DOVER, DE (Sept. 1, 2022) ­– The Delaware Division of Public Health (DPH) is announcing several Monkypox virus (MPX) updates including the launch of a Public Health Alert web portal providing access to an updated monkeypox web page. The website, which can be found at de.gov/PublicHealthAlerts, was created by the Department of State’s Government Information Center and is a central landing page from which to access individual web pages for COVID-19, MPX and flu. It is intended to highlight public health issues of elevated concern at the time. 

The updated MPX page, which can still be found at de.gov/monkeypox, provides information on the disease in a more user-friendly format. (COVID-19 information can also continue to be found at de.gov/coronavirus, and flu information at flu.delaware.gov).  The updated MPX site includes a separate section for medical providers seeking information and highlights the most current data related to cases. Delaware now has 25 total MPX cases in the state, which remains low compared to neighboring states which have hundreds. DPH will no longer issue press releases solely for case updates, as the data will be more frequently updated on the webpage. Delaware is taking action to continue to ensure the most at-risk persons are vaccinated against the virus.

Starting Sept. 5, DPH will expand access to the MPX vaccine to those who are immunocompromised.  Conditions may include, but are not necessarily limited to: those with cancer, solid organ or stem cell transplants, those taking immunosuppressive therapy, and individuals with autoimmune disease.

Additionally, DPH is pleased to announce that starting today, Newark Urgent Care began administering MPX vaccine to eligible individuals.  Vaccination is available by appointment only; visit NewarkUrgentCare.org to view eligibility requirements and schedule an appointment.  Vaccine clinics will be held on Thursdays and there is no cost for the vaccine.

Eligible persons also can be vaccinated at the following locations:

• Beebe Healthcare: Individuals can schedule an appointment at beebehealthcare.org/online-scheduling. Walk-ins will not be accepted.
• DPH clinics: Individuals should 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 after a DPH evaluation: persons known or presumed to be exposed to someone with MPX in the last 14 days, and certain individuals who have sex with men and who have had multiple sex partners within the past 14 days. As a result, appointments may need to be scheduled a few days out.

Vaccines are available to those confirmed to have been exposed, or who are at higher risk of being exposed to the virus, as well as the immunocompromised, and 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)
• Eligibility may be determined by the vaccinating provider and may include (but are not necessarily limited to): those with cancer, solid organ or stem cell transplants, those taking immunosuppressive therapy, and individuals with autoimmune disease.

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 to use preventive measures and reduce engaging in any high-risk behaviors until that time. 

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.

Currently, 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 began posting MPX case and vaccine data on the website last week.

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. (It will be closed this Monday because of the Labor Day holiday.) 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.

DOVER, DE (Aug. 31, 2022) – The Division of Public Health (DPH) is announcing this year’s first human case of West Nile Virus (WNV), in a 78-year-old Sussex County man. West Nile Virus is a mosquito-borne illness that can cause serious health problems.   

In addition to the first human WNV case, there also have been confirmed cases in a horse in New Castle County, and in 19 sentinel chickens in outdoor-caged and humanely tended stations maintained throughout the state by the Department of Natural Resources and Environmental Control (DNREC).  Delawareans should be aware that mosquitoes that cause WNV bite primarily during the evening and morning hours; or dusk and dawn. However, mosquitoes that cause other diseases such as chikungunya, dengue fever, and Zika can bite during the day. It is important to protect yourself by wearing insect repellent whenever you go outdoors. 

WNV is transmitted by mosquitoes, generally in summer and fall, with a peak period for disease transmission from mid-August to mid-October. Nearly 80 percent of people infected with WNV will not become ill. Less than 20 percent of those infected with the virus will develop mild symptoms such as fever, headache, body aches, a skin rash on the chest or back, and swollen lymph glands. Approximately one in 150 people infected will develop severe infection which may include headache, high fever, stiff neck, tremors or convulsions, muscle weakness, encephalitis or meningitis, all possibly leading to hospitalization and very rarely death. The elderly and those with weakened immune systems are most at risk to contract WNV from mosquitoes. Anyone who experiences any of these severe symptoms should immediately seek medical assistance.  

To avoid mosquito bites and reduce the risk of infection, individuals should: 

• Use Environmental Protection Agency (EPA)-registered insect repellents. Follow the manufacturer’s instructions for reapplication times. 
• If using sunscreen, apply it first and insect repellent second. 
• Adults taking precaution with children against biting mosquitoes should spray insect repellent onto their hands and then apply it to the child’s face. Do not apply insect repellent onto a child’s hands, eyes, mouth, or on cuts or irritated skin. 
• Do not use insect repellent on babies younger than two months of age. 
• When outside during periods of mosquito activity, wear light-colored long-sleeved shirts and long pants. 
• Dress children in clothing that covers arms and legs. 
• Consider using mosquito netting, which offers protection to the face and neck and also protects infants in carriages, strollers and playpens.

