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A clinical case form designed for documenting hospital cases of novel or pandemic influenza A, including patient demographics, medical history, clinical symptoms, laboratory results, and treatment
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How to fill out Novel/Pandemic Influenza A Clinical Description Case Form

01
Begin by entering the patient's basic information, such as name, age, gender, and contact details.
02
Fill out the patient's clinical history, including any previous illnesses and vaccinations.
03
Document the onset date of symptoms and any relevant travel history.
04
Record the patient's symptoms, noting the severity and duration of each.
05
Include any laboratory results that confirm the diagnosis of Novel/Pandemic Influenza A.
06
Indicate if the patient has been hospitalized and the details of the hospital stay.
07
Provide details on any treatment administered and the patient's response to it.
08
Review the completed form for accuracy before submitting it to the relevant health authorities.

Who needs Novel/Pandemic Influenza A Clinical Description Case Form?

01
Healthcare professionals who are treating patients suspected of having Novel/Pandemic Influenza A.
02
Public health officials monitoring the spread of the virus.
03
Researchers collecting data for epidemiological studies.
04
Institutions conducting surveillance on influenza outbreaks.
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People Also Ask about

A new (novel) influenza A virus is an influenza virus that causes human infection but is different from seasonal human influenza A viruses that circulate among people each year. This means that few people will have immunity to novel influenza A viruses, and a vaccine might not be widely available.
ICD-10 code J09. X2 for Influenza due to identified novel influenza A virus with other respiratory manifestations is a medical classification as listed by WHO under the range - Diseases of the respiratory system .
ILI case definition. An acute respiratory infection with: measured fever of ≥ 38 C° and cough; with onset within the last 10 days.
A novel virus is a virus that hasn't been found in humans in the past.
Influenza A viruses are the only influenza viruses known to cause flu pandemics (i.e., global epidemics of flu disease). A pandemic can occur when a new and different influenza A virus emerges that infects people, has the ability to spread efficiently among people, and against which people have little or no immunity.
Compared with standard flu vaccines, high-dose flu vaccines have more of an ingredient that boosts the immune response. The ingredient is a flu virus antigen called hemagglutinin. High-dose flu vaccines may have 3 to 4 times as much flu virus antigen as the standard flu vaccine.
Current subtypes of influenza A viruses that routinely circulate in people include A(H1N1) and A(H3N2).

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The Novel/Pandemic Influenza A Clinical Description Case Form is a standardized document used to collect clinical data on patients suspected or confirmed to have Novel or Pandemic Influenza A. It aids in the monitoring and management of influenza outbreaks.
Healthcare providers and clinicians who diagnose or suspect cases of Novel/Pandemic Influenza A are required to file the case form to ensure proper reporting and follow-up.
To fill out the form, healthcare professionals need to provide patient demographics, clinical symptoms, travel history, laboratory results, and any relevant epidemiological data as instructed on the form.
The purpose of the form is to gather essential information to track the spread of influenza A, support research efforts, and guide public health responses to outbreaks.
The form must report patient demographics (age, sex), clinical diagnosis, symptom onset, relevant medical history, exposure history, laboratory results, and vaccination status related to influenza.
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