DOVER, DE (Nov. 18, 2022) – The Delaware Division of Public Health (DPH) reports that the statewide 7-day average of new positive COVID-19 cases has decreased for the fourth consecutive month. Hospitalizations and deaths related to COVID-19 have remained low over the same time period. Average new positive cases are lowest in Kent County, with Sussex County only slightly higher. However, the 7-day average in New Castle County is almost three times that of Kent County and double the average for Sussex County. In general, the level of community spread remains low. 

Testing and vaccination remain our best tools to prevent the spread of COVID-19 as we prepare to gather with friends and family this holiday season. At-home testing is fast, convenient and reliable, especially for those who are feeling sick. If you test negative but still have symptoms, consider taking a second test within the timeframe described in manufacturer’s instructions. If the second test is still negative, contact your healthcare provider and consider you may have another respiratory virus like influenza (flu). 

 

Don’t let COVID-19 have a seat at your table this Thanksgiving.  Delawareans should remain vigilant to protect their loved ones from COVID-19 by following these key prevention strategies.

 

• Stay home if sick.  Even if it’s not COVID-19, you don’t want to spread flu or other germs to those around you, especially older, very young or immunocompromised friends and family.
  
• Get tested for COVID-19:
• • 1-2 days before a large gathering
  • If you have symptoms of COVID-19
  • Five (5) days after being exposed to someone confirmed to have COVID-19
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• Ensure your home or gathering place is properly ventilated. Click here for more information about improving ventilation in your home, including an online interactive ventilation tool. This easy-to-use tool helps you find the best combination of ventilation options in your home to decrease the level of COVID-19 particles in the air.
• Wear a mask when out or around others if it makes you more comfortable or are immunocompromised.
  
• Make sure you are up-to-date with your vaccines, especially the updated bivalent COVID-19 booster, and flu shot.
  
• Cover coughs and sneezes if you are around others when they occur.
  
• After a trip, travelers are recommended to self-monitor for COVID-19 symptoms, and isolate and get tested if symptoms develop.

 

It is important to remember eligible individuals can get either the Pfizer or Moderna updated bivalent booster, regardless of whether their primary series or most recent dose was with Pfizer, Moderna, Novavax or the Johnson & Johnson (J & J) vaccine. As per the CDC recommendations, the new bivalent booster replaces the existing monovalent vaccine booster, therefore that vaccine will no longer be authorized for use as a booster dose in people ages 5 and up. The bivalent booster is for those who completed their primary series, or previous boosters, two or more months ago. 

The Novavax vaccine is also authorized as a monovalent booster dose for adults ages 18 and older, at least 6 months after completing primary vaccination with Pfizer, Moderna or Novovax, or two months after J&J who have NEVER received a previous booster. Adults may choose to receive a Novavax booster instead of an updated Pfizer or Moderna booster if they are allergic to mRNA vaccines, or they don’t wish to get an mRNA vaccine. For more information on boosters, visit de.gov/boosters. 

 

 

DPH encourages individuals to get their booster at the same time as they get their annual flu vaccine, either in the same arm at least one inch apart, or in different arms. As of Thursday, Nov. 17, 2022, a total of 598 influenza cases were reported for the week of Nov. 6 to Nov. 12, an increase from the prior week. This brings the total number of influenza cases for the season to 1,404. While cases are increasing, influenza-related hospitalizations remain low at 23 statewide for the current season. 

As flu cases rise this season, only 26% of Delawareans have received their annual flu vaccine. The CDC encourages everyone 6 months older to get their annual flu vaccine by Thanksgiving. Flu vaccines and bivalent boosters are available at DPH clinics, many pharmacies, Federally Qualified Health Centers and some community events. You can find a list of locations for COVID vaccines at de.gov/getmyvaccine or at vaccines.gov. Locations for flu vaccines can be found on the flu finder on the flu.delaware.gov webpage. More details on the bivalent booster can be found at de.gov/boosters.  

 

Respiratory Syncytial Virus (RSV) is another respiratory virus of concern. Cases are beginning to decline, but remain relatively high. During the week of Nov. 6 to Nov. 12, there were 102 laboratory-confirmed cases of RSV reported among Delaware residents with 606 total cases for the 2022-2023 season.