• Use permethrin (an insecticide) to treat clothing and gear (such as boots, pants, socks, and tents), but do not apply to the skin. 
• Prevent mosquitoes from entering the house by using screens and tightly sealed windows and doorways.  

DNREC’s Mosquito Control section announced WNV in sentinel chickens for the first time in July 2021. Mosquito-transmitted virus detections in DNREC’s sentinel chickens are unrelated to Delaware’s poultry industry. The possibility of contracting mosquito-transmitted diseases, including WNV and Eastern Equine Encephalitis (EEE), will continue until colder autumn temperatures in mid-October or later.  

• To report suspected cases of human WNV, call the DPH Office of Infectious Disease Epidemiology at 1-888-295-5156. 
• For more information about mosquitoes and mosquito-borne illnesses, use the following resources: 

• • For mosquito biology/ecology and control, contact the DNREC Mosquito Control section office in Dover at 302-739-9917. 
  • For requests for mosquito relief in upstate areas from Dover north, contact Mosquito Control’s Glasgow field office at 302-836-2555. 
  • For requests for mosquito relief in downstate areas south of Dover, contact Mosquito Control’s Milford field office at 302-422-1512. 
• Contact the Delaware Department of Agriculture’s Poultry and Animal Health Section for animal health questions at 302-698-4500. 
• To report suspected cases of human WNV, call the DPH Office of Infectious Disease Epidemiology toll-free at 1-888-295-5156. 

For more information on West Nile Virus or Eastern Equine Encephalitis, visit https://dhss.delaware.gov/dhss/dph/epi/wnv.html.

For more information on what you can do to prevent West Nile Virus, visit the Centers For Disease Control and Prevention’s website, www.cdc.gov/westnile/prevention/index.html.

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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.

About DNREC

The Delaware Department of Natural Resources and Environmental Control protects and manages the state’s natural resources, protects public health, provides outdoor recreational opportunities, and educates Delawareans about the environment. The DNREC Division of Fish and Wildlife conserves and manages Delaware’s fish and wildlife and their habitats, and provides fishing, hunting, wildlife viewing and boating access on nearly 68,000 acres of public land. For more information, visit the website and connect with @DelawareDNREC on Facebook, Twitter or LinkedIn.  

Media contacts: Michael Globetti, michael.globetti@delaware.gov; Joanna Wilson, joanna.wilson@delaware.gov

DOVER, DE (Aug 23, 2022) ­– The Delaware Division of Public Health (DPH) is announcing six additional cases of monkeypox (MPX), bringing the state’s total to 17. Of the six new cases, three individuals are from Sussex County and three are from New Castle County. All cases are considered probable pending confirmatory testing by the Centers for Disease Control and Prevention (CDC).

The New Castle County cases are all males, ages 26, 38 and 57 years old. The Sussex County cases include males who are ages 33, 48 and 58 years old. None of the cases are related to one another. All patients have reported recent high-risk intimate contact prior to onset. The 33-year-old also reported recent travel.

Currently, while there is no specific treatment for MPX, antivirals can be prescribed, though they are not always needed. 

Vaccines are available to those confirmed to have been exposed, or who are at higher risk of being exposed to the virus. Last week, medical providers who offer HIV PrEP began administering vaccine to patients. This week, vaccine access was further expanded to include 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 (more than one) 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)

Eligible persons can be vaccinated at the following locations:

• Beebe Healthcare, as of Friday, Aug. 26. Individuals can schedule an appointment at beebehealthcare.org/online-scheduling. Walk-ins will not be accepted.
• DPH clinics: Individuals should 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 after a DPH evaluation: persons known or presumed to be exposed to someone with MPX in the last 14 days, and certain individuals who have sex with men and who have had multiple sex partners within the past 14 days. As a result, appointments may need to be scheduled a few days out.
• DPH and CAMP Rehoboth are hosting an event on Aug. 23 at CAMP’s Rehoboth Beach location. The pre-registration for this event is currently full. Walk-ins will not be accepted. DPH is also partnering with AIDS Delaware and the Delaware HIV Consortium to hold a vaccine clinic on Aug. 25 at the Community Services Building in Wilmington. This event is also full. Walk-ins will not be accepted. 

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 to use preventive measures and reduce engaging in any high-risk behaviors until that time.

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.

To learn more information about monkeypox, please visit de.gov/monkeypox. DPH began posting MPX case and vaccine data on the website last week.

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

The Delaware 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.

DOVER, DE (Aug 4, 2022) ­– The Delaware Division of Public Health (DPH) is announcing the state’s fourth, fifth and sixth cases of monkeypox (MPX). All cases are considered probable pending confirmatory testing by the Centers for Disease Control and Prevention (CDC).

