH) will hold Community Naloxone Distribution events in each county throughout the month of March. DPH will distribute free naloxone kits to members of the general public from 10 a.m. to 2 p.m., on Saturday, March 9, 2019, at Delaware Technical Community College, Owens Campus, 21179 College Drive, Georgetown, DE 19947. The distribution event will be held in the Theater Lobby and Rooms 344A/B in the Arts and Sciences Center. DPH is holding its first distribution event Saturday, March 2, 2019, in coordination with the atTAcK addiction 5K race in New Castle.

In addition, a third distribution event will be held in Kent County, from 5:30 p.m. to 8:30 p.m., Wednesday, March 20, 2019, at Delaware Technical Community College, Terry Campus, 100 Campus Drive, Dover DE 19904, Corporate Training Center Rooms 408 and 412.

Each naloxone kit will contain two doses of naloxone, and members of the community who attend these events will receive one-on-one training on how to administer the overdose-reversing medication. The Division of Substance Abuse and Mental Health (DSAMH) also will have representatives on hand to answer any questions about access to treatment for those struggling with substance use disorder.

“It is critically important for family and friends of loved ones struggling with addiction to have access to naloxone,” said DPH Director Dr. Karyl Rattay. “The data are telling us that 80 percent of overdoses happen in a residence. If family or friends of someone overdosing have naloxone immediately accessible, it can mean the difference between life or death for that person.”

Within three to five minutes after administration, naloxone can counteract the life-threatening respiratory depression of an opioid-related overdose and stabilize a person’s breathing, which buys time for emergency medical help to arrive. DPH recommends calling 9-1-1 immediately if you find someone in the midst of a suspected overdose, starting rescue breathing, and then administering naloxone. Naloxone is not a replacement for emergency medical care and seeking immediate help and follow-up care is still vital.

There were at least 291 deaths last year in Delaware from suspected overdoses. Tragically, the final number is expected to exceed 400 after all toxicology screens are finished (they take six-eight weeks) and final death determinations are made on outstanding cases by the Division of Forensic Science. The Centers for Disease Control and Prevention ranked Delaware as number six in the nation for overdose deaths in 2017.

In 2018, first responders administered 3,728 doses of naloxone, compared to 2,861 in 2017, a 30 percent increase.

Funding for the Community Naloxone Distribution Initiative comes from state funding built into DPH’s budget for the first time in state fiscal year 2019, thanks to the advocacy of Lt. Governor Bethany Hall-Long and the Behavioral Health Consortium. In October, DPH also announced the agency was awarded federal funds to support the purchase of naloxone and other programs for first responders.

Community access to naloxone has increased significantly since 2014 when legislation was enacted making it available to the public. In 2017, Governor John Carney signed additional legislation ensuring pharmacists had the same legal protections as doctors, peace officers and good Samaritans when dispensing the medicine without a prescription.

Information on community training and pharmacy access to naloxone, along with resources regarding prevention, treatment and recovery are available on HelpIsHereDE.com.

A person who is deaf, hard-of-hearing, deaf-blind or speech-disabled can call the DPH phone number above by using TTY services. Dial 7-1-1 or 800-232-5460 to type your conversation to a relay operator, who reads your conversation to a hearing person at DPH. The relay operator types the hearing person’s spoken words back to the TTY user. To learn more about TTY availability in Delaware, visit http://delawarerelay.com.

Delaware Health and Social Services is committed to improving the quality of the lives of Delaware’s citizens by promoting health and well-being, fostering self-sufficiency, and protecting vulnerable populations. DPH, a division of DHSS, urges Delawareans to make healthier choices with the 5-2-1 Almost None campaign: eat 5 or more fruits and vegetables each day, have no more than 2 hours of recreational screen time each day (includes TV, computer, gaming), get 1 or more hours of physical activity each day, and drink almost no sugary beverages.

DOVER – The Delaware Division of Public Health (DPH) is advising Delawareans of a multistate outbreak of E. coli infections linked to romaine lettuce. The lettuce could be contaminated with Shiga toxin-producing Escherichia coli O157:H7 and could make people sick. To date, there have been no confirmed cases reported in Delaware, but DPH urges consumers to take precautions to prevent illness.

