DOVER, Del.— Governor John Carney joined Secretary of Transportation Jennifer Cohan on Monday to highlight infrastructure investments that will be made throughout the state as part of the FY20 – FY25 Capital Transportation Program. Currently, more than $3.2 billion in infrastructure work is planned for Delaware’s transportation network over the next six years. When including FY19 in the total, the investments total $4 billion.

Notable projects include the widening of SR 1 north and south from Route 273 to the Roth Bridge in New Castle County, the US 13 Camden Widening project in Kent County, and the SR 1 Minos Conaway Grade Separated Intersection in Sussex County.

“With these investments, we are modernizing our transportation system statewide,” said Governor Carney. “This is the kind of smart, infrastructure investment that will create jobs, alleviate congestion, and lead to real economic growth statewide. Thank you to members of the General Assembly for helping us fund these important investments.”

 
“While we have many large infrastructure projects scheduled around the state, we’ll are also investing more than $100 million in public transportation and rail, $80 million in road paving and rehabilitation projects, as well as $20 million in sidewalk improvements to meet Americans with Disabilities Act (ADA) standards,” added Secretary Cohan.

“Today’s announcement sends a clear to message to Delawareans: our state is growing and improving rapidly and all of us in state government are serious about making the kinds of infrastructure investments to support that growth,” said Senator Stephanie Hansen, Chair of the Senate Transportation Committee. “Our state prides itself in working together to get things done, and infrastructure is one of the key tests of how well a government functions. I think we are passing that test here and it will make for a safer, more efficient state and a stronger economy in the years and decades to come.”

“These infrastructure investments will impact communities throughout Delaware, creating jobs, easing congestion and improving the lives of Delawareans by fostering an efficient transportation system,” said Representative Ed Osienski, Chair of the House Transportation, Land Use and Infrastructure Committee. “These investments are substantial, and I look forward to seeing the continued progress.”

Each year, DelDOT develops a 6-year Capital Transportation Plan (CTP) that identifies anticipated capital investments. This plan is developed in cooperation with the Wilmington Area Planning Council (WILMAPCO), Dover/Kent County Metropolitan Planning Organization and Sussex County government. The plan provides information on the actual cost expenditures for each project phase that are anticipated in each specific fiscal year. The Council on Transportation provides final approval of the CTP by March 1st of the following year. For more information visit the DelDOT website.

Video from Monday’s event can be found here.

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DOVER – Delaware’s Division of Public Health (DPH) is advising Kent County residents who live in the area of Still Road between Pony Track and Mahan Corner roads near Sandtown of a positive case of rabies in a fox that came into contact with a human recently. The fox attacked a chicken on the victim’s property and then bit the individual’s leg. The individual has begun treatment for rabies exposure.

Anyone in this area who thinks they might have been bitten, scratched or come in contact with a fox should immediately contact their health care provider or call the DPH Rabies Program at 302-744-4995. An epidemiologist is available 24/7. Anyone who thinks their pet may have been bitten by this fox should call their private veterinarian or the Delaware Department of Agriculture (DDA) at 302-698-4630 or email rabies.hotline@delaware.gov.

Since Jan. 1, 2018, the Division of Public Health (DPH) has performed rabies tests on 118 animals, 12 of which were confirmed to be rabid, including four foxes (including this one), three raccoons, two cats, one dog, one horse, and one donkey. Rabies tests performed on five animals (one sheep, two bats and two dogs) were indeterminate. DPH only announces those rabies cases for which it is possible the animal had unknown contacts with additional humans or pets.

In addition, DPH recently announced Delaware’s first positive case of rabies in a human in nearly 80 years. A Felton woman died in August after contracting the disease.

Rabies is an infectious disease affecting the nervous system of humans and other mammals. Infection can occur through the bite or scratch of an infected animal or if saliva from such an animal gets into the eyes, nose, mouth or an opening in the skin. Rabies in humans and animals cannot be cured once symptoms appear, and therefore, if an animal that has exposed a human is unavailable to be quarantined or tested, DPH recommends that people receive post-exposure prophylaxis (PEP) treatment, a series of four vaccinations, as a precautionary measure.

