2024 Celebrates Women Who Advocate for Equity, Diversity and Inclusion

Women's History Month is an annual observance to highlight the contributions of women to events in history and contemporary society. Celebrate the remarkable achievements and contributions of women! Honor the strength, resilience, and courage of those who have shaped our nation and advanced women's rights around the world. The National Women’s History Month’s theme for 2024 celebrates “Women Who Advocate for Equity, Diversity and Inclusion.” The theme recognizes women throughout the country who understand that, for a positive future, we need to eliminate bias and discrimination entirely from our lives and institutions.

Celebrate the women who make a difference in your community by submitting a nomination for the Office of Women's Advancement and Advocacy's Delaware Women's Hall of Fame and She's on Her Way Awards. Nominations for the She's on Her Way Award will remain open through March 24th. Nominations for the Delaware Women's Hall of Fame will remain open through March 28th.

March 10 - April 9, 2024

Ramadan is considered one of the holiest months of the year for Muslims. In Ramadan, Muslims commemorate the revelation of the Qur’an, and fast from food and drink during the sunlit hours as a means of drawing closer to God and cultivating self-control, gratitude, and compassion for those less fortunate. It is a month of intense spiritual rejuvenation with a heightened focus on devotion, during which Muslims spend extra time reading the Qur’an and performing special prayers. Those unable to fast, such as pregnant or nursing women, the sick, or elderly people & children, are exempt from fasting. Since Ramadan is a time for Muslims to be especially charitable and fasting helps Muslims feel compassion for the hungry and less fortunate, many mosques hold food drives or fundraisers for charity during Ramadan and also host open houses for their friends and neighbors of other faiths to join them for their fast-breaking dinner or iftar at the end of the fasting day. The Night of Power known as Lailat al-Qadr, is believed to fall on one of the odd nights during the last ten days of Ramadan, but is most widely observed on the 27th night of Ramadan. It is considered the most blessed night in Ramadan because it is believed to be the night in which the Qu’ran was first revealed. At the end of Ramadan, Muslims celebrate one of their major holidays called Eid ul-Fitr or the “Festival of the Breaking of the Fast,” to be celebrated on April 10th this year. The greeting Eid Mubarak means “blessed holiday!” Source: Islamic Network Group.

Sunday, March 10th

Daylight saving time will begin for 2024 on Sunday, March 10th at 2 a.m. local time, when our clocks will go ahead one hour, part of the twice-annual time change that affects millions, but not all, Americans. Daylight saving time will end for the year at 2 a.m. local time on Sunday, November 3. As Delawareans change their clocks this Sunday, the Delaware State Fire Marshal is reminding all residents to also check the batteries in their smoke detectors and test them to ensure they are working. Smoke detectors are required to be installed in every home because properly installed and maintained smoke detectors save lives!!

Partially Offsets Cut to Medicare Payments Despite Calls to Fully Reverse the Cut

As reported in Fierce Healthcare, a bipartisan spending bill unveiled Sunday narrows some of this year’s cuts to physician Medicare pay, pushes back scheduled disproportionate share hospital (DSH) payment cuts and increases annual funding for community health centers, among other provisions that would prevent a partial government shutdown on March 8, if signed. The 1,050-page deal between lawmakers outlines the funding for several federal agencies, including the Food and Drug Administration and the Department of Veterans Affairs, and is backed by leaders in both chambers. A second set of bills would be needed before a March 22 cutoff to fund other portions of the government, including the Department of Health and Human Services.

For this federal budget deal that will continue operating the government, the House of Representatives voted to reduce by 1.68% the 3.37% across-the-board physician pay cut that took effect in January. The Senate is expected to vote for the deal today (Thursday), with the new pay rate starting March 9. The new payment rate is not retroactive. Physicians and patients can visit the AMA’s Fix Medicare Now website to write their congressional representatives to support physician payment reform.

Keeping You Informed

On Monday, March 4th, MSD sent a Special Edition of the MSD eNews & Views with information surrounding the cyber-attack affecting Change Healthcare operations. MSD will continue to keep you updated through our digital communications and also our website.

