First Positive Case of COVID-19 Variant BA.2.86 Identified in Delaware

The Delaware Public Health Laboratory (DPHL) has identified a case of SARS-CoV-2 lineage BA.2.86 from a specimen provided to the laboratory for testing. This is the first case of BA.2.86 detected in Delaware, currently classified as a Variant Being Monitored (VBM) by the SARS-CoV-2 Interagency Group (SIG). The case was detected in a Pennsylvania resident seen at a Delaware Hospital. The Centers for Disease Control and Prevention (CDC) is publishing weekly updates on this new variant including current risk assessment and scientific analysis on its website: https://www.cdc.gov/respiratory-viruses/whats-new/covid-19-variant-update-2023-08-30.html. 

These latest developments are a reminder that while the Public Health Emergency (PHE) for COVID-19 has ended, COVID-19 is not over. An updated COVID-19 vaccine, designed to protect against the newly circulating variants, will be available later this month pending final approvals, and more details will be forthcoming. The Division of Public Health reminds everyone to follow the appropriate strategies to keep COVID-19 in check: 

  1. Get vaccinated or boosted when eligible (Talk to your health care provider or visit a public health clinic to discuss what is best for your individual situation). 
  2. Stay home if sick and get tested if you have symptoms or were exposed to someone with COVID-19. 
  3. If you test positive, inquire about treatment. 
  4. Wear a mask in crowded indoor spaces, as cases rise, or if you or someone you know is at higher risk for illness. 

COVID-19 image

To learn about vaccine and test availability, isolation guidelines, and more, please visit de.gov/coronavirus. 


DPH Launches New Financial Aid Program for Private Well Owners, Offers Free Water Testing Kits to Delaware Residents

The Delaware Division of Public Health (DPH) recently announced a new financial assistance program for homeowners who receive their drinking water from private wells. The program is operated by the agency’s Health Systems Protection section.  

Starting Sept. 1, 2023, Delawareans can now receive free test kits for their primary residence in the state, which were previously available for $4 per kit. The test kits cover a standard range of bacteria and chemicals that may be present in drinking water. 

A Bacteria Kit tests for the following:  

  • Total coliforms 
  • E. coli 

A Chemical Kit tests for the following: 

  • Alkalinity 
  • Chloride 
  • Fluoride 
  • Hardness 
  • Iron 
  • Nitrate 
  • Nitrite 
  • pH 
  • Sodium 
  • Sulfate 

The Division of Public Health reminds residents that water quality standards for private wells are not regulated by the federal or state government, and they are the responsibility of the homeowner. For more information on primary and secondary contaminants covered by the Safe Drinking Water Act, and their health impacts, visit: https://www.epa.gov/sites/default/files/2016-06/documents/npwdr_complete_table.pdf  

  

Drinking water test kits can be picked up at four locations in the state:  

New Castle County 

  • Environmental Health Field Services 
    258 Chapman Road, Newark, DE 19702
    302-283-7110
  • Delaware Public Health Laboratory30 Sunnyside Road, Smyrna, DE 19977
    302-223-1520 

Kent County 

  • Environmental Health Field Services 
    Thomas Collins Building, Suite 5, Dover, DE 19901
    302-744-1220  

Sussex County 

  • Environmental Health Field Services 
    Thurman Adams State Service Center, Suite 1700 
    544 S. Bedford St, Georgetown, DE 19947 
    302-515-3300 

Individuals will be eligible to apply for the new financial assistance program if their water quality test results obtained from the laboratory contain excessive amounts in any of the following areas: 

  • Total coliforms 
  • E. coli 
  • Fluoride 
  • Nitrite 
  • Sodium* 

*If individuals are at risk and on severely salt-restricted diets. 

To participate in the program, individuals must complete the application form and provide proof of enrollment in other State or Federal assistance programs such as SNAP, WIC, Supplemental Security Income, LIHEAP or Temporary Assistance for Needy Families (TANF). 

Once applications have been reviewed and approved, third-party vendors will select the appropriate treatment methods based on sample results. A treatment system, installation and the first year of maintenance will be covered by the program. Homeowners and tenants with landlord approval/sign-off can apply for the program.  

This program is funded through the State of Delaware’s Fiscal Year 2023 capital budget (Bond Bill) and has a budget of $200,000. It will operate on a first-come, first-served basis until funds expire or additional funding is secured for the program.   

For more information about the new program, email DHSS_DPH_PrivateWell@delaware.gov or call 302-744-4546 Option 9.    


DPH’s Office of Animal Welfare Announces 2 Arrests in Connection with Lewes Dog Cruelty Case; 14 More Dogs Rescued 

Delaware Animal Services (DAS), the enforcement unit within the Office of Animal Welfare, announces the arrest of a man and a woman involved in an animal cruelty case. 

On Aug. 25, 2023, Delaware State Police (DSP) Troop 7 received a tip from a concerned citizen that Dillon Hensey, age 32, and his wife, Chelsie Puckett, age 33, were seen in the parking lot of 19791 Coastal Hwy Rehoboth Beach, Del. DSP responded to the area and located Hensey and Puckett parked in their SUV. Delaware Animal Services responded to assist with the arrest. Upon arrival, animal welfare officers found 14 more dogs living in the couple’s SUV. The vehicle was full of trash, feces and debris. The 14 dogs were seized by animal welfare officers and transported to Brandywine Valley SPCA (BVSPCA) for care. 