Fortunately, rabies is also almost completely preventable. DPH recommends that members of the public take the following steps to stay clear of exposure:
•  All dogs, cats, and ferrets 6 months of age and older are required by Delaware law to be vaccinated against rabies by a licensed veterinarian. Consider vaccinating livestock and horses as well. It is recommended to consult with your private veterinarian if you have any questions regarding whether your animal(s) should be vaccinated against rabies.
•  Pet owners can reduce the possibility of pets being exposed to rabies by not letting them roam free.
•  Spaying or neutering your pet may reduce the tendency to roam or fight and, thus, reduce the chance they will be exposed to rabies.
•  Do not keep your pet’s food or water outdoors; bowls can attract wild and stray animals.
•  Keep your garbage securely covered.
•  Do not touch or otherwise handle wild or unfamiliar animals, even if they appear friendly.

For more information on the DPH rabies program, visit http://www.dhss.delaware.gov/dhss/dph/dpc/rabies.html or call 1-866-972-9705 or 302-744-4995. For more information on rabies, visit the Centers for Disease Control and Prevention at http://www.cdc.gov/rabies/.

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.

WILMINGTON (Oct. 3, 2018) – As a way to engage more Delawareans suffering from substance use disorder in treatment, while also meeting their accompanying needs for housing, employment, education and other wraparound services, the Department of Health and Social Services (DHSS) today launched its START Initiative with a press conference and a daylong forum for stakeholders.

With the START Initiative, DHSS’ Division of Substance Use and Mental Health (DSAMH) will increase access to care and treatment for individuals living with substance use disorder by fostering system-wide improvement based on a framework that measures client outcomes. Last week, DSAMH launched a new online treatment referral system called Delaware Treatment and Referral Network (DTRN) that allows Delaware health care providers seeking substance use disorder treatment or mental health services for their patients to make an online referral with one of 24 organizations included in the first phase. Additional addiction and mental health treatment providers will be included in subsequent phases.

“These are important steps forward in meeting the immediate needs of people suffering from addiction in our state,” Governor John Carney said. “When I was running for Governor, I heard from many Delawareans about the problems their loved ones had in accessing treatment. With the new online treatment referral dashboard and peers in emergency rooms and at other contact points, we will engage people in getting the connection to treatment that they need and also be the support they can turn to in order to remain connected to treatment.”

In its first year, the Substance Use Treatment and Recovery Transformation (START) Initiative is expected to engage and treat more than 900 new clients using certified recovery peers connected to emergency departments, primary care, urgent care, EMS, police officers and families as the gateway. The peers will assist individuals suffering from substance use disorder as they navigate their way through both the treatment and social services systems, helping meet their needs for housing, transportation, employment, social services, legal or financial counseling, and other behavioral health or medical care. The START Initiative builds on the best evidence-based treatment and wraparound services needed for long-term recovery, but also offers technical supports to providers in the community to evaluate for quality and standards.

As part of the START Initiative, DSAMH awarded contracts to Brandywine Counseling & Community Services and Connections Community Support Programs as Level 4 providers, the highest level in Delaware for SUD treatment. That means the two organizations can provide clients with every level of treatments and services, including all three FDA-approved forms of medication-assisted treatment. Later this fall, DSAMH expects to add more treatment providers at each level of care. DSAMH also awarded a peer recovery specialist contract to Recovery Innovations International to help navigate individuals into treatment and to maintain their connection to that care.

“To reduce the toll that addiction is taking across our state, we must engage people suffering from substance use disorder in treatment available today. We know what works, now we need more patients with access to medication-assisted treatment combined with behavioral counseling and social supports,” said DHSS Secretary Dr. Kara Odom Walker, a board-certified family physician.

In April 2017, Secretary Walker asked a team of researchers and clinicians from the Johns Hopkins Bloomberg School of Public Health to conduct a review of Delaware’s treatment system. In July 2018, the Johns Hopkins team issued a 33-page report that proposed four main strategies:

•  Increase the capacity of the treatment system.
•  Engage high-risk populations in treatment.
•  Create incentives for quality care.
•  Use data to guide reform and monitor progress.

