Category: Public Health

DOVER, DE (Aug 15, 2022)– The Delaware Division of Public Health (DPH) is announcing five additional cases of monkeypox (MPX), bringing the state’s total to 11. All cases are considered probable pending confirmatory testing by the Centers for Disease Control and Prevention (CDC).

The five most recent cases are all males. Two, a 23-year-old and a 57-year-old are from Sussex County. The other three, a 28-year-old, a 34-year-old, and a 37-year-old, are from New Castle County. All cases are unrelated to the others. The 23, 37 and 57-year-olds all reported intimate contact with an individual confirmed to be positive for MPX. The 34-year-old had recent intimate contact with another person, but the person was not known to have MPX. No contact information is known for the 28-year-old. None of the individuals reported travel.

Currently, there is no specific treatment for MPX. However, antivirals can be prescribed.

Delaware is also announcing that starting today, Monday, Aug. 15, it will expand access to the vaccine used for MPX to individuals who are living with HIV, as well as those receiving pre-exposure prophylaxis (PrEP) for HIV. Individuals living with HIV or receiving HIV PrEP should first contact their medical provider or PrEP treatment center to ask if they are offering the vaccine. If the provider is not, the person may contact the DPH Hotline at 866-408-1899 to schedule an appointment with a DPH clinic. Walk-ins for vaccination will not be accepted. Vaccinations at DPH clinics will continue to be prioritized first for the following individuals at highest risk who have been receiving vaccine thus far based upon 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.

As a result of the White House announcement on Tuesday, Aug. 9, allowing states to stretch their vaccine supplies by administering one-fifth of the dose via a different injection method (just under the skin rather than into the muscle), DPH is now able to plan for further expansion of vaccine access. Delays in roll out are due to the need to support training in the alternate administration method, and obtain supplies needed for this method as well.

Beginning Aug. 22, individuals in the following higher risk categories will have access to the vaccine. More details about where vaccines will be available will be shared later in the week. Access will be 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
• 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)”¯

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. Particularly those at higher risk should continue to use preventive measures and reduce engaging in any high-risk behaviors until that time.

While MPX vaccine will be expanding, not everyone needs the vaccine. Unlike with COVID-19, the spread is primarily through direct contact with an infected person and not airborne transmission. Those engaging in behaviors, including intimate contact with multiple partners are at higher risk than the general public.

There are things that each person in the general public can do to protect themselves regardless of their ability to access the vaccine, such as limiting direct contact with anyone with a concerning rash, limiting the number of intimate partners, talking openly with intimate contacts about recent behaviors, and not sharing bedding, towels and eating or drinking utensils with anyone who does.

The vaccine, JYENNOS, used to prevent MPX, is fully FDA approved for use against smallpox. However, if you received a previous smallpox vaccine more than three years ago, it may not provide protection now. During the 2003 outbreak and current outbreaks, people who have been infected with MPX had previously been vaccinated against smallpox decades prior.

Most people with monkeypox do not require hospitalization and may isolate at home. Monkeypox spreads between people through direct contact with an infectious rash, body fluids, or by respiratory secretions during prolonged, face-to-face contact. The transmission of the monkeypox virus is possible from the onset of the first symptoms until the scabs have separated and the skin has fully healed.

As fall sports practices begin, individuals who participate in sports should practice preventive measures whenever possible. This includes laundering uniforms after each game or practice, seeking advice from their primary care provider concerning rashes, sanitizing team spaces when they are not in use, not sharing sweat towels, water bottles, mouth guards or other gear, and refraining from leaving unused personal gear laying around. Organizations should consider separate seating during games from fans for players; players not playing should avoid sharing benches with fans. Isolated seating will reduce close contact with possible rashes from fans to players.

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.

Upcoming Town Halls

Beebe Healthcare is inviting the public to a virtual town hall for a discussion on Monkeypox virus in Sussex County at 5:30 p.m. Monday, Aug. 15. David A. Tam, MD, MBA, CPHE, FACHE, President & CEO, and Bill Chasanov, DO, Beebe’s Chief Population Health Officer, will share updates on Monkeypox as a public health concern. To watch, join Beebe’s Facebook or YouTube page for the live presentation. Recordings will be published for viewing after the town hall ends. Live ASL interpretation will be available on screen.