Indulge in Fine Food Prepared by Renowned Local Chef

Registration is now open for the MSD 2024 Interim Council Meeting to be held on Thursday, April 18th at the Smyrna Opera House, located at 7 W. South St., Smyrna, DE. The evening will begin at 6:00 p.m. with sign-in and a half-hour cocktail social, followed by the Interim Council business meeting beginning promptly at 6:30 p.m. As a member of MSD, this event affords you the opportunity to connect with your peers and meet new colleagues, all the while enjoying fine food and beverage at a historic Delaware location!

We have secured a wonderful catering group, led by Robbie Jester, to complement the evening’s experience. Robbie took home top honors as the winner of Netflix’s “Pressure Cooker,” squared off with and beat celebrity chef Bobby Flay, and was featured on the Food Network show “Guy’s Grocery Games.” He has also catered events for then Vice President Biden and the King and Queen of Sweden. Come enjoy great food and network with your peers! Plan to attend this year!

Reports being submitted must be received no later than Monday, March 25th.

Consider submitting a resolution. Resolutions are a vehicle to submit to Council your issues for change. Learn more about writing a resolution from the MSD Resolution Writing Guide or the brief training video developed. Resolution submission deadline is Friday, April 5th. Resolutions must be in final format by this date, with no further modifications accepted (i.e., reviewed, proper format, correct citations, etc.). Please email resolutions to Mary.LaJudice@medsocdel.org.

To register go to: https://reg.planetreg.com/INTERIM2024. Absolute registration deadline is Thursday, April 11 by end of business day.

Your Membership Benefits are Important to You and Your Staff

Your Society has been working hard on your behalf and 2023 was a big year for accomplishments and 2024 is just as exciting! Renew your membership to take advantage of benefits, events, networking, and educational opportunities afforded to you! Thank you for your continued support as MSD continues leading the way to a healthy Delaware!

Confidential Questionnaire Developed to Capture Information

The needle is slowly moving forward! Thank you to all who have provided information. The MSD Committee on Diversity, Equity, and Inclusion is working to support a diverse physician workforce and inclusive organizational culture. As a starting point toward understanding and improving our membership diversity, your help is greatly appreciated in submitting this information. A brief, four-answer questionnaire has been developed for your convenience and will take less than a minute to complete. Your information will remain confidential, however, it will be used in aggregate to assess the diversity of our membership, how that correlates with the diversity of our leadership, and to understanding he diversity of the physician workforce in Delaware. Access the questionnaire.

For the First Time a Female Speaker of the House, Valerie Longhurst, Presided over the State of the State Address

On Tuesday this week, Governor John Carney delivered his 2024 State of the State address to a joint session of the General Assembly, announcing plans to strengthen Delaware's economy, invest in education, protect the environment, and responsibly manage tax payer dollars. This was Governor Carney's last State of the State address as Governor, as the state constitution prohibits the Governor from running for a third, four-year term. The Governor has already presented his 2025 proposed budget back in January that included plans to address Delaware's increasing health care costs. Read the press release. Photo credit to Governor Carney's Flickr page.

Contact MSD If You Are Interested In Serving

On April 1, 2005, the Delaware Department of Health and Social Services (DHSS) began implementing a preferred drug list (PDL). The PDL is composed of drugs that are medically appropriate and less expensive than other drugs in the same class. The drugs are chosen for inclusion on the list by a Pharmaceutical and Therapeutics Committee (P&T Committee). The P&T membership includes clinicians from various specialty areas and includes public advocates. The P&T Committee meets to make recommendations to the Division regarding drugs to be considered for inclusion on (or deletion from) the PDL.

MSD has been asked to nominate a physician for consideration in serving on the Delaware P&T Committee. Currently, the state is looking for nominations of an oncologist, gastroenterologist, or pulmonologist to serve. However, if you are interested but do not practice in these subspecialty areas, they welcome all! The P&T Committee meets four times a year on Thursdays from 11:30 a.m. to 2 p.m. There are three scheduled virtual meetings and one meeting in person that the committee member can either attend or otherwise participate virtually. Physician appointments are made by the Secretary of the Delaware Department of Health and Social Services. Terms are for three years. If you are interested, please email Mary.LaJudice@medsocdel.org and provide an updated CV. It is appreciated to receive a response by Friday, March 15th.

