Delaware’s Dr. Vibha Sanwal Receives CDC’s Childhood Immunization Champion Award

Picture of Dr. Vibha Sanwal
Dr. Vibha Sanwal

Dover Dr. Vibha Sanwal[/caption] – Vibha Sanwal, MD, from Rainbow Pediatrics of Georgetown & Lewes, has been named a Centers for Disease Control and Prevention (CDC) Childhood Immunization Champion for her outstanding efforts to promote childhood immunizations in her clinic offices. The Division of Public Health’s (DPH) Immunization Program nominated the pediatrician for the award.

Dr. Sanwal is recognized for embracing the Assessment, Feedback, Incentive & eXchange (AFIX) assessment process by reviewing patient charts against the Immunization Information System (IIS) and updating individual immunization records as patients came in during their scheduled office visits. Her clinic staff also reviewed their patient roster to ensure that the roster in the IIS matched the patient roster in their Electronic Medical Record (EMR) system. This process enables the IIS to reflect her clinic’s true coverage rates for all the vaccine-preventable diseases and provides a roadmap to ensure all her patients get each of the vaccines needed to stay healthy.

“Through the Childhood Immunization Champion awards, CDC and Delaware proudly acknowledge Dr. Sanwal’s passion, hard work and commitment to children’s health by working to eliminate vaccine preventable diseases in our state,” said DPH Director Dr. Karyl Rattay.

“I am honored to be recognized as the Immunization Champion for Delaware,” Dr. Sanwal said. “Vaccinations prevent disease and reduce suffering, improve our quality of life, and help our children live long, fulfilling lives. We will continue to work hard to improve the immunization rate of our population at Rainbow Pediatrics.”

National Infant Immunization Week (NIIW), April 21 to 28, 2018, is an annual observance to highlight the importance of protecting infants from vaccine-preventable diseases and to celebrate the achievements of immunization programs in promoting healthy communities throughout the United States. Each year during NIIW, the CDC Foundation honors health professionals and community leaders from around the country with the CDC Childhood Immunization Champion awards. These awards acknowledge the outstanding efforts of those individuals who strive to ensure that children in their communities are fully immunized against 14 preventable diseases before the age of two.

“The tremendous success of CDC’s immunization programs to protect the nation’s children from vaccine-preventable diseases is a direct result of the efforts of childhood immunization champions,” said Dr. Nancy Messonnier, Director of the National Center for Immunization and Respiratory Diseases at the CDC. “We cannot overstate the value of the dedication our Champions have shown, which ultimately protects our children, schools, and communities from serious diseases.”

CDC Childhood Immunization Champions were selected from a pool of health professionals, coalition members, community advocates and other immunization leaders. State Immunization Programs coordinated the nomination process and submitted nominees to CDC. One winner was selected in each of the 50 participating states and the District of Columbia.

For profiles of other CDC Childhood Immunization Champion award winners, visit https://www.cdc.gov/vaccines/champions.

For information on immunization schedules for infants and children, visit: http://www.dhss.delaware.gov/dph/dpc/immunize-children.html.

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

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.


Mumps Cases Increase to 11; Possible Link to Second Mexican Dance Event at Chase Center

DOVER – The Delaware Division of Public Health (DPH) is now confirming 11 cases of the mumps as part of its ongoing investigation of an outbreak among attendees at a February dance festival in New Castle County. Seven of the 11 confirmed cases either attended, or lived with persons who attended, a social dance (Baile Mejicano or Mexican Dance) that took place at the Chase Center on the Riverfront in Wilmington on Feb.10, 2018. An eighth person was working at another Baile Mejicano dance, held at the same location, which occurred on March 3, 2018. DPH is still investigating the source of three people’s exposure to the mumps virus.

DPH is now recommending that anyone who attended either the Feb. 10 or March 3, 2018, dances contact their primary care physician to determine if they may have contracted mumps and if they and their family or close contacts need to receive vaccination against mumps.

