Medicaid Managed Care Open Enrollment Extended through Dec. 15
Current Suspected Overdose Deaths in Delaware for 2017: 225
The Division of Public Health (DPH) is receiving an increasing number of calls and anecdotal reports of pertussis. Most of these reports are based on a clinical diagnosis without laboratory confirmation. DPH is not currently seeing an increase in confirmed reports of pertussis.
Without laboratory confirmation DPH is unable to properly investigate cases. This is of special concern when a hospitalized patient, healthcare worker, daycare, or school is involved and infection control measures are not implemented due to lack of laboratory confirmation
Pertussis is rapidly reportable in Delaware under the Regulations for Control of Communicable and other Disease Conditions. DPH receives reports from commercial and hospital laboratories, individual practitioners, hospitals, etc. Reports can be made by phone at 1-888-295-5156 or fax at (302) 223-1540.
Due to the communicability of the organism, DPH, Bureau of Epidemiology investigates every case that is reported. This investigation consists of:
From October 1, 2011 to February 24, 2012, DPH confirmed 9 cases of pertussis ranging in age from 1 month to 13 years---all from New Castle County. During the same time period last year (October 1, 2010 to February 24, 2011), DPH also confirmed 9 cases of pertussis ranging in age from 1 month to 18 years---6 from New Castle County and 3 from Sussex County.
DPH is asking physicians and other health care providers to verify suspect pertussis cases with laboratory testing. This will allow appropriate public health follow-up for patients, help identify outbreaks, and provide a better understanding of the disease trend in Delaware.
Pertussis, or whooping cough, is a highly communicable infectious disease caused by the bacterium, Bordetella pertussis. Pertussis is characterized by coughing paroxysms that are continuous without inspiration until the cough is finished and are often followed by a characteristic whoop and/or post-tussive vomiting. The incubation period is about 7-10 days (range 4-21 days). Illness onset is insidious, with symptoms similar to those of a minor respiratory infection (catarrhal period). During the first 1-2 weeks of illness, coryza with an intermittent non-productive cough is common; this period is followed by episodes of paroxysmal coughing which frequently last for several weeks (paroxysmal period). Pertussis may occur among persons at any age regardless of vaccination status and may be relatively common among adolescents and adults, although infants aged less than one year have the highest rates of reported disease.
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