Those with Respiratory Illnesses May Resume Daily Activities if Symptoms Improving and Fever-Free for at Least 24 Hours Without Medications

Centers for Disease Control and Prevention (CDC) released on Friday last week updated recommendations for how people can protect themselves and their communities from respiratory viruses, including COVID-19. The new guidance brings a unified approach to addressing risks from a range of common respiratory viral illnesses, such as COVID-19, flu, and RSV, which can cause significant health impacts and strain on hospitals and health care workers. CDC is making updates to the recommendations now because the U.S. is seeing far fewer hospitalizations and deaths associated with COVID-19 and because we have more tools than ever to combat flu, COVID, and RSV.

According to the new respiratory guidance, those who are recovering from COVID-19 no longer need to remain isolated for five days after symptoms end. The new guidance indicates those sick with COVID-19 should stay at home and away from others until at least 24 hours after symptoms get better and they no longer have a fever, without having used fever-reducing medications. However, CDC said during those five days after a person is feeling better and without a fever, they should still wear a well-fitting mask, keep distance from others, get tested and use enhanced hygiene practices. It was also noted that the guidelines were intended for community settings, not health care settings, like hospitals or nursing homes, where the same five-day isolation guidance remains. CDC emphasized that people need to stay up to date on their vaccines. CDC anticipates that an updated COVID-19 vaccine would be available in the fall. Last week, CDC announced recommendations that people 65 and older get another shot of the current COVID-19 vaccine before the fall.

Single Dose of Abrysvo Maintained Ability to Protect in 2nd Year of Respiratory Disease Season in Adults 60 Years and Older

Pfizer Inc. announced top-line ABRYSVO® vaccine efficacy and safety data for respiratory syncytial virus (RSV) in adults 60 years of age and older following a second season in the Northern and Southern Hemispheres from the ongoing pivotal Phase 3 clinical trial RENOIR (RSV vaccine Efficacy study iN Older adults Immunized against RSV disease). Vaccine efficacy against RSV-associated lower respiratory tract disease (LRTD), defined by three or more symptoms, after disease surveillance in season two was 77.8%; vaccine efficacy following season one was 88.9%, which demonstrates durable efficacy after two seasons.

Delaware Introduces Legislation in Response

Perrigo Company announced that Opill® has shipped to major retailers and pharmacies and will be available on shelves nationwide and online later this month. Approved by the U.S. Food and Drug Administration (FDA) for over-the-counter (OTC) use for all ages in July 2023, Opill® is the first-ever daily birth control pill available without a prescription in the U.S. Opill® is now available for pre-order from select online retailers. When taken as directed, Opill® is 98% effective, making it the most effective birth control method available OTC. Opill® can benefit a broad reproductive age population who want a safe and effective option to avoid pregnancy that is easy and convenient to access. Those who face barriers to initiating use of effective methods and continuing consistent use once started can benefit the most from Opill®. Although FDA approved, the approval came with some concerns by the FDA about whether women with certain medical conditions would understand that they shouldn't take the drug.

In light of this, legislation has been introduced in Delaware to protect those obtaining over-the-counter birth control to be covered by insurance. Most prescribed contraceptives are covered by most insurers, with current federal policy requiring most health insurers to cover FDA-approved birth control methods without co-pays. SB 232 would retain access to contraceptives, with over-the-counter and prescribed methods to be covered equally by insurance. At least eight other states have enacted similar legislation.

Check Out the Opportunity Through the MSD Academic Channel on Cureus

What is an Academic Channel on Cureus? The Medical Society of Delaware Academic Channel is a microsite of the Cureus Journal of Medical Science devoted solely to MSD and the articles, meeting abstracts and posters, and other content produced by our physicians, residents and/or students. Take advantage of the benefits provided by the MSD Academic Channel and submit your next article to Cureus through the MSD Academic Channel! View the Academic Channels on Cureus.

Explore the Benefits 

• Zero Author Publication Fees
• Gold Open Access
• Easy, Online Submission
• Expert Review
• Priority Support
• Unmatched Transparency

MSD is pleased to highlight one of our 2024 Premier Educational Program Partners. Delaware Hospice has been a part of the effort to keep our professional medical and public education programs growing through its partnership with MSD as a Premier Educational Program (PEP) Partner.

Since 1982, Delaware Hospice has committed to its mission of providing the highest quality health care and resources to the communities it serves. At the heart of our care is a passionate concern for individuals and their families coping with the most critical time of their lives. Delaware Hospice empowers individuals and their caregivers with education to provide comfort and personal care. They will work to develop a care plan that includes everything from symptom management, which ensures patient's comfort, to emotional and spiritual support. Their goal is to provide a holistic approach that considers the combined medical, personal, emotional and spiritual needs of the individual, who, along with loved ones, are living with a life-limiting illness. For more information https://www.delawarehospice.org/.