The Centers for Disease Control and Prevention (CDC) is advising consumers, food establishments and retailers to not eat, serve or sell any romaine lettuce while the agency investigates the E. coli outbreak linked to romaine. Consumers who have any type of romaine lettuce at home – including whole heads of romaine, hearts of romaine or bags and boxes of precut lettuce and salad mixes that contain romaine – should not eat it and instead throw it away, even if some of it was eaten and no one has gotten sick. If you do not know if the lettuce is romaine or whether a salad mix contains romaine, do not eat it and throw it away.

Restaurants and retailers should not serve or sell any romaine lettuce, including salads and salad mixes containing romaine lettuce.

The CDC, U.S. Food and Drug Administration (FDA), Government of Canada and multiple states are investigating the outbreak. According to the CDC, no common grower, supplier, distributor or brand has been identified at this time.
• 32 people infected with the outbreak strain of Shiga toxin-producing E. coli O157:H7 have been reported from 11 states. According to the CDC, nearby New Jersey has reported three cases and Maryland has reported one case.
• 13 ill people have been hospitalized, including one person who developed kidney failure. No deaths have been reported.
• Ill people in this outbreak were infected with E. coli bacteria with the same DNA fingerprint as the E. coli strain isolated from ill people in a 2017 outbreak linked to leafy greens in the United States and to romaine lettuce in Canada. The current outbreak is not related to a recent multistate outbreak of E. coli O157:H7 infections linked to romaine lettuce earlier this year.

People usually get sick from Shiga toxin-producing E. coli two to eight days (average of three to four days) after swallowing the bacteria. Most people infected with E. coli O157 develop diarrhea, severe stomach cramps and vomiting. Most people recover within one week. Some illnesses last longer and can be more severe, resulting in a type of kidney failure called hemolytic uremic syndrome (HUS). HUS can occur in people of any age but is most common in young children under 5 years, older adults, and people with weakened immune systems.

Symptoms of HUS can include fever, abdominal pain, pale skin tone, fatigue and irritability, small, unexplained bruises or bleeding from the nose and mouth, and decreased urination. People who experience these symptoms should seek emergency medical care immediately. Medical providers should report suspected cases of E. coli O157:H7 to the DPH Office of Infectious Disease Epidemiology at 302-744-4990 or 24/7 at 888-295-5156.
For more information about this outbreak, visit https://www.cdc.gov/ecoli/2018/o157h7-11-18/index.html.

A person who is deaf, hard-of-hearing, deaf-blind or speech-disabled can call the DPH phone number above by using TTY services. Dial 7-1-1 or 800-232-5460 to type your conversation to a relay operator, who reads your conversation to a hearing person at DPH. The relay operator types the hearing person’s spoken words back to the TTY user. To learn more about TTY availability in Delaware, visit http://delawarerelay.com.

The Department of Health and Social Services is committed to improving the quality of the lives of Delaware’s citizens by promoting health and well-being, fostering self-sufficiency, and protecting vulnerable populations. DPH, a division of DHSS, urges Delawareans to make healthier choices with the 5-2-1 Almost None campaign: eat 5 or more fruits and vegetables each day, have no more than 2 hours of recreational screen time each day (includes TV, computer, gaming), get 1 or more hours of physical activity each day, and drink almost no sugary beverages.

DOVER – The Delaware Division of Public Health (DPH) continues to advise Delawareans of a multistate outbreak of Salmonella Reading infections linked to raw turkey products. As originally stated Nov. 9, 2018, 164 people infected with the outbreak strain of Salmonella Reading have been reported in 35 states, including one person in Delaware. Of the cases reported nationally, 63 people have been hospitalized, according to the CDC. No Delawareans have been hospitalized, and no deaths have been reported from Delaware. One death was reported from California. Since Nov. 9, 2018, the outbreak strain has been identified in turkey products produced by Jennie-O.

