{"id":10280,"date":"2025-03-01T14:03:23","date_gmt":"2025-03-01T19:03:23","guid":{"rendered":"https:\/\/www-test.dhss.delaware.gov\/dph\/dhan309\/"},"modified":"2025-03-02T00:51:54","modified_gmt":"2025-03-02T05:51:54","slug":"dhan309","status":"publish","type":"page","link":"https:\/\/www-test.dhss.delaware.gov\/dph\/php\/alerts\/dhan309\/","title":{"rendered":"php\/alerts\/dhan309 ~  Division of Public Health &#8212; Health Alert  &#8211; Delaware Health and Social Services &#8211; State of Delaware"},"content":{"rendered":"<div data-swiftype-index=\"true\">\n\n\n\n  <br>\n\n\n\n  <div class=\"container\" id=\"main_header\"> \n\n    <!-- BEGIN readspeaker div -->\n\n    <div class=\"rs_skip rsbtn rs_preserve\" id=\"readspeaker_button1\">\n\n      <a accesskey=\"L\" class=\"rsbtn_play\" href=\"https:\/\/app-na.readspeaker.com\/cgi-bin\/rsent?customerid=7262&#038;lang=en_us&#038;readid=main_content&#038;url=https:\/\/dhss.delaware.gov\/dph\/php\/alerts\/dhan309.html\" title=\"Listen to this page using ReadSpeaker\">\n\n        <span class=\"rsbtn_left rsimg rspart\"><span class=\"rsbtn_text\"><span>Listen<\/span><\/span><\/span>\n\n        <span class=\"rsbtn_right rsimg rsplay rspart\"><\/span>\n\n      <\/a>\n\n    <\/div>\n\n    <!-- END readspeaker div -->\n\n\n\n    \n\n    <header class=\"pull-left\">\n\n      <h1>Delaware Health Alert Network #<!--[type=EDIT name=\"DHAN Number\"]-->309 <!--[END]--> <\/h1>\n\n      <h2> <!--[type=EDIT name=\"DHAN Date\"]-->July 10, 2013 3:18 pm <!--[END]--> <\/h2>\n\n    <\/header>\n\n  <\/div><br>\n\n \n\n  <div class=\"container\">\n\n    <div class=\"row\">\n\n      <div class=\"col-md-3\" id=\"leftCol\">\n\n        <div class=\"panel-group\" id=\"accordion\">\n\n          <div class=\"panel sectionmenu_panel\">\n\n            <div class=\"panel-heading\">\n\n              <p class=\"panel-title\"><a class=\"agency_nav\" data-parent=\"#accordion\" data-toggle=\"collapse\" href=\"#collapseOne\"><strong><i class=\"fa fa-align-justify fa-fw\"><\/i> Public Health Menu<\/strong><\/a><\/p>\n\n            <\/div>\n\n\n\n            <div class=\"panel-collapse collapse in\" id=\"collapseOne\">\n\n              <div class=\"panel-body\" id=\"clf_nav\">\n\n                  <ul class=\"nav nav-stacked nav-pills-clf\" id=\"agency_sidebar\">\n    <li><a href=\"\/dph\/\"><h2>Home <i class=\"fa fa-home fa-fw\"><\/i><\/h2><\/a><\/li>\n    <li class=\"toplevel\"><a data-parent=\"#agency_sidebar\" data-toggle=\"collapse\" href=\"#HomeMenu\"><h2>About <i class=\"fa fa-caret-right fa-fw\"><\/i><\/h2><\/a>\n      <ul class=\"panel-collapse collapse\" id=\"HomeMenu\">\n        <li><a href=\"\/dph\/about.html\">About DPH<\/a><\/li>\n        <li><a href=\"\/dph\/sections.html\">Sections &#038; Programs<\/a><\/li>\n        <li><a href=\"\/dph\/ofclocations.html\">Office Locations<\/a><\/li>\n        <li><a href=\"\/dph\/contact.html\">Contact Info<\/a><\/li>\n      \n        <li><a href=\"\/calendars.html\" target=\"_blank\">Calendar<\/a><\/li>\n      <\/ul>\n    <\/li>\n    <li class=\"toplevel\"><a data-parent=\"#sidebar\" data-toggle=\"collapse\" href=\"#ServicesMenu\"><h2>Services <i class=\"fa fa-caret-right fa-fw\"><\/i><\/h2><\/a>\n      <ul class=\"panel-collapse collapse\" id=\"ServicesMenu\">\n        <li><a href=\"\/dph\/servicesaz.html\">A-Z Services<\/a><\/li>\n        <li><a href=\"\/dph\/hsp\/environmental.html\">Air &#038; Water Quality<\/a><\/li>\n        <li><a href=\"\/dph\/ss\/vitalstats.html\">Birth, Death, &#038; Marriage Records<\/a><\/li>\n        <li><a href=\"\/dph\/clinics.html\">Clinics<\/a><\/li>\n        <li><a href=\"\/dph\/healthdatastats.html\">Health Data &#038; Statistics<\/a><\/li>\n        <li><a href=\"\/dph\/php\/emsps.html\">Emergency Preparedness<\/a><\/li>\n        <li><a href=\"\/dph\/healthandwellness.html\">Health &#038; Wellness<\/a><\/li>\n        <li><a href=\"\/dph\/hsp\/healthyhomes.html\">Healthy Homes<\/a><\/li>\n        <li><a href=\"\/dph\/hsp\/healthywp.html\">Healthy Workplaces<\/a><\/li>\n        <li><a href=\"\/dph\/lab\/labs.html\">Laboratory<\/a><\/li>\n        <li><a href=\"\/dph\/hsp\/feir.html\">Restaurant Inspections<\/a><\/li>\n        <li><a href=\"\/dph\/screen.html\">Screening and Testing<\/a><\/li>\n        <li><a href=\"\/dph\/chca\/dphwichominf01.html\">WIC<\/a><\/li>\n        <li><a href=\"\/dph\/servicesadd.html\">Additional Services<\/a><\/li><li>\n      <\/li><\/ul>\n    <\/li>\n    <li class=\"toplevel\"><a data-parent=\"#sidebar\" data-toggle=\"collapse\" href=\"#InformationMenu\"><h2>Information <i class=\"fa fa-caret-right fa-fw\"><\/i><\/h2><\/a>\n        <ul class=\"panel-collapse collapse\" id=\"InformationMenu\">\n        <li><a href=\"\/dph\/factsheetsaz.html\">A-Z Fact Sheets<\/a><\/li>\n        <li><a href=\"\/dph\/pubreportsaz.html\">A-Z Publications &#038; Reports<\/a><\/li>\n        <li><a href=\"\/dph\/diseasesandconditions.html\">Diseases &#038; Conditions<\/a><\/li>\n        <li><a href=\"\/dph\/faq.html\">FAQ&#8217;s<\/a><\/li>\n        <li><a href=\"\/dph\/php\/alerts.html\">Health Alerts<\/a><\/li>\n        <li><a href=\"\/dph\/healthylifestyles.html\">Healthy Lifestyles<\/a><\/li>\n        <li><a href=\"\/dph\/hipaa.html\">HIPAA<\/a><\/li>\n        <li><a href=\"\/dph\/regs.html\">Regulations<\/a><\/li>\n        <li><a href=\"\/dph\/forms.html\">Request Forms<\/a><\/li>\n        <li><a href=\"\/dph\/links.html\">Links &#038; Resources<\/a><\/li>\n        <li><a href=\"http:\/\/delaware.gov\/help\/foia_request.shtml\">FOIA Request Form<\/a><\/li>\n      <\/ul>\n    <\/li>\n    <li><a id=\"SocialMenuHeader\"><h2>Connect <i class=\"fa fa-thumbs-o-up fa-fw\"><\/i><\/h2><\/a>\n      <ul id=\"SocialMenu\">\n        <li class=\"facebook\"><a href=\"https:\/\/www.facebook.com\/DEPublicHealth\" target=\"_blank\" title=\"Division of Public Health Facebook Page\"><i class=\"fa fa-facebook-square fa-lg\"><\/i> Facebook<\/a><\/li>\n        <li class=\"twitter\"><a href=\"https:\/\/twitter.com\/Delaware_DHSS\" target=\"_blank\" title=\"Delaware Health and Social Services Twitter Account\"><i class=\"fa fa-twitter-square fa-lg\"><\/i> Twitter<\/a><\/li>\n        <!