 

The co-circulation of COVID-19, flu and RSV continues to be a concern for Delaware. The three viruses have contributed to a strain on the health care system, and DPH urges the public to practice prevention guidelines to help reduce the impact and allow hospitals to continue caring for those who are seriously ill. Though a vaccine does not yet exist for RSV, it’s not too late to get critical protection from the flu if you not yet received a flu vaccine Close to half of the nearly 1,500 Delaware flu cases reported this season, occurred between Nov. 6 and Nov. 12. Getting the flu vaccine reduces the chance of getting sick. While it is still possible to get the flu even after you’ve been vaccinated, the vaccine reduces the severity of illness if you do get sick.

The below data is as reported on Delaware’s My Healthy Community data portal on Thursday, Nov. 17, 2022.  

 

COVID-19 Cases and Hospitalizations:  

• Total positive cases since March 11, 2020: 315,440*
• 7-day daily average of new positive cases: 105.9, a decrease of 40.5 average new positive cases reported since Oct 14, 2022  
• 7-day daily average for the percentage of total positive tests: 6.7 percentage points, a decrease of 3.2 percentage points reported since Oct. 14, 2022  
• Hospitalizations: 99 current hospitalizations; critically ill: 5
• Total COVID-19 deaths: 3,163, an increase of 42 since last month, including 39 as a result of ongoing Vital Statistics review of deaths occurring between June and October.
  
  *Case and testing data are based on reporting of lab-confirmed COVID-19 tests only. The number of COVID-19 cases in the community is higher than what is reported because of the use of at-home test kits. 
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COVID-19 Vaccinations:  

• Total number of doses administered in Delaware:2,051,226
• Percentage of Delawareans 5+ who are fully vaccinated (CDC data): 76.1%  
• Percentage of Delawareans 12+ who are fully vaccinated (CDC data): 80.2%  
• Percentage of Delawareans 18+ who are fully vaccinated (CDC data): 81.7%  
• Percent of Delawareans who are fully vaccinated (CDC data): 72%  

COVID-19 Case Vaccination Status Report:  

The following reports capture a weekly breakdown of non-boosted cases, deaths, and hospitalizations for the time frame of Oct 31 – Nov 6, 2022.  
  

Non-boosted: Case – Hospital – Death

 

Weekly Overview (10/31/22 – 11/06/22)
Not up-to-date Cases
Total Not up-to-date Cases	828
Total Cases	911
Percent of Not up-to-date Cases	90%
Not up-to-date Hospitalized Cases
Total Not up-to-date Hospitalized Cases	94
Total Hospitalized Cases	100
Percent of Not up-to-date Cases	94%
Not up-to-date Deaths
Total Not up-to-date Deaths	1
Total COVID-19 Deaths	1
Percent of Not up-to-date Deaths	100%

 

 

Note: Case and Hospitalization Count: based on RTS (Report to State Date) Death: based on DoD (Date of Death)  

  

Long-term Care Statistics:  

As of Thursday, Nov. 17, 2022, there have been a total of 4,837 positive COVID-19 cases involving long-term care residents, and 1,000 residents of Delaware long-term care facilities have died from complications related to COVID-19. 

 

Resources:  

Individuals with general questions about COVID-19 should call Delaware 2-1-1, individuals who are deaf or hard of hearing can text their ZIP code to 898-211, or email delaware211@uwde.org. Hours of operation are:  

 

• Monday – Friday: 8:00 a.m. to 9:00 p.m.  
• Saturday: 9:00 a.m. to 5:00 p.m.  

Medically related questions regarding testing, symptoms, and health-related guidance can be submitted by email at DPHCall@delaware.gov.  

DPH will continue to update the public as more information becomes available. For the latest on Delaware’s response, go to de.gov/coronavirus. 

 

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The Delaware Division of Public Health (DPH), a division of the Delaware Department of Health and Social Services, is a nationally accredited public health agency recognized by the Public Health Accreditation Board for its outstanding dedication to driving change through innovation. DPH 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.  

  

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. 

WILMINGTON, Del. – Governor Carney on Thursday formally extended the Public Health Emergency order another 30 days to allow the State of Delaware and medical providers to continue COVID-19 vaccination and testing programs.

 

“As we enter the holiday season, it’s important that we keep doing the things we know that work,” said Governor Carney. “Stay home if you’re sick. Get vaccinated and boosted when you’re eligible. And get your flu shot if you haven’t yet.”

