Get the free Varicella Outbreak Reporting Worksheet - cdc

A reporting template used to report varicella (chickenpox) outbreaks to the CDC, including outbreak details and vaccination status.

How to fill out varicella outbreak reporting worksheet

How to fill out Varicella Outbreak Reporting Worksheet

1. Gather necessary information about the outbreak cases.
2. Fill in the date of the report at the top of the worksheet.
3. List the name and contact information of the reporting person.
4. Include the number of confirmed varicella cases.
5. Provide demographic details of the affected individuals, such as age and vaccination status.
6. Document the onset dates of varicella symptoms for each case.
7. Specify any hospitalizations or complications associated with the cases.
8. Include information on the location of the outbreak (e.g., school, daycare).
9. Note any control measures implemented in response to the outbreak.
10. Review and finalize the worksheet for submission to the relevant health authority.

Who needs Varicella Outbreak Reporting Worksheet?

1. Public health officials managing varicella outbreaks.
2. Healthcare providers diagnosing varicella cases.
3. Schools or childcare facilities experiencing outbreaks.
4. Epidemiologists investigating varicella disease trends.

People Also Ask about

Does varicella need to be reported?

“All histories of varicella illness must be supported by a written statement from a physician or the child's/student's parent or guardian containing wording such as: “This is to verify that (name of student) had varicella disease (chickenpox) on or about (month/day/year) and does not need varicella vaccine” or by

How to document chickenpox?

In 1998, CSTE recommended that varicella-related deaths be placed under national surveillance. As of January 1, 1999, varicella-related deaths became nationally notifiable to CDC.

Does chicken pox have to be reported?

CDC recommends 2 doses of varicella (chickenpox) vaccine for children, adolescents, and adults to protect against varicella. Children are routinely recommended to receive the first dose at age 12 through 15 months and the second dose at age 4 through 6 years old.

Is varicella a reportable disease?

Varicella cases should be reported within one business day so that public health interventions may be implemented in a timely manner. To report a case visit Reporting Varicella (Chickenpox).

Do you report varicella to CDC?

CDC recommends 2 doses of varicella (chickenpox) vaccine for children, adolescents, and adults to protect against varicella. Children are routinely recommended to receive the first dose at age 12 through 15 months and the second dose at age 4 through 6 years old.

Should varicella be reported?

Schools and child cares are to report all suspected and confirmed cases of chickenpox at their facility, even if they have not been diagnosed by a healthcare provider.

For pdfFiller’s FAQs

What is Varicella Outbreak Reporting Worksheet?

The Varicella Outbreak Reporting Worksheet is a tool used by health authorities to collect and document information regarding outbreaks of varicella (chickenpox) in a specific population.

Who is required to file Varicella Outbreak Reporting Worksheet?

Healthcare providers, public health officials, and school administrators who encounter varicella outbreaks are required to file the Varicella Outbreak Reporting Worksheet.

How to fill out Varicella Outbreak Reporting Worksheet?

To fill out the Varicella Outbreak Reporting Worksheet, one must provide details such as the number of cases, demographics of affected individuals, dates of onset, and vaccination status. Specific instructions and sections to complete are typically provided with the worksheet.

What is the purpose of Varicella Outbreak Reporting Worksheet?

The purpose of the Varicella Outbreak Reporting Worksheet is to facilitate the tracking and monitoring of varicella outbreaks, enabling health authorities to implement appropriate public health responses and prevent further spread.

What information must be reported on Varicella Outbreak Reporting Worksheet?

Information that must be reported on the Varicella Outbreak Reporting Worksheet includes the number of confirmed cases, demographic data of the affected individuals, history of vaccination, dates of rash onset, and any relevant clinical details.