-- <li class=\"googleplus\"><a href=\"#\"><i class=\"fa fa-google-plus-square fa-lg\"><\/i> Google +<\/a><\/li>\n        <li class=\"flickr\"><a href=\"#\"><i class=\"fa fa-flickr fa-lg\"><\/i> Flickr<\/a><\/li>\n        <li class=\"youtube\"><a href=\"#\"><i class=\"fa fa-youtube-square fa-lg\"><\/i> Youtube<\/a><\/li>\n        <li class=\"instagram\"><a href=\"#\"><i class=\"fa fa-instagram fa-lg\"><\/i> Instagram<\/a><\/li>\n        <li class=\"linkedin\"><a href=\"#\"><i class=\"fa fa-linkedin-square fa-lg\"><\/i> Linkedin<\/a><\/li>\n        <li class=\"pinterest\"><a href=\"#\"><i class=\"fa fa-pinterest-square fa-lg\"><\/i> Pinterest<\/a><\/li> -->\n      <\/ul>\n    <\/li>\n  <\/ul>\n\n              <\/div>\n\n            <\/div>\n\n          <\/div>\n\n        <\/div><br>\n\n      <\/div>\n\n\n\n      <div class=\"col-md-9\" id=\"main_content\"> \n\n  \n\n<h2 class=\"center\">Health\n\n<!--[type=EDIT name=\"DHANType\"]-->\n\n\n\n   Alert<!--[END]-->\n\n<br>\n\n<!--[type=EDIT name=\"DHAN Heading\"]-->\n\n\n\nVARIANT INFLUENZA VIRUS (H3N2v) INFECTIONS<!--[END]-->\n\n<\/h2>\n\n\n\n<!--[type=HTMLEDIT name=\"Content\"]-->\n\n\n\n<h3 class=\"text-center\">\n\n\n  <br>\n\n\n  Forwarded from the CDC by the DE Division of Public Health<br>\n\n\n  <br>\n\n\n  This is an official CDC HEALTH ADVISORY<br>\n\n\n  Variant Influenza Virus (H3N2v) Infections\n\n\n<\/h3><br>\n\n\n<h3>\n\n\n  Summary:\n\n\n<\/h3>\n\n\n<p>\n\n\n  This Health Alert Network Health Advisory provides an update on H3N2 variant virus (or \u201cH3N2v\u201d) activity and summarizes\n\n\n  CDC\u2019s updated H3N2v case definitions and recommendations for H3N2v surveillance for the summer and fall of 2013. It supersedes the\n\n\n  last H3N2v-related HAN Health Advisory, HAN 325, which was issued August 3, 2012.\n\n\n<\/p>\n\n\n<h3>\n\n\n  Background\n\n\n<\/h3>\n\n\n<p>\n\n\n  The first cases of influenza A (H3N2) variant<sup>1<\/sup>(H3N2v) virus infection this year were reported in June 2013. These cases were\n\n\n  associated with exposure to swine at an agricultural fair prior to illness onset.\n\n\n<\/p>\n\n\n<p>\n\n\n  H3N2v viruses with the matrix (M) gene from the 2009 H1N1 pandemic virus were first detected in people in 2011 and were responsible for a\n\n\n  multi-state outbreak in the summer of 2012 that resulted in 306 cases, including 16 hospitalizations and 1 fatality. Genetic sequencing\n\n\n  by CDC has confirmed that H3N2v viruses isolated in June 2013 are nearly identical to those detected during summer 2012. Most cases of\n\n\n  H3N2v identified during 2012 were associated with exposure to pigs at agricultural fairs. Agricultural fairs take place across the United\n\n\n  States every year, primarily during the summer months and into early fall. Many fairs have swine barns, where pigs from different places\n\n\n  come in close contact with each other and with people. These venues may allow spread of influenza viruses both among pigs and between\n\n\n  pigs and people. Data indicate that infected pigs may spread influenza viruses even if they are not symptomatic (e.g., coughing and\/or\n\n\n  sneezing). Although instances of limited person-to-person spread of this virus have been identified in the past, sustained or\n\n\n  community-wide transmission of H3N2v has not occurred.