 

Under Delaware law, Public Health Emergency declarations must be renewed every 30 days.

 

Visit Governor Carney’s website to view the Public Health Emergency extension.

 

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DOVER, DE (Nov. 9, 2022) – The Delaware Division of Public Health (DPH) is announcing the launch of the My Healthy Community (MHC) influenza (flu) dashboard, which shares weekly as well as seasonal data on positive cases, hospitalizations, deaths, and for the first time, vaccinations in the state. The dashboard is intended to provide an accurate picture of flu activity among Delawareans and make influenza data readily and easily available. Updates will occur weekly on Thursdays for local data, and monthly for other geographies. The flu dashboard can be found by clicking on the ‘Weekly Flu Data’ link at flu.delaware.gov or visiting [myhealthycommunity.dhss.delaware.gov]myhealthycommunity.dhss.delaware.gov.

“We are extremely excited to leverage the power and popularity of the My Healthy Community data portal platform to share the most currently available data on influenza,” said DPH Interim Director Dr. Rick Hong. “The portal has become most well-known for providing real time COVID-19 data.  Now we can bring that same level of detail and transparency to the public with flu data as well.”

The launch of the dashboard is timely as flu cases have soared dramatically. For the week of October 23 to 29, the most recent time for which data is available, there were 172 laboratory-confirmed flu cases in the state bringing the season total to 254. The week’s total is a six-fold increase from the prior week. Many medical providers offer rapid flu tests in their offices.  As this data is not being consistently reported statewide to DPH, the number of lab-confirmed cases is likely an under-representation of the total level of flu in the community. Conversely, flu-related hospitalizations for the season remain low, at 14.  DPH is working through data suppression issues on MHC to be able to add that data to the dashboard.  Data for these categories will be available at the county level and will be broken down by age group. Trend graphs for influenza-like illness and COVID-like illness are also available. No flu-related deaths have yet been reported through October 29.  The data available on MHC will replace the weekly influenza surveillance reports prepared by DPH’s Office of Infectious Disease Epidemiology.  

DPH officials remain concerned about having the influenza, RSV and COVID-19 respiratory viruses all circulating at the same time. The number of RSV cases for the latest week is 126, bringing the season total to 398.  These are lab-confirmed cases only and are an under-representation of the complete picture of RSV in the state. RSV data is not currently planned to be added to the new dashboard but will continue to be reported on the DPH website’s influenza surveillance page and may also be accessed in the data section of flu.delaware.gov.  DPH will begin working to also collect additional RSV-related data on patient visits from health care systems, and their affiliated urgent cares/walk-ins and primary care providers.

Delawareans can help prevent the spread of the flu, as well as other respiratory illnesses like COVID-19 and RSV, by following these simple steps:

1. Get vaccinated for the flu, COVID-19, and other illnesses for which vaccines are available.
2. Stay home if sick.
3. Cover coughs and sneezes with a tissue and dispose of the tissue in a wastebasket afterward.
4. Wash hands frequently with soap and water or use alcohol-based hand sanitizers.
5. Avoid touching your eyes, nose or mouth.
6. Sanitize commonly touched surfaces more frequently during the fall and winter.
7. Wear a mask when cases are high or if you are at higher risk for respiratory illness.

Flu vaccines are available at pharmacies (including in grocery stores), participating medical provider offices, Federally Qualified Health Centers (for their patients), and Division of Public Health clinics. While DPH no longer holds mass community flu clinics, it is offering flu vaccines at community-based locations where the DPH mobile units also provide additional health services. 

Flu symptoms come on suddenly and include fever, cough, sore throat, runny or stuffy nose, headaches, body aches, chills, and fatigue. Some signs and symptoms of flu and COVID-19 are similar, including fever, cough, sore throat, shortness of breath, runny or stuffy nose, headaches, and body aches, chills, and fatigue. Testing can effectively help you determine which illness you have. Children, older adults, and those with chronic underlying medical conditions are most at risk for complications from the flu and are strongly encouraged to get vaccinated now. 

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 a temperature less than 100 degrees F (37.8 degrees C), without the use of fever-reducing medications – for at least 24 hours. 

In addition, people with flu symptoms should avoid close contact with 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. Contacting your primary care provider is particularly important for those who feel very sick, are pregnant, or have chronic medical conditions. 