If you would like to become a PEP Partner, please contact Lynn Robinson, MSD's Director of Professional Education. 

Some Key Trends to Know

Ahead of Match Day 2024 on March 15, the American Medical Association has offered a few trends from recent years that applicants might want to be aware of. The number of applicants, positions and positions filled has been on a steady incline for a number of years, as reported by the National Resident Matching Program (NRMP), which runs the Match. With 40,375 positions available, the 2023 Match was the biggest on record. It also marked the 20th consecutive year in which the number of positions available through the Match increased. The first Match in 1953 had a total of 6,000 applicants. The figure has risen over the years, with the exception of a slight dip around the turn of the century. Since 2004, the number of applicants has continued to grow. In 2023, the number of applicants—42,952—was also an all-time high. In recent years, the PGY-1 match rate for U.S. MD seniors has been 92–95%. The 2023 Match rate fell within that range, with U.S. MD seniors matching at a 93% clip. Since the first combined Match in 2020 that created a system in which the vast majority of MD and DO applicants matched with residency programs through the same process—the number of DO applicants has grown each year. An all-time high of 7,436 U.S. DO seniors submitted rank-order lists of programs, and the 91.6% match rate was also a record high for that group.

Requires Proactive Approach to Securing Employment

For physicians approaching the conclusion of residency or fellowship the transition ahead differs from those that preceded it in that it tends to require a more proactive approach to securing employment than the other phases of training. Knowing where you want to be and the personnel who can help you land a position is a good starting point. Whether you hope to stay local or make a move, going to events put on by specialty societies and state medical associations offer the chance to meet potential leads. Read more.

Write Down Inspiring Patient Stories

Physicians can feel buried with a number of common demands: a full inbox, chart maintenance, and following numerous guidelines and regulations. Taking time to write patient stories as narratives can be a powerful technique to connect with emotions stirred up by patient interaction—and can help reflect on the meaning you find in what you do. Reconnecting with your values and meaning can help protect against burnout.

Toolkit:

• Physician Well-Being

Webinar:

• Physician Burnout: It’s Not a Resiliency Deficit

Podcast:

• Elevating Joy and Meaning in Medicine

AMA STEPS Forward^® offers a collection of engaging and interactive educational content designed to help put the joy back into medicine.

What You Need to Know

Navigating the complexities of MIPS, especially the Promoting Interoperability (PI) measures, can be overwhelming amidst your busy schedules. This week, we're spotlighting the crucial aspects of PI for 2024 to ensure your practice not only complies but thrives under MIPS.

Promoting Interoperability at a Glance:

• Focus: Enhancing health information exchange between health care professionals and patients, improving patient engagement, and secure data sharing.
• Key Requirement: A continuous 180-day reporting period utilizing certified EHR technology is mandatory.
• Who's Exempt: Clinical social workers, and those with special statuses like ASC-based, hospital-based, non-patient facing, and small practices.

Why It Matters: Adhering to PI measures is pivotal for avoiding penalties and securing a positive payment adjustment. This involves:

• Electronic prescribing, including for controlled substances.
• Efficient health information exchange.
• Prompt patient access to their health information.
• Active engagement with public health registries.

Did You Know?

• Non-EHR Requirements: Beyond EHR measures, ensuring your systems are certified and submitting attestations like the Information Blocking Attestation and ONC Direct Review Attestation are essential.
• Bonus Points: Earn extra for participating in optional Public Health and Clinical Data Exchange measures.

Asanthi Ratnasekera, MD - Surgery, Trauma/Critical Care, ChristianaCare

Please join MSD in welcoming the newest members of the Medical Society of Delaware. As the third oldest medical society in the country, MSD has an amazing history. Thank you for taking part in our continued success!

Information on Recent Product Recalls

Hintermann Series H3 Total Ankle Replacement

The FDA alerted patients, caregivers, and health care professionals about a higher-than-expected risk of device failure with the Hintermann Series H3 Total Ankle Replacement system manufactured by DT MedTech LLC. The FDA is evaluating interim post-approval study (PAS) results for the Hintermann Series H3 TAR system. For patients with the Hintermann Series H3 TAR system, the results suggest a higher rate of failure, specifically, additional surgery (removals or revisions of metal components, at least 16.1%) associated with the implanted device compared with the rate in the premarket clinical studies (9.9%). When all types of revisions are included in the interim PAS results (such as revisions of the plastic component as well as the metal component), the rate of additional surgery is at least 28.5%.