CAMP Rehoboth Community Center will hold a town hall on Tuesday, Aug. 16, from 7 p.m. to 8:30 p.m. addressing the MPX situation in Delaware. This town hall is in partnership with the Delaware Department of Health and Social Services. DHSS Secretary Molly Magarik will be discussing Delaware’s response to the virus in the CAMP community and will field questions and concerns from community members. The event will be held at CAMP Rehoboth, 37 Baltimore Avenue, Rehoboth Beach. Registration is required:
https://www.eventbrite.com/e/town-hall-addressing-hmpvx-virus-in-our-community-tickets-400799531187

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.

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.

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.

NEW CASTLE (Aug. 2, 2022)– Eligible Delaware households will receive emergency food assistance benefits under the Pandemic Electronic Benefit Transfer (P-EBT) program to cover the summer period when children are on break and not receiving meals at school.

The following children are eligible for the Summer P-EBT benefit:

1. Children who were eligible for free or reduced-price school meals during the last month of the 2021-2022 school year. This includes children who graduated at the end of the 2021-2022 school year.
2. Children who are determined newly eligible for free or reduced-price school meals during this summer and were enrolled in a Delaware school during the 2021-2022 school year. Households that submit a meal application to their school on or before Aug. 26, 2022, and are approved will qualify for Summer P-EBT as long as the child was enrolled in the school for the 2021-2022 school year.
3. Children under age 6 who are part of a household that is receiving Supplemental Nutrition Assistance Program (SNAP) food benefits during this summer.

The Department of Health and Social Services’ Division of Social Services (DSS) is collaborating with the Delaware Department of Education and Delaware schools to issue the Summer P-EBT benefit beginning this month. Households will receive the U.S. Standard Summer P-EBT Benefit of $391.00 for each eligible child in their home. The Summer P-EBT benefit will be split into two separate issuances.

Issuance Amount (for each eligible child)	Date Benefits will be Available on EBT Cards
$195.00	August 5, 2022
$196.00	September 2, 2022

The date that benefits are issued to individual households depends on when P-EBT eligibility information is received from Delaware schools.

P-EBT benefits may be used to purchase food at stores that accept SNAP EBT cards. SNAP households will have P-EBT benefits loaded on their existing SNAP EBT cards. Households that do not receive SNAP will have P-EBT benefits loaded on the P-EBT card that was sent to them in a previous school year. Newly eligible non-SNAP households will receive a P-EBT card in the mail along with details on how to use the card.

“For vulnerable families across our state, the Summer Pandemic EBT program is an important way to make sure that the nutritional needs of children continue to be met when they are away from school,” said DHSS Secretary Molly Magarik. “We are grateful to the federal government and Delaware’s congressional delegation for providing critical funding to support eligible Delaware families.”

DHSS estimates that it will issue $43.8 million in P-EBT benefits to parents or guardians of approximately 112,050 children this summer.

Eligible households will receive written notification in the mail regarding the Summer P-EBT benefit. P-EBT eligibility is based on information received from Delaware schools.

Families who would like to apply for free or reduced-price school meals may contact the School Nutrition Program for their child’s school or visit their school’s website to complete an application. Families must apply for free or reduced-price meals by Aug. 26, 2022, to be potentially eligible for Summer P-EBT.

Please contact the Division of Social Services at 1-866-843-7212 if you have questions about Delaware’s P-EBT Program. Visit Delaware’s P-EBT website for more information.

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 21, 2022) – The Delaware Division of Public Health (DPH) is announcing the state’s second and third cases of the monkeypox virus (MPX). Both cases are considered probable pending confirmatory testing by the Centers for Disease Control and Prevention (CDC).

This week, DPH received test results showing that a 46-year-old Sussex County man tested positive for MPX. The patient did not report any travel, and first reported symptoms on July 18. DPH is working to contact the patient to inform them about treatment options and interview them to obtain a list of possible contacts.