DPH is sharing flu-related messaging through radio, print, and social media messaging and has distributed a toolkit to schools, community-based organizations, and medical providers to help encourage flu vaccination through their networks.   

For more information about the flu and where to get vaccinated, visit flu.delaware.gov or call 1-800-282-8672. 

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The Delaware Division of Public Health (DPH), a division of the Delaware Department of Health and Social Services, is a nationally accredited public health agency recognized by the Public Health Accreditation Board for its outstanding dedication to driving change through innovation. DPH 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.  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. 

DOVER, DE (Oct. 6, 2022) ­– The Delaware Division of Public Health (DPH) has created new resources and a new webinar specifically for pharmacists as part of its ongoing work to reduce substance use disorder.  DPH has worked with partners in the medical community to develop Delaware-specific, evidence-based education materials, aiming to reduce the risk of unintentional opioid prescription overdose deaths in the state. These materials are available on the health care provider page at HelpIsHereDE.com, including the new content created specifically for pharmacists.

According to the 2019 Annual Surveillance Report on Drug-Related Outcomes from the Centers for Disease Control and Prevention (CDC), Delaware ranked first in the nation for both high-dose opioid prescribing and long-acting opioid prescribing. In 2020, Delaware ranked third-highest among all states in overdose death rates (CDC, 2021). Of those overdose deaths, 88% involved opioids.

DPH partnered with Alosa Health, Inc., to provide one-on-one education for pharmacists. DPH and Alosa created a webinar (available on HelpIsHere.com) to educate pharmacists on the effects of co-prescribing naloxone (Narcan) with certain opioid prescriptions. Pharmacists who complete the webinar curriculum will be eligible to apply for Continuing Education credits (CEs). Among other topics covered in the webinar, pharmacists are encouraged to co-dispense naloxone with any opioid prescription exceeding 50 Morphine Milligram Equivalents (MME) or upon discretion as outlined in the Centers for Disease Control and Prescription’s Guideline for Prescribing Opioids for Chronic Pain.

Pharmacies can participate in the Community-Based Naloxone Access Program (CBNAP) to deliver naloxone without a doctor’s prescription under a Standing Order. Naloxone is an opioid receptor antagonist used to reverse opioid overdose and opioid-induced respiratory depression, which can prevent death and brain damage from lack of oxygen. Naloxone is covered in full through Delaware Medicaid insurance.

If you or a loved one is struggling with addiction in Delaware, call the 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 1-833-9-HOPEDE. To search for treatment and recovery services in Delaware or nearby states, visit HelpIsHereDE.com.

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The Delaware Division of Public Health (DPH), a division of the Delaware Department of Health and Social Services, is a nationally accredited public health agency recognized by the Public Health Accreditation Board for its outstanding dedication to driving change through innovation. DPH 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. 

Anyone who is deaf, hard of hearing, Deaf-Blind, or speech-disabled can contact DPH by first dialing 711 using specialized devices (i.e., TTY, TeleBraille, voice devices). The 711 service is free; to learn more about how it works, visit delawarerelay.com.

DOVER, DE (Sept 22, 2022) ­– The Delaware Division of Public Health (DPH) is sharing upcoming opportunities for individuals to get vaccinated against the monkeypox virus (MPX). The current case count for MPX in the state is 35, including 23 cases in New Castle County, three cases in Kent County, and nine cases in Sussex County. Delaware continues to offer vaccinations to people at a higher risk of exposure.

Vaccine eligibility is being expanded to include all gay, bisexual and transgender or nonbinary persons having sex with men, or females having sex with gay, bisexual, non-binary, or transgender males. Delaware is also expanding vaccine eligibility to health care workers who are providing direct patient care to confirmed/suspected MPX cases in areas such as Emergency Departments, urgent cares, Federally Qualified Health Centers, DPH clinics, STI/HIV or sexual health clinics, and those at occupational risk such as laboratory staff that handle MPX specimens. 

Recent data show the risk of MPX to exposed health care workers to be low even when use of personal protective equipment (PPE) is incomplete.  However, to ensure the greatest level of protection against MPX, the Centers for Disease Control and Prevention recommends health care staff wear PPE consisting of gown, gloves, eye protection, and an N95 (or higher-level) respirator while caring for patients with suspected or confirmed MPX.

