Current Suspected Overdose Deaths in Delaware for 2019: Get Help Now!
The Delaware Division of Public Health (DPH) is issuing this health advisory to update health care providers on the measles outbreak occurring in the United States. Although Delaware has not yet seen any confirmed cases of measles in 2019, all three bordering states — Pennsylvania, New Jersey, and Maryland — have had confirmed cases of measles this calendar year.
From January 1 to May 3, 2019, 764 individual cases of measles have been confirmed in 23 states. This is an increase of 60 cases from the previous week. This is the greatest number of cases reported in the U.S. since 1994 and since measles was declared eliminated in 2000. The states that have reported cases to CDC are Arizona, California, Colorado, Connecticut, Florida, Georgia, Illinois, Indiana, Iowa, Kentucky, Maryland, Massachusetts, Michigan, Missouri, Nevada, New Hampshire, New Jersey, New York, Oregon, Pennsylvania, Texas, Tennessee, and Washington. Measles outbreaks are ongoing in New York, New Jersey, Michigan, California, and many other countries in Europe, Asia, Africa, South America, and Oceania.
Measles is a viral disease that spreads from person to person through airborne droplets when someone with the virus coughs or sneezes. It can also be spread by direct contact with nose or throat mucus secretions of someone with measles. Measles can be dangerous, especially for babies and young children. One in every four people with measles will need to go to the hospital. One in every three will have problems, such as diarrhea, ear infection, lung infection and in rare cases, swelling of the brain. For every 1,000 children with measles, one to two will die.
Symptoms of measles generally appear 7 to 14 days (ranges from7 to 21 days) after a person is infected. Measles is characterized by a prodromal phase with a temperature of 101 degrees F (38.3 degrees C) or higher, malaise, and the three “C”s: cough, coryza and conjunctivitis. Two to three days after symptoms begin, Koplik spots appear inside the mouth. Around three to five days after symptoms begin, a flat red rash appears on the head and face and descends to the neck, trunk, and extremities. Small, red bumps may appear on top of the flat spots. Immunocompromised individuals may not exhibit rash or may exhibit an atypical rash.
Most people are not at risk because they have been vaccinated or have developed immunity due to a previous measles infection. Individuals that are susceptible to becoming infected with measles include:
Vaccination is recommended for any patient who has not been previously vaccinated.
If a person cannot remember if they were vaccinated for measles there is no harm in giving the vaccine to a person who may already be immune to measles and should be immunized. There is also no indication to provide a third dose of the vaccine routinely.
Post Exposure Prophylaxis for Those with Known Exposure to a Measles Case:
Providers should obtain the following specimens from patients who are suspected of having measles and provide the onset date of patient’s symptoms. The Delaware Public Health Laboratory conducts Measles PCR testing. Providers must first contact the Office of infectious Disease Epidemiology to obtain approval.
Measles is a reportable disease in Delaware. All Delaware physicians, laboratories, and other health care providers are required by regulations to report patients with the indicated conditions to the Office of Infectious Disease Epidemiology. Both lab-confirmed and clinical diagnoses are reportable within the time interval specified below. Reporting enables appropriate public health follow-up for your patients, helps identify outbreaks, and provides a better understanding of disease trends in Delaware. Follow this link to find out more information about Meaningful Use in Delaware: https://dhss.delaware.gov/dhss/dph/meaningfuluse.html.
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