Additionally, DPH received test results this week showing that a 25-year-old Kent County man tested positive for MPX. The patient did not report any travel, and first reported symptoms on July 14. The patient has been advised to self-isolate until lesions have fallen off and new skin appears.

“The overall risk to the public is low and remains low,” said DPH Interim Director Dr. Rick Hong. “MPX is transmitted through close intimate contact with individuals who have rashes or flu-like symptoms. We urge people to educate themselves about this rare disease, including how it is spread, and to help prevent exposure. DPH will continue to work with medical providers to screen and identify individuals for MPX testing. And we will prioritize our limited supply of vaccine for people who have been exposed to MPX for post-exposure prophylaxis (PEP).”

Beginning July 21, DPH will operate a hotline for individuals with specific concerns because of symptoms or possible exposure. The hotline number is 866-408-1899 and the number will operate with the following hours:

• Monday– Friday from 8:30 a.m. to 4:30 p.m.

Currently, there is no specific treatment for the monkeypox virus infection; however, antivirals, can be prescribed. DPH has received a limited supply of the vaccine, which needs to be given in two doses 28 days apart. Those who are at the highest risk of exposure to the virus include:

• People who have been identified as a contact of someone with MPX
• People who are aware that one of their sexual partners in the past two weeks was diagnosed with MPX
• People who had multiple sexual partners in the past two weeks in an area with known MPX

Until spring 2022, MPX cases were rare in the United States. Today, there are more than 2,300 cases nationwide, with Delaware announcing its first case on July 12, 2022, involving a 41-year-old New Castle County patient.

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 prevent infection with MPX:

• Avoid close, skin-to-skin contact with people who have a rash that looks like MPX.
• Do not touch the rash or scabs of a person with MPX.
• Do not kiss, hug, cuddle or have sex with someone with MPX.
• Do not share eating utensils or cups with a person with MPX.
• Do not handle or touch the bedding, towels, or clothing of a person with MPX.
• Wash your hands often with soap and water or use an alcohol-based hand sanitizer.

To learn more about MPX management and prevention programs and resources, visit https://dhss.delaware.gov/DPH/epi/emerginginfectiousdiseases.html.

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 15, 2022)– The Delaware Division of Public Health (DPH) reports that COVID-19 cases experienced an uptick in the daily 7-day average for the percentage of positive tests since the previous monthly COVID-19 update released on June 17, 2022. Since that time, Delaware has also exceeded 3,000 COVID-related deaths. According to the Centers for Disease Control and Prevention’s (CDC) COVID-19 Community Levels data tracker, which was last updated on June 14, case levels in Kent County are considered high, while case levels in New Castle and Sussex Counties are listed as medium.

Many people are expressing concerns about getting vaccinated or boosted now, both because of reported lack of effectiveness against the circulating BA.5 variant and the expected updated vaccines in the fall. Approximately 66% of test results sequenced in late June contained a variant strain, which means that one-third contained the original strain of COVID-19 against which the vaccines are highly effective. Approximately 45.3% of variants sequenced were BA.5; BA.2 still accounted for 38.7%. While the current vaccines may be less effective in preventing infection if you get the BA.5 variant strain, they still offer some level of protection. The vaccines also remain highly effective at preventing more severe consequences, including serious illness, hospitalization and death against all variants. This is why getting a booster when eligible becomes particularly important. As immunity from your initial vaccine doses wane, the boosters are critical for increasing your antibody level and continue to provide your best protection against serious illness. Some people who have not gotten either their first or second booster plan to wait for the expected updated vaccines in the fall. The CDC and White House advisors urge people not to wait, indicating that getting your booster now will not exclude you from getting one in the fall. It’s better to have all the protection you can get now by getting all the vaccine doses for which you are eligible.