“With a confirmed case of mumps showing up in someone involved in a second – more recent – social dance in such a short period of time, we are stepping up our outreach to attendees, whether or not they developed symptoms, and those living with persons who are confirmed to have mumps, to contact their primary care provider as soon as possible for evaluation for mumps and vaccination where recommended,” said DPH Medical Director Dr. Awele Maduka-Ezeh.

Mumps is an acute viral infection spread through saliva or mucus from the mouth, nose, or throat. An infected person can spread the virus by coughing, sneezing, or talking, sharing items, such as cups or eating utensils, with others, and touching objects or surfaces with unwashed hands that are then touched by others. The Centers for Disease Control and Prevention (CDC) notes that a substantial increase in the number of mumps outbreaks and outbreak-associated cases have occurred in the United States since late 2015.

Symptoms typically start with a few days of fever, headache, muscle aches, tiredness, and loss of appetite, followed by swollen salivary glands, which results in puffy cheeks and a swollen jaw. Symptoms typically appear 16 to 18 days after infection, but can range from 12 to 25 days after infection. Some people with mumps may not have any symptoms.

Those patients who attended the Baile Mejicano event, or who live with someone who attended and subsequently developed mumps, and who do not have health insurance or whose insurance does not cover the mumps/measles/rubella vaccine (MMR), should call one of the following DPH clinics: In New Castle County, call the Hudson State Service Center Immunization Clinic at 302-283-7587, (and select option #2) for an appointment to get an MMR vaccine; patients who live in Kent County and need vaccination may call DPH’s Kent County Immunization Clinic at 302-857-5140, and those in Sussex County may call DPH’s Georgetown Immunization Clinic at 302-515-3220.

People known or suspected to have mumps should stay away from school or work until five days after the onset of swollen salivary glands, as there is no specific treatment for mumps.

Some people who get mumps have very mild or no symptoms, and often they do not know they have the disease. Most people with mumps recover completely in a few weeks. However, mumps can occasionally cause complications, especially in adults. Complications include:

  • inflammation of the testicles (orchitis) in males who have reached puberty; rarely does this lead to fertility problems
  • inflammation of the brain (encephalitis)
  • inflammation of the tissue covering the brain and spinal cord (meningitis)
  • inflammation of the ovaries (oophoritis) and/or breast tissue (mastitis)
  • deafness

The CDC recommends children get two doses of MMR vaccine, starting with the first dose at 12 to 15 months of age, and the second dose at 4 to 6 years of age. Teens and adults who did not get the recommended MMR vaccines per the above schedule should be vaccinated so they are up to date. During outbreaks, CDC also recommends that those at highest risk due to exposure to people with mumps, should receive a third dose of MMR.

Mumps is a reportable disease in Delaware. Suspected cases of mumps should be reported to DPH via fax at 302-223-1540; email at reportdisease@delaware.gov; or phone, 302-744-4990. Providers are asked not to wait for laboratory test results to return before reporting.

Espanol: https://news.delaware.gov/2018/03/29/los-casos-de-paperas-aumentan-posible-vinculo-con-un-segundo-evento-de-baile-mexicano-en-el-chase-center-wilmington/

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.


DPH Announces New Flu-Related Death as Numbers of Statewide Cases Continue to Drop

DOVER — Statewide flu totals in Delaware decreased for the third week in a row, according to the Division of Public Health (DPH). During the week ending March 10, DPH reports 290 laboratory-confirmed flu cases, down from the prior week’s total of 381 confirmed cases. The latest numbers increase the total number of influenza cases for the season to 7,433. DPH is also reporting one additional flu-related death, a 62-year-old female from New Castle County with multiple underlying health conditions, bringing the number of flu-related deaths for the 2017-2018 flu season to 31.

“We’ve unfortunately lost another Delawarean to the flu this season and we express our condolences to her family,” said DPH Director Dr. Karyl Rattay. “Although flu cases have dropped again, that is not a reason to take flu lightly. Flu germs can circulate even into the summer months, so it is crucial to continue taking preventive measures against influenza, such as social distancing and handwashing.”