\n\n\n<\/p>\n\n\n<p>\n\n\n  Clinical characteristics of the 2012 and 2013 H3N2v cases have been generally consistent with those of seasonal influenza, and have\n\n\n  included fever, cough, pharyngitis, myalgia, and headache. Of the 16 H3N2v hospitalized patients, most were at increased risk for\n\n\n  complications of influenza because of age or the presence of an underlying medical condition. None of the persons ill with 2013 H3N2v\n\n\n  infection have been hospitalized, and no deaths have occurred among them.\n\n\n<\/p>\n\n\n<p>\n\n\n  Rapid detection and characterization of novel influenza viruses remain important components of national efforts to prevent further cases\n\n\n  and evaluate clinical illness associated with these viruses. As a result, clinicians are reminded to consider influenza as a possible\n\n\n  diagnosis when evaluating patients with acute respiratory illnesses, and clinicians should consider the possibility of H3N2v in persons\n\n\n  presenting with respiratory illness and recent swine contact or attendance at an agricultural fair. The H3N2v case definitions for 2013\n\n\n  \u00a0(<a href=\"https:\/\/owa.state.de.us\/owa\/redir.aspx?C=V3JxKQFzKk2neRGnfw5eAzfTmNBETdAI483XpRebDK-G2ysd-TBCNliDxm0VaOfbyubZnrY9ubU.&#038;URL=http%3a%2f%2fwww.cdc.gov%2fflu%2fswineflu%2fcase-definitions.htm\" target=\"_blank\">http:\/\/www.cdc.gov\/flu\/swineflu\/case-definitions.htm<\/a>) include laboratory-confirmed cases and cases under\n\n\n  investigation for H3N2v virus infection; the probable case definition used in 2012 has been deleted.\n\n\n<\/p>\n\n\n<p>\n\n\n  CDC anticipates that state health departments will identify more H3N2v cases in 2013 as agricultural fair season continues. The number of\n\n\n  cases may exceed those identified last year, and CDC recommends a surveillance strategy for 2013 designed primarily to identify increases\n\n\n  in person-to-person transmission or clinical severity. Testing for H3N2v should focus primarily on persons with exposures known to be\n\n\n  associated with H3N2v virus infection (e.g., fair attendance) and in settings where person-to-person transmission has been identified\n\n\n  previously (e.g., influenza-like illness outbreaks in child-care centers). For more information on 2013 testing recommendations, please\n\n\n  see \u00a0<a href=\"https:\/\/owa.state.de.us\/owa\/redir.aspx?C=V3JxKQFzKk2neRGnfw5eAzfTmNBETdAI483XpRebDK-G2ysd-TBCNliDxm0VaOfbyubZnrY9ubU.&#038;URL=http%3a%2f%2fwww.cdc.gov%2fflu%2fswineflu%2fh3n2v-surveillance.htm\" target=\"_blank\">http:\/\/www.cdc.gov\/flu\/swineflu\/h3n2v-surveillance.htm<\/a>. Novel influenza A virus infections, which include those\n\n\n  caused by H3N2v, remain notifiable conditions in the United States, and all confirmed cases should be reported to CDC within 24 hours.\n\n\n<\/p>\n\n\n<p>\n\n\n  CDC continues to share information and guidance for local and state public health officials regarding the surveillance and investigation\n\n\n  of human infections with H3N2v. This information is available at \u00a0<a href=\"https:\/\/owa.state.de.us\/owa\/redir.aspx?C=V3JxKQFzKk2neRGnfw5eAzfTmNBETdAI483XpRebDK-G2ysd-TBCNliDxm0VaOfbyubZnrY9ubU.