You are eligible for a booster dose if you:

• Are 5+ and it has been 5 months since your second dose of Pfizer.
• Are 18+ and it has been 5 months since your second dose of Moderna.
• Are 18+ and it has been 2 months since your initial dose of Johnson & Johnson.
• Qualified for an “additional/third” dose of Pfizer or Moderna because you have certain immunocompromising conditions.
• You can get your second booster (fourth) dose four months after receiving your initial booster if you are 50+ or are immunocompromised.

Getting vaccinated and boosted when you are eligible remains one of the key ways to Stay One Step Ahead of COVID-19 in our state. View materials that are available for download or ordering free at covidmaterialsde.com.

COVID-19 Cases and Hospitalizations:

• Total positive cases since March 11, 2020: 289,266*
• 7-day daily average of new positive cases: 306.7 an increase of 46.8 average new positive cases reported since June 17, 2022
• 7-day daily average for the percentage of total positive tests: 17.5 percentage points, an increase of 3.4 percentage points reported since June 17, 2022
• Hospitalizations: 127 current hospitalizations; critically ill: 14
• Total COVID-19 deaths: 3,008, an increase of 31 since last month, including 25 deaths from a review of vital statistics

*Case and testing data are based on reporting of lab-confirmed COVID-19 tests only. The number of COVID-19 cases in the community is higher than what is reported because of the use of at-home test kits.

Some of our youngest Delawareans are now eligible to be vaccinated. On June 18, the CDC gave final authorization to both the Pfizer and Moderna vaccines for children ages 6 months through 5 years old, making vaccines available to everyone ages 6 months and older. Additionally, the following week, the CDC authorized Moderna’s vaccines for children ages 6-17. Pfizer’s vaccine for this age group was already authorized. Just this week, the FDA granted full approval for Pfizer’s vaccine for ages 12-15. Information about the vaccine and where you can get your child vaccinated is available at de.gov/youthvaccine

COVID-19 Vaccinations:

• Total number of doses administered in Delaware: 1,890,810
• Percentage of Delawareans 5+ who are fully vaccinated (CDC data): 74.4%
• Percentage of Delawareans 12+ who are fully vaccinated (CDC data): 78.6%
• Percentage of Delawareans 18+ who are fully vaccinated (CDC data): 80.1%
• Percent of Delawareans who are fully vaccinated (CDC data): 70.3%

All qualifying Delawareans should get vaccinated. For a location near you, visit de.gov/getmyvaccine.. Delaware’s latest COVID-19 vaccination statistics can be found under the Vaccine Tracker dashboard at de.gov/healtycommunity

COVID-19 Case Vaccination Status Report:

The following reports capture a weekly breakdown of non-boosted cases, deaths, and hospitalizations for the time frame of July 4– July 10, 2022.

Weekly Overview (07/04/22– 07/10/22)	# of Non-boosted Cases
Total Non-boosted	1249
Total Cases	1888
Percent of Non-boosted Cases	66%

Non-boosted Hospitalized cases	# of Cases
Total Non-boosted Hospitalized Cases	88
Total Hospitalized Cases	135
Percent of Non-boosted Cases	65%

Non-boosted Deaths	# of Cases
Total Non-boosted Deaths	0
Total COVID-19 Deaths	2
Percent of Non-boosted Deaths	0%

Long-term Care Statistics:

As of Thursday, July 14, 2022, there have been a total of 4,150 positive COVID-19 cases involving long-term care residents, and 969 residents of Delaware long-term care facilities have died from complications related to COVID-19.

Resources:

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

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

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

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

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.

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.

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.

NEW CASTLE (July 12, 2022)– The Department of Health and Social Services (DHSS) announced today that it has selected three companies to operate its Medicaid Managed Care Program.

DHSS’ Division of Medicaid and Medical Assistance (DMMA) will continue its MCO partnership with Highmark Health Options Blue Cross Blue Shield, which began in 2015, and with AmeriHealth Caritas, which began in 2018. In addition, DHSS announced its intent to contract with Centene’s Delaware First Health.