On November 15, 2018, Jennie-O Turkey Store Sales, LLC, in Barron, Wisconsin, recalled approximately 91,388 pounds of raw ground turkey products. The recalled ground turkey was sold in one-pound packages labeled with establishment number “P-190.” This is found inside the USDA mark of inspection. The following products were recalled:
• “Jennie-O Ground Turkey 93% LEAN | 7% FAT” with “Use by” dates of 10/01/2018 and 10/02/2018.
• “Jennie-O Taco Seasoned Ground Turkey” with a “Use by” date of 10/02/2018.
• “Jennie-O Ground Turkey 85% LEAN | 15% FAT” with a “Use by” date of 10/02/2018.
• “Jennie-O Italian Seasoned Ground Turkey” with a “Use by” date of 10/02/2018

Consumers, retailers and food establishments are advised not to eat, sell, or serve recalled Jennie-O brand ground turkey products. For more information about this recall, visit https://www.fsis.usda.gov/wps/portal/fsis/topics/recalls-and-public-health-alerts/recall-case-archive/archive/2018/recall-112-2018-release.

A single, common supplier of raw turkey products or of live turkeys has not been identified that could account for the whole outbreak. Therefore, with the exception of the recalled Jennie-O brand ground turkey products, the CDC is not advising that consumers avoid eating properly cooked turkey products, or that retailers stop selling raw turkey products.

However, individuals should follow these steps to help prevent Salmonella infection from raw turkey:

Always handle raw turkey carefully and cook it thoroughly to prevent food poisoning. This outbreak is a reminder that raw turkey can have germs that spread around food preparation areas and will make you sick.

Wash your hands. Salmonella infections can spread from one person to another if hands have Salmonella germs on them. Wash hands before and after preparing or eating food, after contact with animals, and after using the restroom or changing diapers.

Cook raw turkey thoroughly to kill harmful germs. Turkey breasts, whole turkeys, and ground poultry, including turkey burgers, casseroles, and sausage, should always be cooked to an internal temperature of 165°F to kill harmful germs. Leftovers should be reheated to 165°F. Use a food thermometer to check, and place it in the thickest part of the food.

Don’t spread germs from raw turkey around food preparation areas. Washing raw poultry before cooking is not recommended. Germs in raw poultry juices can spread to other areas and foods. Thoroughly wash hands, counters, cutting boards, and utensils with warm, soapy water after they are touched by raw turkey. Use a separate cutting board for raw turkey and other raw meats if possible.

CDC does not recommend feeding raw diets to pets. Germs like Salmonella in raw pet food can make your pets sick. Your family also can get sick by handling the raw food or by taking care of your pet.

According to the CDC, the outbreak strain has been identified in samples taken from raw turkey pet food, raw turkey products and live turkeys. Of the 85 people interviewed, 44 (52 percent) reported preparing or eating turkey products that were purchased raw, including ground turkey, turkey pieces and whole turkey. People who were ill reported buying many different brands of raw turkey products from multiple stores. Additionally, three of the 85 people who were interviewed said they became sick after pets in their home ate raw ground turkey pet food. Another three people interviewed worked in a facility that raises or processes turkeys or lived with someone who did.

Most people with Salmonella infections develop diarrhea, fever and stomach cramps 12 to 72 hours after being exposed to the bacteria. The illness usually lasts four to seven days, and most people recover without treatment. Children younger than 5, adults older than 65, and people with weakened immune systems are more likely to have severe illness. People who experience these symptoms should seek medical attention.

For more information about this outbreak, visit https://www.cdc.gov/salmonella/reading-07-18/index.html. For more information about preventing Salmonella infection, visit https://www.cdc.gov/salmonella/general/prevention.html.

A person who is deaf, hard-of-hearing, deaf-blind or speech-disabled can call the DPH phone number above by using TTY services. Dial 7-1-1 or 800-232-5460 to type your conversation to a relay operator, who reads your conversation to a hearing person at DPH. The relay operator types the hearing person’s spoken words back to the TTY user. To learn more about TTY availability in Delaware, visit http://delawarerelay.com.

The Department of Health and Social Services is committed to improving the quality of the lives of Delaware’s citizens by promoting health and well-being, fostering self-sufficiency, and protecting vulnerable populations. DPH, a division of DHSS, urges Delawareans to make healthier choices with the 5-2-1 Almost None campaign: eat 5 or more fruits and vegetables each day, have no more than 2 hours of recreational screen time each day (includes TV, computer, gaming), get 1 or more hours of physical activity each day, and drink almost no sugary beverages.