EVair Air Compressor Recall

Datex-Ohmeda Inc. is recalling the EVair and Jun-air compressors due to elevated levels of formaldehyde emissions found at high temperature and low gas flow conditions when these compressors are used with the CARESCAPE R860 or Engstrom Carestation or Pro ventilators. The FDA has identified this as a Class I recall, the most serious type of recall. Use of these devices for newborn or infant patients may cause serious injuries or death. Please be aware, this recall is a correction, not a product removal.

Medfusion Model 3500 Syringe Pump

Smiths Medical ASD Inc. is recalling Medfusion model 3500 syringe pump due to issues associated with earlier software versions (before v.6) of the medical pump. Issues associated with earlier software versions of the medical pump include high-priority alarms during motor issues, wrong infusion restarts, screen locks, bolus interruptions, incorrect dose displays, low doses, motor errors, wrong settings recall, corrupt configurations, auto locks, and toolbox issues with loading dose time values. The FDA has identified this as a Class I recall, the most serious type of recall. Use of these devices may cause serious injuries or death. Please be aware, this recall is a correction, not a product removal.

Baxter Healthcare ExactaMix Pro 1200 and 2400

Baxter Healthcare is recalling the ExactaMix Pro 1200 and the Pro 2400 because of a software error that can cause more ingredients than needed to be added to the final solution. An issue was identified in software versions 2.0.8 and 2.1.8 while using the “Use Some Overfill” feature, potentially resulting in extra ingredients being delivered. Baxter is working on a software update to fix this issue, and it's expected to be available in March 2024. The FDA has identified this as a Class I recall, the most serious type of recall. Use of these devices may cause serious injuries or death. Please be aware, this recall is a correction, not a product removal.

VOCSN Patient Breathing Package

Ventec Life Systems is recalling its VOCSN Patient Breathing Package (Pediatric, Active, Oxygen, Blue) due to a manufacturing issue which causes the bonded spiral wrap to detach before or during ventilation. If the spiral wrap detaches, it can compromise the structural integrity, functionality, or cause blockage, stoppage, or leaks in the breathing package. The FDA has identified this as a Class I recall, the most serious type of recall. Use of these devices may cause serious injuries or death. Please be aware, this recall is a correction, not a product removal.

Medtronic Duet External Drainage and Monitoring System

Medtronic Neurosurgery is recalling the Duet External Drainage and Monitoring System (EDMS) catheter tubing due to a potential for the catheter disconnection from the patient line stopcock connectors. The FDA has identified this as a Class I recall, the most serious type of recall. Use of these devices may cause serious injuries or death.

Bayhealth

Beebe Healthcare

ChristianaCare

March 9 - 28th Annual Diabetes Update, 8:00 a.m.-2:00 p.m., John H. Ammon Education Center, ChristianaCare Newark Campus. Registration deadline March 1st. This activity has been approved for a maximum of 4.75 AMA PRA Category 1 credit/4.75 ABIM MOC.

March 15 - 6th Biennial Perinatal Palliative Care Symposium: Aspects of Trauma in Perinatal Palliative Care, 8:00 a.m.- 4:00 p.m., John H. Ammon Education Center, ChristianaCare Newark Campus. This activity has been approved for a maximum of 5.5 AMA PRA Category 1 credit.

March 26 - Strategies for Improving Maternal and Infant Health Due to Opioid Use, 12-1 p.m., virtual webinar. This activity has been approved for a maximum of 1 AMA PRA Category 1 credit.

April 9 - Delaware Cancer Consortium Retreat, 8:30 a.m.-3:30 p.m., Bally's Dover Casino Resort.

April 12 - Climate and Health Conference, 8:00 a.m.-4:00 p.m., John H. Ammon Education Center, ChristianaCare Newark Campus. This activity has been approved for a maximum of 6.75 AMA PRA Category 1 credit. No fee to attend, but registration is required, no late in-person registrations will be accepted. Registration deadline is April 10th.

April 13 - Delaware Academy of Family Physicians Annual Meeting, Bayhealth SIM Center, Dover.