Social distancing means that if you are sick, do not go to school, work, or other social functions until you are fever-free (temperature less than 100 degrees F; 37.8 degrees C) for at least 24 hours without fever-reducing medication. Wash your hands frequently and sneeze or cough into a tissue which you immediately dispose of. If you don’t have a tissue available, cough or sneeze into your inner elbow.

DPH emphasizes the importance of calling your primary care provider at the first sign of illness and taking antivirals, as directed, if prescribed. You should go to either your physician or a walk-in clinic rather than the emergency room when symptoms are non-life threatening. People who are extremely ill with symptoms such as trouble breathing, bluish skin color, fever with a rash, dizziness, or severe or persistent vomiting should seek out immediate medical help.

While the overall number of flu cases have gone down, DPH reminds Delawareans that as long as the flu virus is circulating in the community, there is still time to get a flu shot. DPH offers ongoing free flu shots at five State Service Centers. For more information about free flu clinics including dates and times, visit http://dhss.delaware.gov/dhss/dph/fluclinics.html. To shorten your wait time, you can complete the vaccination form found at the bottom of the webpage and bring it with you.

For more information about flu surveillance in Delaware, read the weekly flu report at http://dhss.delaware.gov/dph/epi/influenzawkly.html. For general information about the flu, visit flu.Delaware.gov.

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.


Flu Deaths Hit All-Time High; Weekly Case Numbers Continue to Drop

graphic image of woman blowing her nose while text reads "Flu Got You Down. Call Out Sick. Your co-workers Don't want Your Germs."DOVER — The Division of Public Health (DPH) is reporting two more flu-related deaths that occurred during the last two weeks of February, bringing the 2017-2018 season death total to 30. This number breaks the previous single-season record of 28 flu-related deaths, set in 2014-2015. The deceased were both females, 83 and 84 years old, from New Castle and Kent counties, respectively. Both had multiple underlying health conditions.

The total number of flu cases in Delaware for the season is now at 7,071, also breaking the previous record of 4,554, set in the 2016-2017 season. These numbers only include laboratory-confirmed flu cases and the actual number of flu cases in the state is likely much higher. While overall numbers are at an all-time high, the number of weekly cases has dropped for the second week in a row. There were 381 lab-confirmed flu cases for the week ending March 3, the lowest number of confirmed flu cases in a week since the week ending January 20 when there were 375 confirmed cases. Hospitals and walk-in health clinics are also reporting a drop in patients with influenza-like illnesses.

“We are terribly saddened to learn of even more deaths this flu season,” said DPH Director Dr. Karyl Rattay. “We’ve never seen a flu season this severe before and hope to never see one again. It’s important for everyone to remember that flu continues to circulate in Delaware, and to keep practicing vital prevention measures such as social distancing and frequent hand washing.”

Social distancing means that if you are sick, do not go to school, work, or other social functions until you are fever-free (temperature less than 100 degrees F; 37.8 degrees C) for at least 24 hours without fever-reducing medication. You should wash your hands frequently and sneeze or cough into a tissue which you immediately dispose of. If you don’t have a tissue available, cough or sneeze into your inner elbow.

DPH continues to emphasize the importance of calling your primary care provider at the first sign of illness, and taking antivirals if prescribed. Delawareans are reminded to first go to either your physician or a walk-in clinic rather than the emergency room when symptoms are non-life threatening. People who are extremely ill with symptoms such as trouble breathing, bluish skin color, fever with a rash, dizziness, or severe or persistent vomiting should seek out immediate medical help.

Although the overall number of flu cases have gone down, DPH reminds Delawareans that as long as the flu virus is circulating in the community, there is still time to get a flu shot. DPH will be offering free flu vaccines on March 13, 2018, at the Pyle State Service Center, 34314 Pyle Center Road, Frankford, from 9:00 a.m. to 12:00 p.m. and from 1:00 p.m. to 3:30 p.m. DPH also offers ongoing free flu shots at five State Service Centers. For more information about free flu clinics, visit http://dhss.delaware.gov/dhss/dph/fluclinics.html. To shorten your wait time, you can complete the vaccination form found at the bottom of the webpage and bring it with you.