“We are pleased to reach agreement with Highmark, AmeriHealth and Centene to provide these vital services to the Medicaid members we serve,” DHSS Secretary Molly Magarik said. “These companies not only will offer more choice to our Medicaid members, but they also understand Delaware’s commitment to value-based care, and to the critical services that our Medicaid members need and deserve. We appreciate the commitment of Highmark, AmeriHealth and Centene to providing a connection to care and support that will help our Medicaid members achieve their optimal health.”

In 2017, Gov. John Carney signed House Joint Resolution 7, which gave DHSS the authority to develop health care spending and quality benchmarks. The spending benchmark– a spending target– is linked to the growth rate of Delaware’s economy and includes all health care spending, including through Medicaid, Medicare and commercial insurers. The quality benchmarks are established periodically to offer strategic goals to improve the health of Delawareans and the care they receive.

Delaware’s Medicaid program serves about 300,000 members. Division of Medicaid and Medical Assistance Director Steve Groff said members will receive information during the next several weeks about their options in choosing a new plan for 2023. Open enrollment will begin Oct. 1.

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 12, 2022)– The Delaware Division of Public Health’s (DPH) is announcing the state’s first case of the monkeypox virus (MPX). This week, DPH received test results showing a 41-year-old New Castle County man tested positive for MPX. This positive case is considered probable pending confirmatory testing by the Centers for Disease Control and Prevention (CDC). The Delaware man did not report any travel or exposure to someone known to have MPX but is believed to have been exposed to the virus after close intimate contact with an individual in early July.

The individual is self-isolating and DPH is working with him to identify any possible close contacts. Currently, DPH is working with the CDC to confirm the course of treatment for this individual.

“The Delaware Division of Public Health has prepared to respond to MPX cases,” said DPH Interim Director Dr. Rick Hong. “As we work to confirm our first case in the state, we encourage Delawareans to be aware of being in close intimate contact with individuals who have rashes or flu-like symptoms. We will continue to monitor this situation closely.”

MPX is a rare disease caused through infection with the monkeypox virus. It can make you sick, causing a rash, which may look like pimples or blisters, often with an earlier flu-like illness. Transmission of MPX occurs when a person encounters the virus from an animal, human, or materials contaminated with the virus. The virus enters the body through broken skin (even if not visible), respiratory tract, or the mucous membranes (eyes, nose, or mouth).

The overall risk of MPX is low, generally caused by close intimate contact. However there are other ways it can spread including:

• direct contact with the infectious rash, scabs, or body fluids
• respiratory secretions during prolonged, face-to-face contact, or during intimate physical contact, such as kissing, cuddling, or sex
• touching items (such as clothing or linens) that previously touched the infectious rash or body fluids
• pregnant people can spread the virus to their fetus through the placenta
• It’s also possible for people to get MPX from infected animals, either by being scratched or bitten by the animal or by preparing or eating meat or using products from an infected animal.

The incubation period of the illness (time from infection to symptoms) is typically seven to 14 days but can as long as 21 days. The illness itself typically lasts two to four weeks and is rarely fatal. People who do not have symptoms cannot spread the virus to others.

Signs and Symptoms

The symptoms of MPX are similar to, but milder than, the symptoms of smallpox. Symptoms usually start within 3 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 will usually 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– mention your 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, there is no specific treatment for monkeypox virus infection. Instead, smallpox vaccine, antivirals, and vaccinia immune globulin (VIG) can be used. CDC recommends vaccination for people who have been diagnosed with or exposed to MPX and people who are at higher risk of being exposed to the virus, including:

• People who have been identified as a contact of someone with MPX
• People who are aware that one of their sexual partners in the past 2 weeks has been diagnosed with MPX
• People who had multiple sexual partners in the past 2 weeks in an area with known MPX
• People whose jobs may expose them to MPX such as laboratory, and some health care or public health workers

To prevent infection with MPX:

• Avoid close, skin-to-skin contact with people who have a rash that looks like MPX.
• Do not touch the rash or scabs of a person with MPX.
• Do not kiss, hug, cuddle or have sex with someone with MPX.
• Do not share eating utensils or cups with a person with MPX.
• Do not handle or touch the bedding, towels, or clothing of a person with MPX.
• Wash your hands often with soap and water or use an alcohol-based hand sanitizer.