“The START Initiative is one of the first steps forward in embracing the recommendations of the Johns Hopkins report to strengthen the treatment system in our state,” Secretary Walker said. “Our goal is to offer care to individuals suffering from opioid addiction that is high-quality, comprehensive, coordinated, evidence-based and person-centered. The treatment hubs will care not only for the individual’s treatment needs, but also navigate the social determinants of health that often matter more in achieving overall health and positive treatment outcomes.”

In DHSS’ Fiscal Year 2019 budget, the General Assembly approved new addiction-related funding:

• $990,000 for SUD assessment and referral to treatment of people who have overdosed or are suffering from addiction and have been brought to emergency rooms.
•  $328,500 for 20 additional sober living beds.
•  $100,000 for naloxone – the prescription medication that can reverse the effects of opioid overdoses – for first responders statewide.

Lt. Governor Bethany Hall-Long, who chairs the Behavioral Health Consortium, said the START Initiative dovetails with the action items in the consortium’s Three-Year Action Plan. “Better connecting people to care when they need it most was something we heard loud and clear from the community during the Behavioral Health Consortium’s statewide forums,” she said. “Peers who have been through the recovery process will play an important role in not only connecting individuals to those services, but also supporting individuals through treatment and involving family members as needed. The START Initiative is the next step to ensuring a more comprehensive and robust behavioral health treatment system for all Delawareans.”

In June, Governor Carney signed a budget passed by the General Assembly that included $3 million in funding for the Behavioral Health Consortium, more than half of which is allocated to increase treatment and recovery services, and $2 million for improvements to the Delaware Health Information Network (DHIN) that will include behavioral health claims.

The START Initiative received a boost of $2 million in federal funding through the State Targeted Response to the Opioid Crisis grant, made possible through the signing of the 21st Century Cures Act. Through the federal grant from the U.S. Substance Abuse and Mental Health Services Administration, Delaware received $2 million per year for two years. START also will receive funding from Medicaid reimbursements and state general funds.

“Opioid and heroin addiction is a disease that affects communities throughout Delaware and our nation. The devastating effects of addiction cut across geography and do not discriminate along racial, gender, socio-economic, or party lines,” said Congresswoman Lisa Blunt Rochester. “As a member of the Bipartisan Heroin Task Force, I was proud to support the 21st Century Cures Act, which provides funding for the START Initiative and works to expand treatment and recovery services. The human cost of addiction is too great, and we must continue to work toward collective solutions that make communities across the country healthier and safer for everyone. I look forward to seeing the positive impact the START Initiative will have on the lives of those in need.”

The new system of care ensures 24/7 support through certified peer recovery specialists who will meet with individuals suffering from addiction wherever they connect with the system – a hospital emergency department, a doctor’s office, EMS transport, a police encounter or through a family or self-referral. Once individuals are in treatment, peers will help clients to navigate and stay engaged in their own care. Peers also will engage family members as appropriate to discuss treatment questions, issues, needs, options and preferences. In addition, peers will connect pregnant women to existing programs that provide home visiting and prenatal care.

Elizabeth Romero, director of the Division of Substance Abuse and Mental Health, said peers are critical to building trust in the treatment system among individuals suffering from addiction. “Relying on someone with a similar lived experience will help individuals suffering from substance use disorder to believe that treatment can work in their case and they can begin the road to recovery,” she said. “We know that addiction is a disease with a high rate of relapse, so peers can be the person that someone calls at 2 o’clock in the morning when they are afraid they might be tempted to use again.”

Under the START Initiative, providers will be required to track and report aggregate outcomes, including intake assessments, clinical progress and receipt of supplementary services. The first step in understanding that level of accountability came with today’s forum for treatment partners in which they learned about evidence-based practices and the need to improve the coordination of care.

That coordination will be enhanced by an Overdose System of Care, which will establish EMS and emergency department protocols to improve acute response, initiate medication-assisted treatment to manage withdrawal, and rapidly engage individuals with treatment. In September, Governor Carney signed legislation making Delaware the first state in the nation to have an Overdose System of Care.

“The Overdose System of Care will be an important complement to the START Initiative,” said Division of Public Health Director Dr. Karyl Rattay. “Once the protocols are established, we will have another way to engage high-risk populations into treatment through a statewide system that ensures consistent, humane, evidence-based treatment and care is available and provided to those requiring acute management for overdose or substance use disorder. The goal is simple: to save more lives and to engage more people into treatment.”