Hensey was taken into custody for the outstanding animal cruelty charges, while Puckett was taken into custody on unrelated charges. Both were arraigned at Troop 7 on August 25. The couple is prohibited from owning or possessing animals pending outcome of the case. 

  • Hensey has been charged with 29 counts of misdemeanor animal cruelty and was released on $14,500 unsecured bond. 

  • Puckett was charged with 14 counts of misdemeanor animal cruelty and was released on $7,000 unsecured bond.   

Hensey was wanted for abandoning 34 small breed dogs in deplorable conditions in a Lewes home in early August. He failed to turn himself in to DAS enforcement officers on multiple occasions.  

The 34 dogs that were seized on Aug. 8 were turned over to BVSPCA’s care. Thirty of the 34 dogs have been adopted and are now in loving homes, and four are in foster care. BVSPCA hopes to make some of the 14 dogs seized last week available for adoption as soon as Wednesday. 

The Office of Animal Welfare thanks the public for their tips as well as Delaware State Police for their cooperation with locating the suspects in this case.  

 

Animal Cruelty Complaints  

Cruelty and neglect of animals is against the law (delcode.delaware.gov/title16/c030f/index.html). If you are concerned about an animal’s welfare and suspect cruelty or neglect, contact OAW’s Delaware Animal Services section immediately at 302-255-4646 or report online at animalservices.delaware.gov/report_violation/25. 


DPH Announces Prescription Monitoring Program Data Updates to My Healthy Community Dashboard

The Delaware Division of Public Health (DPH), in collaboration with the Delaware Division of Professional Regulation (DPR), announces important updates to the Mental Health and Substance Use Disorder section of the My Healthy Community (MHC) Dashboard

These updates are located within this section’s Prescription Monitoring Program (PMP) tab and present trends in prescription drug dispensing in Delaware. The most notable update to the PMP page is a color-coded matrix to identify communities that may be at higher risk of Opioid Use Disorder (OUD). The rate of prescriptions for high dose (greater than or equal to 90 Morphine Milligram Equivalents [MME]) and extended-release opioids are indicators of a high need for treatment. The key indicators available on the site include:  

  • Prescription opioids  
  • High-dose opioids  
  • Long-acting/extended-release opioids  
  • Benzodiazepines filled in the same month as an opioid  
  • Cash paid opioid prescriptions  
  • Opioid prescriptions paid by Medicaid  
  • Opioid partial agonist prescriptions  
These indicators are shown by count and rate of prescriptions and include data on the number of people filling those prescriptions. Trend data for filled prescriptions indicate a steady decline in dispensed opioids and an increase in OUD treatment medications.  
Although the rates of filled opioids has declined 29% from 2006 to 2019 in the U.S., Delaware is higher than any other state in the United States with high-dosage (greater than or equal to 90 MME) opioid prescription fill rate at 7.8 prescriptions per 100 persons and long-acting/extended-release opioids at a rate of 10.1 prescriptions per 100 persons, according to Centers for Disease Control and Prevention’s 2019 Annual Surveillance Report on Drug-Related Outcomes. In 2020, Delaware ranked third highest among all states in drug overdose death rates with a rate of 47.3 per 100,000 population (CDC, 2021). 
In November 2022, CDC released the CDC Clinical Practice Guideline for Prescribing Opioids for Pain. This updated report from the 2016 Guidelines includes more information on acute pain management and alternatives to opioids for pain. DPH has continued to educate physicians and pharmacists on best practices for pain management. This includes offering one-on-one education and continuing education opportunities and working with Delaware providers to create educational materials for providers and patients. DPH has compiled an inventory of Delaware-specific, evidence-based pain management resources for prescribers and dispensers at Prescription Medications | Help is Here Delaware.  
The MHC data platform presents indicators of health outcomes to the public and has implemented an innovative methodology to facilitate the presentation of health, demographic and social determinant data in Delaware. The software provides an extensible framework for integrating data sets, generating analyses and visualizations, and managing both public and internal reports. The CDC’s Overdose Data to Action grant funded the updates to this portion of the dashboard and funds the Delaware PMP. DPH worked with the Division of Professional Regulation’s Office of Controlled Substances to make PMP data publicly available for these updates.     
If you or a loved one is struggling with addiction in Delaware, call DHSS’ 24/7 Crisis Hotline to be connected to treatment and recovery options. In New Castle County, call 1-800-652-2929. Or in Kent and Sussex counties, call 1-800-345-6785. For free 24/7 counseling, coaching, and support, as well as links to mental health, addiction, and crisis services call the Delaware Hope Line at 833-9-HOPEDE. To search online for treatment and recovery services in Delaware or nearby states, visit HelpIsHereDE.com.  