&#038;URL=http%3a%2f%2fwww.cdc.gov%2fflu%2fswineflu%2fh3n2v-publichealth.htm\" target=\"_blank\">http:\/\/www.cdc.gov\/flu\/swineflu\/h3n2v-publichealth.htm<\/a>.\n\n\n<\/p>\n\n\n<p>\n\n\n  Recommendations for H3N2v for clinicians, public health practitioners, and the public for the summer and fall of 2013 are summarized\n\n\n  below:\n\n\n<\/p>\n\n\n<h3>\n\n\n  Recommendations for Health Care Providers and Public Health Practitioners\n\n\n<\/h3>\n\n\n<ul>\n\n\n  <li>Clinicians who suspect influenza in persons with recent exposure to swine should obtain a nasopharyngeal swab or aspirate from the\n\n\n  patient, place the swab or aspirate in viral transport medium, and contact their state or local health department to arrange transport\n\n\n  and request a timely diagnosis at a state public health laboratory.\n\n\n  <\/li>\n\n\n  <li>Commercially available rapid influenza diagnostic tests (RIDTs) may not detect H3N2v virus in respiratory specimens. Therefore, a\n\n\n  negative rapid influenza diagnostic test result does not exclude infection with H3N2v or any influenza virus. In addition, a positive\n\n\n  test result for influenza A cannot confirm H3N2v virus infection, because these tests cannot distinguish between influenza A virus\n\n\n  subtypes (i.e., they do not differentiate between other human influenza A viruses and H3N2v virus). Therefore, respiratory specimens\n\n\n  should be collected and sent for sub-type specific real-time polymerase chain reaction (RT-PCR) testing at a state public health\n\n\n  laboratory.\n\n\n  <\/li>\n\n\n  <li>Enhanced surveillance for influenza during agricultural fair season is recommended to facilitate timely detection and investigation\n\n\n  of H3N2v cases. Recommendations for influenza surveillance and testing can be found at \u00a0<a href=\"http:\/\/www.cdc.gov\/flu\/swineflu\/h3n2v-surveillance.htm\" target=\"_blank\">http:\/\/www.cdc.gov\/flu\/swineflu\/h3n2v-surveillance.htm<\/a>.\n\n\n  <\/li>\n\n\n  <li>Clinicians should consider antiviral treatment with oral oseltamivir or inhaled zanamivir in patients with suspected or confirmed\n\n\n  H3N2v virus infection. Antiviral treatment is most effective when started as soon as possible after influenza illness onset. For more\n\n\n  information on antiviral treatment for H3N2v virus infections, please see \u00a0<a href=\"https:\/\/owa.state.de.us\/owa\/redir.aspx?C=V3JxKQFzKk2neRGnfw5eAzfTmNBETdAI483XpRebDK-G2ysd-TBCNliDxm0VaOfbyubZnrY9ubU.&#038;URL=http%3a%2f%2fwww.cdc.gov%2fflu%2fswineflu%2fh3n2v-treatment.htm\" target=\"_blank\">http:\/\/www.cdc.gov\/flu\/swineflu\/h3n2v-treatment.htm<\/a>.\n\n\n  <\/li>\n\n\n<\/ul>\n\n\n<h3>\n\n\n  Recommendations for the Public\n\n\n<\/h3>\n\n\n<ul>\n\n\n  <li>Persons who are at high risk for influenza complications<sup>2<\/sup>should avoid exposure to pigs and swine barns at fairs this year.