Vaccines remain available to those at highest risk including:

• Persons known or presumed to be exposed to someone with MPX in the last 14 days
• Certain individuals who have sex with men and who have had multiple sex partners within the past 14 days
• Those living with HIV or who are receiving HIV PrEP
• Immunocompromised persons (including those with cancer, solid organ or stem cell transplants, those taking immunosuppressive therapy, and individuals with autoimmune disease)
• Those treated for a sexually transmitted infection (STI) in the last six months
• Individuals traveling to an area with community spread of MPX cases.
• Those engaging in high-risk activities, including sexual practices, that increase exposure to MPX, such as:
  • Gay, bisexual, and other men who have sex with men and have had multiple, or any, anonymous sexual partners in a social network experiencing monkeypox activity, this includes meeting partners through an online website, digital application (“app”), or social event (e.g., a bar or party)
  • Transgender women or nonbinary persons assigned male at birth who have sex with men
  • Sex workers (of any sexual orientation/gender)
  • Staff (of any sexual orientation/gender) at establishments where sexual activity occurs (e.g., bathhouses, saunas, sex clubs)
• People who fall into any of the identified high-risk categories who are also experiencing homelessness or incarceration

Currently, the Centers for Disease Control and Prevention is not encouraging vaccination against monkeypox for the broader public or for everyone who is sexually active. Individuals should be aware that the vaccine, a two-dose series given 28 days apart, is not considered effective until two weeks after the second dose. Those at higher risk should continue using preventive measures and reduce engaging in high-risk behaviors both prior to, and after, vaccination to reduce the chance of continued spread of MPX in the community. 

Eligible Delawareans may also receive monkeypox vaccinations at: 

• Newark Urgent Care – Visit NewarkUrgentCare.org to view eligibility requirements and schedule an appointment. Vaccine clinics are on Thursdays, and there is no cost for the vaccine.
• Beebe Healthcare: Individuals can schedule an appointment at beebehealthcare.org/online-scheduling. Walk-ins will not be accepted.
• DPH clinics: Individuals can call the MPX hotline at 866-408-1899 for a screening evaluation. Walk-ins at DPH clinics will not be accepted. Monkeypox vaccinations at DPH clinics will continue to prioritize individuals at highest risk, as a result of confirmed or potential exposure to someone with MPX. As a result, your appointment may be scheduled a few days out.

Signs and Symptoms 

The symptoms of MPX are similar to but milder than the symptoms of smallpox. Symptoms usually start within three weeks of exposure to the virus. Most people who contract MPX will develop a rash, and some will develop flu-like symptoms beforehand. The flu-like symptoms may include fever, headache, muscle aches and backache, sore throat, cough, swollen lymph nodes, chills, or exhaustion. If someone has flu-like symptoms, they usually will develop a rash one to four days later.

If you suspect you are experiencing any symptoms associated with MPX you should immediately:  

• Contact your health care provider and discuss your symptoms and concerns.
• Self-isolate until all lesions have resolved, the scabs have fallen off, and a fresh layer of intact skin has formed.
• Avoid being intimate with others.
• Make a list of your close and intimate contacts in the last 21 days.

It can take three to four weeks for all symptoms to fully heal. While there is no specific treatment for MPX, antivirals can be prescribed, though they are not always needed. To learn more information about monkeypox, please visit de.gov/monkeypox. DPH posts MPX case and vaccine data on the website along with resources for the general public, and provides a separate page for medical providers.

DPH launched a hotline for individuals with questions or concerns about MPX. The hotline number is 866-408-1899 and is operational Monday – Friday from 8:30 a.m. to 4:30 p.m. Questions may also be emailed to DPHCall@delaware.gov. Both the hotline number and email address share staff with the COVID-19 Call Center. To learn more about MPX prevention programs and resources, visit de.gov/monkeypox.

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The Delaware Division of Public Health (DPH), a division of the Delaware Department of Health and Social Services, is a nationally accredited public health agency recognized by the Public Health Accreditation Board for its outstanding dedication to driving change through innovation. DPH 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.

 

Anyone who is deaf, hard of hearing, Deaf-Blind, or speech-disabled can contact DPH by first dialing 711 using specialized devices (i.e., TTY, TeleBraille, voice devices). The 711 service is free; to learn more about how it works, visit delawarerelay.com.