The three most recent cases involve a 42-year-old Kent County man and two New Castle County men, one a 19-year-old, and one a 24-year old, whose cases are unrelated. None of the individuals reported recent travel.  While at least one individual confirmed close intimate contact with another individual, none reported close contact with someone known to have MPX. All three individuals reported close contact with a very limited number of individuals and are self-isolating.

Though U.S. Department of Health and Human Services Secretary Xavier Becerra, declared MPX a national public health emergency today, DPH does not have plans at this time to make a similar request specific to Delaware. Health officials will continue to monitor the situation. Based on the current number of cases, and information available about the disease at this time, the risk to the general public in Delaware appears to be low. However, low risk does not mean no risk; anyone may contract MPX, though certain activities by individuals can increase their chance of contracting the virus. MPX is different from COVID-19 in that it spreads primarily through direct contact with the rash/scabs of someone with MPX. Contact may include intimate contact, kissing, cuddling, sharing kitchen utensils or toothbrushes, and coming into contact with an infected person’s bedding, bath towels or clothing. The rate of serious illness or death attached to MPX nationally is also extremely low. 

Currently, there is no specific treatment for MPX​ however, antivirals can be prescribed. To date, DPH has received a limited supply of vaccine, which is being prioritized for those with direct contact with individuals who have a confirmed case of monkeypox (post-exposure prophylaxis, or PEP). More doses are becoming available, and DPH plans to soon implement other strategies, such as offering vaccine for expanded PEP or pre-exposure prophylaxis (PrEP) for those in high-risk groups. Those who may be eligible for expanded vaccine access include:

• People who are aware that one of their sexual or intimate partners in the past two weeks was diagnosed with MPX
• Someone who has had multiple sex partners in the last 21 days (three weeks)
• Someone who has met partners through dating apps or attended a party, or club where intimate contact occurred
• Those who are HIV positive or are receiving PrEP treatment for HIV without known exposure to MPX

There are many things residents and visitors should do, regardless of eligibility for vaccination, to prevent or reduce the chance of contracting MPX. People should avoid close, skin-to-skin contact with people who have a rash that looks like MPX. Individuals who are sexually active can minimize their risk of exposure by limiting the number of partners they have, and talking to their partner about their recent history and behaviors, as well as inquiring about any rashes or other symptoms. As a general preventive behavior, individuals should wash their hands often with soap and water or use an alcohol-based hand sanitizer.

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.

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]de.gov/monkeypox.

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

DOVER, DE (July 1, 2022) – The Delaware Division of Public Health (DPH) is pleased to be recognized by the Office of Disease Prevention and Health Promotion (ODPHP) within the U.S. Department of Health and Human Services (HHS) as a Healthy People 2030 Champion.

As a Healthy People 2030 Champion, DPH has demonstrated a commitment to helping achieve the Healthy People 2030 vision of a society in which all people can achieve their full potential for health and well-being across their lifespan.   

ODPHP recognizes DPH as part of a growing network of organizations partnering with it to improve health and well-being at the local, state, and tribal levels.  

The goals of the national program are to:  

• Attain healthy, thriving lives and well-being free of preventable disease, disability, injury, and premature death. 
• Eliminate health disparities, achieve health equity, and attain health literacy to improve the health and well-being of all. 
• Create social, physical and economic environments that promote attaining the full potential for health and well-being for all. 
• Promote healthy development, healthy behaviors, and well-being across all life stages. 
• Engage leadership, key constituents and the public across multiple sectors to take action and design policies that improve the health and well-being of all. 

“I am pleased that DPH is participating in the Healthy People 2030 program,” said DPH Director Dr. Karyl Rattay. “A good life starts with good health and that is what DPH strives to deliver to all Delawareans through its programs and partnerships. DPH offers a full range of free to low-cost programs aimed at reducing chronic diseases such as diabetes, cancer and high blood pressure. Participating in this initiative will help us reach more people.” 

“ODPHP is thrilled to recognize DPH for its work to support the Healthy People 2030 vision,” says Rear Admiral Paul Reed, MD, ODPHP Director. “Only by collaborating with partners nationwide can we achieve Healthy People 2030’s overarching goals and objectives.”   

Healthy People 2030 is the fifth iteration of the Healthy People initiative, which sets 10-year national objectives to improve health and well-being nationwide. Healthy People 2030 Champions are public and private organizations that are working to help achieve Healthy People objectives. Healthy People 2030 Champions receive official support and recognition from ODPHP.  

Visit http://www.dhss.delaware.gov/dhss/dph for more information on DPH programs. Visit HealthyDelaware.org for information on free or low-cost cancer screenings, blood pressure screenings, free or low-cost diabetes programing, and information and tips on leading a healthy lifestyle.

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