\n\n\n  <\/li>\n\n\n  <li>Persons engaging in activities that may involve swine contact at fairs should wash their hands frequently with soap and running water\n\n\n  before and after exposure to animals; avoid eating or drinking in animal areas; and avoid close contact with animals that look or act\n\n\n  ill. For additional information, please see \u00a0<a href=\"http:\/\/www.cdc.gov\/flu\/swineflu\/h3n2v-fairs-factsheet.htm\" target=\"_blank\">http:\/\/www.cdc.gov\/flu\/swineflu\/h3n2v-fairs-factsheet.htm<\/a>.\n\n\n  <\/li>\n\n\n  <li>Patients with influenza-like illness who are at high risk for influenza complications<sup>2<\/sup>should see their health care\n\n\n  provider promptly to determine if treatment with antiviral medications is warranted.\n\n\n  <\/li>\n\n\n  <li>Patients who experience influenza-like symptoms following direct or close contact with pigs and who seek medical care should inform\n\n\n  their health care provider about the exposure.\n\n\n  <\/li>\n\n\n  <li>Influenza viruses have not been shown to be transmissible to people through eating properly handled and prepared pork or other\n\n\n  products derived from pigs. For more information about the proper handling and preparation of pork, visit the USDA website fact sheet\n\n\n  \u00a0 \u201c<a href=\"https:\/\/owa.state.de.us\/owa\/redir.aspx?C=V3JxKQFzKk2neRGnfw5eAzfTmNBETdAI483XpRebDK-G2ysd-TBCNliDxm0VaOfbyubZnrY9ubU.&#038;URL=http%3a%2f%2fwww.fsis.usda.gov%2ffactsheets%2fPork_From_Farm_to_Table%2findex.asp\" target=\"_blank\">Fresh Pork from Farm to Table<\/a>\u201d at \u00a0<a href=\"https:\/\/owa.state.de.us\/owa\/redir.aspx?C=V3JxKQFzKk2neRGnfw5eAzfTmNBETdAI483XpRebDK-G2ysd-TBCNliDxm0VaOfbyubZnrY9ubU.&#038;URL=http%3a%2f%2fwww.fsis.usda.gov%2fwps%2fwcm%2fconnect%2f27f02652-e30e-4772-83af-23aaabba220b%2fPork_from_Farm_to_Table.pdf%3fMOD%3dAJPERES\" target=\"_blank\">http:\/\/www.fsis.usda.gov\/wps\/wcm\/connect\/27f02652-e30e-4772-83af-23aaabba220b\/Pork_from_Farm_to_Table.pdf?MOD=AJPERES<\/a>.\n\n\n  <\/li>\n\n\n<\/ul>\n\n\n<h4>\n\n\n  For more information:\n\n\n<\/h4>\n\n\n<ul>\n\n\n  <li>\u201cInterim Guidance on Case Definitions to be Used for Investigations of Influenza A (H3N2) Variant Virus Cases\u201d for state\n\n\n  and local health departments is available at \u00a0<a href=\"http:\/\/www.cdc.gov\/flu\/swineflu\/case-definitions.htm\" target=\"_blank\">http:\/\/www.cdc.gov\/flu\/swineflu\/case-definitions.htm<\/a>.\n\n\n  <\/li>\n\n\n  <li>\u201cPrevention Strategies for Seasonal and Influenza A(H3N2)v in Health Care Settings\u201d is available at \u00a0<a href=\"http:\/\/www.cdc.gov\/flu\/swineflu\/prevention-strategies.htm\" target=\"_blank\">http:\/\/www.cdc.gov\/flu\/swineflu\/prevention-strategies.htm<\/a>.\n\n\n  <\/li>\n\n\n  <li>\u201cInterim Guidance on Specimen Collection, Processing and Testing for Patients with Suspected Influenza A (H3N2) Variant Virus\n\n\n  Infection\u201d for public health professionals is available at \u00a0<a href=\"https:\/\/owa.state.de.us\/owa\/redir.aspx?C=V3JxKQFzKk2neRGnfw5eAzfTmNBETdAI483XpRebDK-G2ysd-TBCNliDxm0VaOfbyubZnrY9ubU.