April 17 - 18th Annual Delaware Healthy Mother & Infant Consortium Summit, 8:30 a.m.-4:00 p.m., Chase Center on the Riverfront.

April 18 - DEAAP Spring Conference, "Paving the Way to Pediatric Wellness: Chronic Disease Management and Mental Health in Primary Care," 2:00-5:30 p.m., Hyatt Place Wilmington Riverfront (760 S. Justison St.). This activity has been approved for a maximum of 3 AMA PRA Category 1 credit.

May 1 - SAVE THE DATE! Delaware Academy of Medicine/DPHA 2024 Annual Meeting, 6:00 p.m., Hyatt on the Riverfront, Wilmington.

October 29 - SAVE THE DATE! 28th Annual Delaware Healthcare Forum, 8:30 a.m.-4:30 p.m., Bally's Dover Casino Resort, Rollins Center, Dover.

November 23 - SAVE THE DATE! MSD Annual Meeting and Presidential Reception, Bally's Dover Casino Resort

The Latin phrase Rerum Cognoscere translates to learn, examine, or become aware of facts or things. In this section, we highlight measurable items of interest in health care from MSD, Delaware, the US, and the world.

The Delaware Division of Public Health (DPH) encourages you to sign up for Delaware Health Alert Notifications through the Delaware Health Alert Network (DHAN). The DHAN is an electronic notification system to health care professionals through emailing and faxing. The system is activated when a CDC HAN email message is received. The message is sent out to the distribution lists selected by DPH subject-matter experts. Learn more about Delaware's Health Alert Notification system. If you are not currently receiving health alert messages directly and would like to sign up to receive, please self-register in the Health Alert Delaware system.

• 2024 Adult Immunization Schedule (for ages 19 years or older) - www.cdc.gov/vaccines/schedules/hcp/imz/adult.html (includes new recommendations for RSV vaccine, Mpox vaccine, and pentavalent meningococcal vaccine)

• 2024 Child and Adolescent Immunization Schedule (for ages 18 years or younger) -https://www.cdc.gov/vaccines/schedules/hcp/imz/child-adolescent.html (includes new recommendations for RSV vaccine, RSV monoclonal antibody, Mpox vaccine, 20-valent pneumococcal conjugate vaccine, and pentavalent meningococcal vaccine)

• Information for from the My Healthy Community Website (updated on Thursdays) - https://myhealthycommunity.dhss.delaware.gov/portals/flu/locations/state/seasons/2023-2024/overview
• Find a Flu Shot

• Information for Delaware Medical Professionals - https://publichealthalerts.delaware.gov/mpox/

• PAXCESS Patient Support Program - for patients prescribed Paxlovid. Provides insurance verification, live PAXCESS support representatives to help with eligibility and financial assistance. Patients can enroll online at the PAXCESS website, or by phone by calling 1-877-C19-PACK (1-877-219-7225).
• Updates to Clinical Testing Guidance Algorithms - CDC has updated several testing guidance pages for patients with acute respiratory illness (1) not being hospitalized, (2) being hospitalized, and (3) hospitalized and non-hospitalized patients when SARS-CoV-2 and influenza viruses are co-circulating. Clinicians can use these updated resources to inform clinical decision making. (12/8/2023)
• Ellume tests available for those who are blind or have low vision (free at-home COVID-19 tests) https://acl.gov/accessibletests
• Find COVID-19 Vaccines: https://www.vaccines.gov/
• No Cost COVID-19 Testing Locator can help uninsured people (or those adults without full vaccine insurance coverage) who are symptomatic or exposed find current community and pharmacy partners participating in the Increasing Community Access to Testing (ICATT) program.
• FDA At-Home OTC COVID-19 Diagnostic Tests provides a list of all FDA-authorized at-home over-the-counter (OTC) COVID-19 diagnostic tests
• Federal website for information on navigating COVID: COVID.gov
• COVID-19 Therapeutics Locator
• CDC COVID Data Tracker
• CDC will report regional-level test positivity data from the National Respiratory and Enteric Virus Surveillance System (NREVSS)
• (Delaware) General Questions: call 211 or email DPHCall@delaware.gov or Vaccine@delaware.gov for vaccine-specific questions.
• Latest information on Delaware's response (testing, treatment, vaccination): de.gov/coronavirus (Updated 2/2023)