For more information about flu surveillance in Delaware, read the weekly flu report at http://dhss.delaware.gov/dph/epi/influenzawkly.html. For general information about the flu, visit http://flu.Delaware.gov.

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.


DPH Announces Third Flu Death of the 2017-2018 Season; First Sussex County Resident Death

The words Get Flu Shot written on a CalendarDOVER — A third person has died as a result of complications due to the flu since the start of the 2017-2018 flu season in October. The Division of Public Health (DPH) announced that a 76-year-old Sussex County man passed away over the weekend in a New Castle County hospital. The man who had several underlying health conditions, is the first flu-related death from Sussex County this season. Previously, an 83-year-old female and a 47-year-old male, both from New Castle County, died from flu-related complications. Both also had underlying medical conditions.

As of January 19, there have been 912 laboratory-confirmed cases of influenza in Delaware. This number only reflects laboratory-confirmed cases and the actual total in the state is likely much higher as not everyone seeks treatment for their symptoms. In comparison as of Jan. 21, 2017, there were 520 laboratory-confirmed cases and two flu-related deaths last season.

“The flu continues to hit Delaware hard, and we will likely continue to see flu activity continue for weeks to come,” said DPH Director Dr. Karyl Rattay. “It is critically important to take preventive measures such as practicing social distancing, washing hands frequently, and covering coughs and sneezes. Everyone is at risk, and vulnerable populations, like the very young and elderly, are even more so. The flu is unpredictable, and should never be taken lightly.”

Flu symptoms come on suddenly, and include fever, cough, sore throat, runny or stuffy nose, headaches and body aches, chills, and fatigue. Some people get complications including pneumonia, bronchitis, and sinus and ear infections. Social distancing means that 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.They should avoid close contact with well people in the household, and stay well-hydrated by drinking plenty of water and other clear liquids. Over-the-counter medicines can provide symptom relief but if you suspect you have influenza, call your doctor as he or she may decide to provide antiviral medications to help hasten recovery and prevent serious complications. This is particularly important for those who feel very sick, are pregnant, or have chronic medical conditions.

DPH also asks medical providers to begin antiviral treatment for all hospitalized patients and all high-risk patients with suspected influenza. Antivirals work best when administered within 48 hours of the onset of symptoms and are particularly important for pregnant women and people with chronic health conditions.
DPH also recommends getting your annual flu vaccine if you have not done so already. Flu vaccines continue to be available at many pharmacies and grocery stores, and through primary care physicians and some specialists. To find participating stores, enter your zip code in the Centers for Disease Control and Prevention’s (CDC) flu vaccine finder at https://www.cdc.gov/flu/. For more information about the flu, visit http://flu.delaware.gov/ or call DPH at 1-800-282-8672.

Flu shots are still available at DPH clinics located within the State Service Centers:

  • Hudson State Service Center, 501 Ogletown Road, Newark. For all ages, including children age 6 months and older. Call 302-283-7587 (choose Option 2) to make an appointment Monday through Friday.
  • Williams State Service Center, 805 River Road, Dover. For all ages, including children age 6 months and older. Call 302-857-5140 to make an appointment Monday through Thursday, 8:00 a.m.to 3:30 p.m.
  • Milford State Service Center – Riverwalk, 253 N.E. Front St., Milford. For ages 9 years and older. Call 302-424-7130 to make an appointment on Mondays only, 9:00 a.m. to 4:00 p.m.
  • Anna C. Shipley State Service Center, 350 Virginia Ave., Seaford. For all ages, including children age 6 months and older. Walk-ins welcome Fridays only, 8:30 a.m. to 12:00 p.m. and 1:00 p.m. to 4:00 p.m. For information, call 302-628-6772.

For more information about flu surveillance in Delaware, read the weekly flu report at http://dhss.delaware.gov/dph/epi/influenzawkly.html.

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

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.