&#038;URL=http%3a%2f%2fwww.cdc.gov%2fflu%2fswineflu%2fh3n2v-testing.htm\" target=\"_blank\">http:\/\/www.cdc.gov\/flu\/swineflu\/h3n2v-testing.htm<\/a>, and\n\n\n  <\/li>\n\n\n  <li>\u201cInterim Guidance for Enhanced Influenza Surveillance: Additional Specimen Collection for Detection of Influenza A (H3N2)\n\n\n  Variant Infections\u201d for state and local health departments is available at \u00a0<a href=\"http:\/\/www.cdc.gov\/flu\/swineflu\/h3n2v-surveillance.htm\" target=\"_blank\">http:\/\/www.cdc.gov\/flu\/swineflu\/h3n2v-surveillance.htm<\/a>.\n\n\n  <\/li>\n\n\n  <li>\u201cMeasures to Minimize Influenza Transmission at Swine Exhibitions, 2013\u201d is available at \u00a0<a href=\"\/wp-content\/uploads\/sites\/10\/dph\/pdf\/NASAHO-NASPHV-InfluenzaTransmissionAtSwineExhibitions2013.pdf\" target=\"_blank\">http:\/\/nasphv.org\/Documents\/NASAHO-NASPHV-InfluenzaTransmissionAtSwineExhibitions2013.pdf<\/a>\n\n\n  <\/li>\n\n\n  <li>\u201cCompendium of Measures to Prevent Disease Associated with Animals in Public Settings, 2011\u201d is available at\n\n\n  \u00a0<a href=\"https:\/\/owa.state.de.us\/owa\/redir.aspx?C=V3JxKQFzKk2neRGnfw5eAzfTmNBETdAI483XpRebDK-G2ysd-TBCNliDxm0VaOfbyubZnrY9ubU.&#038;URL=http%3a%2f%2fnasphv.org%2fdocumentsCompendiumAnimals.html\" target=\"_blank\">http:\/\/nasphv.org\/documentsCompendiumAnimals.html<\/a>\n\n\n  <\/li>\n\n\n<\/ul>\n\n\n<p>\n\n\n  <sup>1<\/sup>Influenza viruses that circulate in swine are called swine influenza viruses when isolated from swine, but are called variant\n\n\n  viruses when isolated from humans.\n\n\n<\/p>\n\n\n<p>\n\n\n  <sup>2<\/sup>This includes persons with certain underlying chronic medical conditions such as asthma, diabetes, heart disease, or\n\n\n  neurological conditions, pregnant women, and persons younger than 5 years, older than 65 years of age, or who have weakened immune\n\n\n  systems. For additional information on persons at increased risk for influenza complications, please see \u00a0<a href=\"https:\/\/owa.state.de.us\/owa\/redir.aspx?C=V3JxKQFzKk2neRGnfw5eAzfTmNBETdAI483XpRebDK-G2ysd-TBCNliDxm0VaOfbyubZnrY9ubU.&#038;URL=http%3a%2f%2fwww.cdc.gov%2fflu%2fabout%2fdisease%2fhigh_risk.htm\" target=\"_blank\">http:\/\/www.cdc.gov\/flu\/about\/disease\/high_risk.htm<\/a>.\n\n\n<\/p>\n\n\n<p class=\"text-center\">\n\n\n  <em>The Centers for Disease Control and Prevention (CDC) protects people\u2019s health and safety by preventing and controlling diseases\n\n\n  and injuries; enhances health decisions by providing credible information on critical health issues; and promotes healthy living through\n\n\n  strong partnerships with local, national, and international organizations.<\/em>\n\n\n<\/p>\n\n\n<p>\n\n\n  ************************************\n\n\n<\/p>\n\n\n<p>\n\n\n  You are receiving this email because you are a registered member of the Delaware Health Alert Network. If you are not a member and would\n\n\n  like to subscribe, please register at <a href=\"https:\/\/healthalertde.org\">https:\/\/healthalertde.org<\/a>\n\n\n<\/p><br>\n\n\n<br>\n\n\n<p class=\"smalltext\"><a href=\"http:\/\/www.adobe.com\/products\/acrobat\/readstep2.html\"><img loading=\"lazy\" decoding=\"async\" alt=\"Download Adobe Acrobat Reader\" height=\"21\" src=\"\/wp-content\/uploads\/dhss\/img\/getacro60.gif\" width=\"60\"><\/a> Please note: Some of the files available on this page are in Adobe PDF format which requires Adobe Acrobat Reader.  