In 2017, emergency medical service responders administered 2,711 doses of naloxone – a prescription medication that can reverse the effects of an opioid overdose – to 1,905 patients in Delaware. Both totals were up more than 16 percent from the 2016 totals. Additionally, law enforcement officers administered naloxone to 149 people in 2017.

Deaths from overdoses also increased in 2017, with 345 people dying in Delaware, according to the Division of Forensic Science (DFS). That total was up about 12 percent from 2016. Through Oct. 1 of this year, 218 people have died from suspected overdoses in Delaware, including a record monthly total of 39 lives lost in August, according to DFS.

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. To search online for treatment and recovery services in Delaware or nearby states, visit www.HelpIsHereDE.com.

DOVER, Del. – The Office of the State Veterinarian announced today Delaware’s first and second cases of West Nile Virus (WNV) found in horses in 2018.

The first infected horse is a 3-year-old Standardbred mare residing in Kent County. The horse began showing signs of wobbling and staggering on August 19. Samples were submitted to the National Veterinary Services Laboratory, which confirmed the diagnosis of WNV on August 24. No vaccination history was available for the horse. The horse has shown slight improvement in clinical signs.

The second infected horse is a 2-year-old Thoroughbred mare also residing in Kent County. This horse was evaluated by a veterinarian on August 25 and found to have a fever, mild wobbling and staggering, droopy eyelid, difficulty controlling muscles of the mouth and throat, and depression. Cornell University Animal Health Diagnostic Center tested samples and confirmed WNV infection on August 28. This horse was not up-to-date on its WNV vaccine. The attending veterinarian has not reported any improvement in this horse’s condition.

West Nile Virus and Eastern Equine Encephalitis (EEE) are diseases transmitted to horses via the bites of mosquitoes. Humans can also be infected with WNV and EEE, but transmission requires a mosquito bite and the virus cannot be directly transmitted between horses, or between horses and people. Signs of infection in horses include fever (although not always with WNV), anorexia, head pressing, depression or personality change, wobbling or staggering, weakness, blindness, convulsions, muscle spasms in the head and neck, or hind-limb weakness. If owners notice any of these signs in their horses, they should contact their veterinarian immediately. Two cases of WNV were confirmed in Delaware horses in 2017.

The Department of Natural Resources and Environmental Control’s (DNREC) Mosquito Control Section has seen an increase of WNV found in wild birds and sentinel chickens this year throughout the state. Three detections of EEE, two in Sussex and one in New Castle County, have been made in sentinel chickens in the last month. So far in Delaware in 2018, two cases of WNV have been found in humans.

The State Veterinarian urges horse owners to contact their veterinarians as soon as possible, as we are in the midst of peak mosquito season, to have horses and other equines vaccinated against WNV and EEE. Neither disease has a specific drug treatment, and EEE infections in horses are fatal in 70 to 90 percent of cases, and WNV in 30 percent of cases.

Horse owners can take several additional steps in the barn and around the farm to help protect horses from mosquito bites. Horses should be kept inside during dawn and dusk, which are peak hours for mosquito activity. Topical insect repellents labeled for use on horses may be applied. The wind generated by fans installed in horse stalls can also help deter mosquitoes. Old tires and containers should be disposed of and standing water eliminated. Water troughs or buckets should be emptied, cleaned, and refilled every 2-3 days if possible to remove any mosquito eggs or larvae.

For more information about WNV or EEE:
• Human health questions should be directed to the Delaware Division of Public Health, (888) 295-5156, or (302) 744-4990.
• Animal health questions should be directed to the Delaware Department of Agriculture at (800) 282-8685 (Delaware only) or (302) 698-4500. Ask for the Poultry and Animal Health Section.
• Questions about the state’s mosquito control program or mosquito biology should be directed to the Delaware Department of Natural Resources and Environmental Control’s Mosquito Control Section at (302) 739-9917.

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Media Contact: Stacey Hofmann, 302-698-4500, stacey.hofmann@delaware.gov

DOVER — The Delaware Division of Public Health (DPH), and Department of Agriculture (DDA) are asking residents to increase efforts to prevent exposure to rabies after the death of a Kent County woman from the disease. The woman, who lived west of Felton, is the second Delawarean to contract, and subsequently pass away from, the disease. The first was a young boy from Newport, who passed away in 1941 after being bitten by a stray dog.