DOVER — After the first full month of the 2018-2019 flu season, flu activity in Delaware remains low. There have been 42 laboratory-confirmed cases of influenza in the state since the season started on September 30. The largest number of cases, 20, have been reported in Kent County, comprising 47.6 percent of all cases. New Castle County is reporting 14 cases (33.3 percent), and Sussex County is reporting eight cases (19.0 percent). There have been 15 hospitalizations since the start of the flu season, including two children. Eighty-eight percent of lab-confirmed cases are influenza strain A. No flu-related deaths have been reported in Delaware at this time.

While activity is currently low, the Division of Public Health (DPH) continues to remind Delawareans to get their flu vaccine if they have not already done so.

“Even though this flu season is currently not predicted to be nearly as harsh as it was last year, you should not put off getting your flu vaccine,” said DPH Director Dr. Karyl Rattay. “While the flu is unpredictable, what is predictable is that getting your annual flu vaccine can prevent you from getting the flu, and from spreading it to family, friends, neighbors and co-workers.”
The flu vaccine is recommended for Delawareans 6 months of age and older. Since it takes about two weeks after vaccination for antibodies that protect against influenza virus infection to develop in the body, it is important to get vaccinated as early as possible to give your body time to build immunity. Getting the flu vaccine now will also provide protection during the entire flu season.
During the 2017-2018 flu season, Delaware recorded 9,041 flu cases, (including the above) the highest number of laboratory-confirmed flu cases since record keeping began in 2005, and 35 flu-related deaths.

DPH offers opportunities to become vaccinated throughout the season, including at its public health clinics. A schedule can be found at https://dhss.delaware.gov/dhss/dph/fluclinics.html. Flu vaccines are also offered through physician offices, many pharmacies and some grocery stores. To locate where flu vaccines near you are being offered, Google “CDC flu finder” and enter a ZIP code. DPH provided 171 flu vaccines at its community clinic at the Porter State Service Center in October, and 1,100 at its drive thru flu clinic in front of DelDOT.
The flu is easy to transmit and you can get it even from seemingly healthy, but unvaccinated, children and adults. Vaccinations not only prevent people from getting the flu, but they can also reduce the severity of flu illness and prevent visits to the doctor, clinic, emergency room, along with hospitalizations and serious consequences (including death) from influenza. Vaccinated people have less chance of missing family, school and work events due to influenza illness.

In addition to getting an annual flu shot, Delawareans can prevent the spread of the flu and other respiratory illness with good hygiene: Wash hands frequently with soap and water or use alcohol-based hand sanitizers, cover coughs and sneezes with a tissue, and dispose of tissues immediately. If a tissue is not available, cough or sneeze into your inner elbow. Droplets from a sneeze can travel up to six feet. Also avoid touching your eyes, nose or mouth. Keep your distance from people who are coughing or sneezing.
Flu symptoms come on suddenly, and include fever, cough, sore throat, runny or stuffy nose, headaches and body aches, chills and fatigue. Some people get complications including pneumonia, bronchitis, and sinus and ear infections. Those sick with the flu should stay home from work, school and other gatherings and not return until they have been free of fever — with temperature less than 100 degrees F (37.8 degrees C), without the use of fever-reducing medications for at least 24 hours.

They should avoid close contact with well people in the household and stay well-hydrated by drinking plenty of water and other clear liquids. Over-the-counter medicines can provide symptom relief but if you suspect you have influenza, call your doctor as they may decide to provide antiviral medications to help hasten recovery and prevent serious complications. This is particularly important for those who feel very sick, are pregnant or have chronic medical conditions.

For more information about the flu and where to get vaccinated, visit flu.delaware.gov or call 1-800-282-8672.
A person who is deaf, hard-of-hearing, deaf-blind or speech-disabled can call the DPH phone number above by using TTY services. Dial 7-1-1 or 800-232-5460 to type your conversation to a relay operator, who reads your conversation to a hearing person at DPH. The relay operator types the hearing person’s spoken words back to the TTY user. To learn more about TTY availability in Delaware, visit http://delawarerelay.com.

Delaware Health and Social Services is committed to improving the quality of the lives of Delaware’s citizens by promoting health and well-being, fostering self-sufficiency, and protecting vulnerable populations. DPH, a division of DHSS, urges Delawareans to make healthier choices with the 5-2-1 Almost None campaign: eat 5 or more fruits and vegetables each day, have no more than 2 hours of recreational screen time each day (includes TV, computer, gaming), get 1 or more hours of physical activity each day, and drink almost no sugary beverages.