A free copy of Adobe Acrobat Reader can be downloaded directly from <a href=\"http:\/\/www.adobe.com\/products\/acrobat\/readstep2.html\">Adobe <\/a>. If you are using an assistive technology unable to read Adobe PDF, please either view the corresponding text only version (if available) or visit Adobe&#8217;s <a href=\"http:\/\/access.adobe.com\">Accessibility Tools page<\/a>.<\/p>\n\n\n\n<!--[END]-->\n\n  \n\n        <div class=\"panel panel-danger\">\n\n          <div class=\"panel-heading\">    \n\n      <h2>Categories of Health Alert messages:<\/h2>\n\n       <\/div>\n\n       <div class=\"panel-body\">\n\n      <ul>\n\n        <li><strong>Health Alert:<\/strong> Conveys the highest level of importance; warrants immediate action or attention.<\/li>\n\n        <li><strong>Health Advisory:<\/strong> Provides important information for a specific incident or situation; may not require immediate action.<\/li>\n\n        <li><strong>Health Update:<\/strong> Provides updated information regarding an incident or situation; unlikely to require immediate action.<\/li>\n\n            <\/ul>\n\n         <div><strong>NOTE: This page is for informational purposes only and dated material (e.g. temporary websites) may not be available.<\/strong><\/div>\n\n          <\/div> \n\n        <\/div><br>  \n\n\n\n      <\/div>\n\n    <\/div>\n\n  <\/div><!-- \/container -->\n\n  <\/div>","protected":false},"excerpt":{"rendered":"<p>Listen Delaware Health Alert Network #309 July 10, 2013 3:18 pm Public Health Menu Home About About DPH Sections &#038; Programs Office Locations Contact Info Calendar Services A-Z Services Air &#038; Water Quality Birth, Death, &#038; Marriage Records Clinics Health Data &#038; Statistics Emergency Preparedness Health &#038; Wellness Healthy Homes Healthy Workplaces Laboratory Restaurant Inspections [&hellip;]<\/p>\n","protected":false},"author":8,"featured_media":0,"parent":9294,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"class_list":["post-10280","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/www-test.dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/pages\/10280","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www-test.dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www-test.dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www-test.dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/www-test.dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/comments?post=10280"}],"version-history":[{"count":1,"href":"https:\/\/www-test.dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/pages\/10280\/revisions"}],"predecessor-version":[{"id":11456,"href":"https:\/\/www-test.dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/pages\/10280\/revisions\/11456"}],"up":[{"embeddable":true,"href":"https:\/\/www-test.dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/pages\/9294"}],"wp:attachment":[{"href":"https:\/\/www-test.dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/media?parent=10280"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}