Rabies is an infectious disease affecting the nervous system of humans and other mammals. Infection can occur through the bite or scratch of an infected animal, or if saliva from such an animal gets into the eyes, nose, mouth or an opening in the skin. It is transmitted from animals to humans or from animals to other animals. There have been no reported cases of human-to-human transmission other than through organ transplantation.

“Our hearts go out to this woman’s family during this very difficult time,” said DPH Director Dr. Karyl Rattay. “Because rabies is a fatal disease once symptoms develop, we urge all Delawareans to ensure they are taking steps to avoid exposure. This is a largely preventable disease.” Important preventive measures include vaccinating your pets (dogs, cats and ferrets over the age of 6 months as required by state law); consulting with your private veterinarian regarding vaccination of livestock and horses; avoiding touching unfamiliar animals, even if they appear friendly; and being on the lookout for potentially rabid animals (foxes, cats, dogs, bats, raccoons, etc.).

DPH and DDA are working closely with Pennsylvania health officials and the Centers for Disease Control and Prevention (CDC) on the investigation. The woman was admitted to a Delaware hospital in late July after becoming ill. Her condition quickly deteriorated, and she was transferred to a Pennsylvania hospital for further treatment and testing. She passed away last week. Test results did not confirm the presence of rabies until recently. The source of the disease has not been identified.

Though the risk of human-to-human transmission is extremely low, the health care facilities that provided care to the patient are conducting risk assessments with staff to identify anyone who may have had direct exposure to infectious materials and coordinating with state health officials. DPH is also conducting assessments with anyone else who may have had direct contact with the patient up to two weeks before she became ill.

It is imperative to report animal bites and scratches immediately to state health officials so that preventive treatment can be initiated. If the animal is unavailable to be quarantined or tested, DPH recommends that people receive post-exposure prophylaxis (PEP), a series of four vaccinations, as a precautionary measure.

Anyone who has been bitten, scratched by, or come in close contact with, a stray, wild or unfamiliar animal, should immediately contact their health care provider or call the DPH Rabies Program at 302-744-4995 (during business hours) or 1-888-295-5156 (outside of business hours). An epidemiologist is available 24/7.

If your animals have been bitten or scratched by another animal, or have come into contact with their saliva or remains in the last two months, please contact the Department of Agriculture at 302-698-4630 or rabies.hotline@delaware.gov.

Rabies is almost completely preventable. DPH recommends that members of the public take the following important steps to stay clear of exposure:

· All dogs, cats, and ferrets 6 months of age and older are required by Delaware law to be vaccinated against rabies by a licensed veterinarian. Consider vaccinating livestock and horses as well. It is recommended to consult with your private veterinarian if you have any questions regarding whether your animal(s) should be vaccinated against rabies.

· Reduce the possibility of your pets being exposed to rabies by not letting them roam free.

· Spaying or neutering your pet may reduce the tendency to roam or fight and, thus, reduce the chance they will be exposed to rabies.

· Do not keep your pet’s food or water outdoors; bowls can attract wild and stray animals.

· Keep your garbage securely covered.

· Do not touch or otherwise handle wild or unfamiliar animals, including cats and dogs, even if they appear friendly.

· Wild animals, particularly raccoons and bats, are the highest risk of exposure to rabies. Do not handle or go near wild animals even if they appear approachable.

Since Jan. 1, 2018, the Division of Public Health (DPH) has performed rabies tests on 83 animals, nine of which were confirmed to be rabid, including three foxes, three raccoons, one cat, one dog and one horse. Rabies tests performed on two animals (one sheep and one dog) were indeterminate. DPH only announces those rabies cases for which it is possible the animal had unknown contacts with humans and there is a risk of exposure to the community.

For more information on the DPH rabies program, visit http://www.dhss.delaware.gov/dhss/dph/dpc/rabies.html or call 1-866-972-9705 or 302-744-4995. For more information on rabies, visit the Centers for Disease Control and Prevention at http://www.cdc.gov/rabies/.

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.