To learn more about MPX management and prevention programs and resources, visit https://dhss.delaware.gov/DPH/epi/emerginginfectiousdiseases.html or call DPH’s Office of Infectious Disease Epidemiology 24/7 emergency contact number at 888-295-5156.

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.

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.

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 https://www.dhss.delaware.gov/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.

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.

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 (June 29, 2022)– The Delaware Division of Public Health (DPH) is advising Kent County residents who live or spend time near the area of Smyrna Landing Road in Smyrna that a positive case of rabies in a stray cat has been reported. Two individuals were potentially exposed to the stray cat in the residential neighborhood. The cat was tested for rabies, which returned positive results on Tuesday, June 28, 2022. The exposed individuals have been contacted and advised to begin post-exposure prophylaxis treatment (PEP).

Since Jan. 1, 2022, DPH has performed rabies tests on 118 animals, eight of which were confirmed to be rabid, which includes two raccoons, three foxes and three cats including this positive case. DPH only announces those rabies cases for which it is possible the animal had unknown contacts with additional humans or pets.

In 2021, DPH performed rabies tests on 188 animals, nineteen of which were confirmed to be rabid, which includes one dog, one deer, one fox, one cow, two skunks, three cats, four raccoons and six bats.

Anyone who thinks they might have been bitten, scratched or have encountered a cat in this area should immediately contact their health care provider or call the DPH Rabies Program at 302-744-4995. An epidemiologist is available 24/7. Anyone in the area who thinks a cat may have bitten their pet should call their private veterinarian to have their pet examined and treated, and the exposure reported to the Delaware Department of Agriculture.

Rabies is a preventable disease. DPH recommends that individuals take the following steps to prevent rabies 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.
• Pet owners can reduce the possibility of pets being exposed to rabies by keeping them indoors and not letting them roam free. It is especially important for pet owners who do allow their cats to roam outdoors to vaccinate their pets.
• Do not touch or otherwise handle wild or unfamiliar animals, including cats and dogs, even if they appear friendly.
• Do not keep your pet’s food or water outdoors; bowls can attract wild and stray animals.
• Do not feed feral animals, including cats, as the risk of rabies in wildlife is significant.
• Spaying or neutering your pet may reduce the tendency to roam or fight and, thus, reduce the chance they will be exposed to rabies.
• Keep your garbage securely covered.
• 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.

If You Encounter an Animal Behaving Aggressively:

• If you encounter a wild animal behaving aggressively, it is recommended you contact the Delaware Department of Natural Resources and Environmental Control’s (DNREC) Wildlife Section at 302-739-9912 or 302-735-3600. Staff will determine whether it is more appropriate to refer callers to a private nuisance wildlife control operator. A listing of nuisance wildlife control operators can be found at https://wildlifehelp.org/. Calls after hours and on weekends can be made to the 24-hour dispatch number at 800-523-3336.
• Do not throw items at the animal or make loud banging noises, which may startle the animal and cause it to attack. Instead, your initial response– if the animal is behaving in an aggressive manner or appears to be foaming at the mouth– should be to raise your hands above your head to make yourself appear larger to the animal while slowly backing away from it. If the animal starts coming toward you, raise your voice and yell sternly at it, “Get away!” If all that fails, use any means to protect yourself, including throwing an object at the animal or trying to keep it away by using a pole, sturdy stick, or any other long object.

If You Encounter a Sick or Injured Animal:

• To report a sick or hurt wild animal, Delaware residents are asked to contact the DNREC’s Wildlife Section at 302-739-9912 or 302-735-3600. Staff will determine whether it is more appropriate to refer callers to a permitted volunteer wildlife rehabilitator.
• If you encounter a sick stray domestic animal, such as a cat or dog, contact the Office of Animal Welfare at 302-255-4646.

For more information on the DPH rabies program, visit www.dhss.delaware.gov/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 www.cdc.gov/rabies/.

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.

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.