Keep Your Cool in Extreme Heat Conditions

With the summer season in full swing, extreme heat conditions can pose a serious threat to our health and well-being. The Delaware Division of Public Health (DPH) reminds Delawareans that it is important to take extra precautions to stay safe and healthy. 

Prolonged exposure to high temperatures can lead to heat exhaustion, heat stroke and other serious health complications. Heat exhaustion can cause a variety of symptoms, including excessive sweating, dizziness, nausea, headache and muscle cramps. If left untreated, symptoms can progress to more severe conditions such as confusion, trouble breathing and even loss of consciousness. Although rare, heat stroke is a true medical emergency that should be addressed by getting out of the sun and seeking immediate medical attention.  

Delawareans are advised to follow these steps to avoid heat-related illnesses: 

Avoid direct sunlight and find a well-ventilated, air-conditioned place. If your home does not have air conditioning, spend some time in an air-conditioned public facility, such as a library or mall. Even if the windows are slightly open, children, individuals or pets should never be left in cars. To remind yourself that a child is in the car, the Centers for Disease Control (CDC) recommend keeping a stuffed animal in a car safety seat unless a child is buckled in it. When the child is buckled in, place the stuffed animal in the front with the driver. Be certain that everyone has exited the car. 

To prevent sunburn, apply sunscreen with an SPF of 15 or higher 30 minutes before going outside and reapply it as directed. 

Keep yourself hydrated. In the heat, CDC recommends drinking water every hour, regardless of activity level. Instead of drinking caffeinated, alcoholic and carbonated drinks, reach for water when you’re thirsty. Regular urination and pale or clear urine are signs that a person is drinking enough fluids. Dehydration symptoms include dark urine, thirst, dry mouth, dry lips, headaches and dizziness. In order to replace salt and minerals lost through heavy sweating, dehydrated individuals should drink a sports drink or fruit juice.  

Don’t drink more water than you need to quench your thirst. It is possible to develop hyponatremia, a potentially fatal loss of sodium levels, when you drink too much water. Monitor adults who are at risk of heat exhaustion or heat stroke twice a day. Children and infants require more frequent supervision. In case of severe symptoms such as nausea, vomiting, confusion, seizures or coma, call 911. 

Limit outdoor activity, especially mid-day when the sun is hottest. Exercise or hold sports team practices early in the morning or in the early evening. If you must be outside, wear lightweight, light-colored clothing. Wear a hat or use an umbrella for shade. Avoid taking a cold shower too soon after coming in from hot weather; it can cause hypothermia, especially in the elderly and children. It is better to use cool water than ice cold water in these cases. 

Stay informed. As well as knowing the warning signs of heat-related illnesses, be aware of local heat alerts. Infants and children younger than 4 years old, those 65 years and older, outdoor workers, athletes and obese people are at high risk of heat-related illness, along with those taking certain medications, having poor circulation, high blood pressure and living with mental illness. Fever, sunburn, dehydration and alcohol consumption are also risks. Check on a friend or neighbor during extreme heat events.  

For more information, visit the CDC website at cdc.gov/extremeheat/warning.html. 

Make a Heat Plan for Pets:

The Division of Public Health and its Office of Animal Welfare also urge pet owners to make a plan for caring for their pets. Animals at the greatest risk of stress from the heat include pregnant or lactating animals, very young and older animals, animals with darker coats, obese pets, short-nosed dog breeds and animals with chronic health conditions. Signs of heat stress can include panting, increased salivation, restlessness, muscle spasms, increased heartbeat and body temperature, weakness, lack of coordination, bright red or pale and sticky gums, vomiting, diarrhea and depression. 

  • Pets should not be left in vehicles, even in mild temperatures: Animals kept inside a vehicle in warm or hot temperatures are susceptible to heatstroke. According to the American Veterinary Medical Association (AVMA), the interior of a vehicle can reach 89 degrees in just 10 minutes when the temperature outside is just 70 degrees. At 80 degrees outside, a vehicle’s interior can reach 99 degrees in that time. Temperatures will continue to rise inside a vehicle, and the AVMA states that cracking windows does little to help. Call 911 immediately if you see a pet left unattended in a vehicle. 
  • Animals should have access to shade and water when outside: The best place for pets in hot temperatures is inside the home. If a pet must be outside in the heat, make sure the animal has a shaded area and fresh water to help stay cool. The interiors of cat and dog houses can get very hot in summer months and, therefore, do not provide adequate shade. 

 

  • Practice caution when walking dogs in the heat: The best time of day to walk dogs in summer months is in the early morning or late evening when the sun’s heat is not as intense. A simple touch of the hand to any surface where a walk is planned will tell if it’s too hot for a dog. If it’s too hot for a human hand, it’s too hot for a dog’s paws. 
  • Pay attention to signs of heat stroke: Just like humans, dogs are susceptible to heat stroke in high temperatures, especially if there is increased activity or little ventilation. A dog that is drooling and panting due to heat can quickly progress to a heat stroke, which can be life-threatening. Immediate veterinary attention is suggested for dogs that have become over-heated. 

 

By following these steps, we can all stay healthy and safe during extreme heat conditions. Let’s make this a summer to remember for all the right reasons.