Get the free Confidential Communicable Disease Report—Part 2 - epi publichealth nc
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This document is a report form for healthcare providers to document clinical findings related to Campylobacteriosis, a communicable disease. It includes patient information, lab results, hospitalization
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How to fill out Confidential Communicable Disease Report—Part 2
01
Obtain a Confidential Communicable Disease Report—Part 2 form from your local health department or online.
02
Fill in the patient's name and identification details in the designated fields.
03
Provide the patient's date of birth and contact information.
04
Indicate the specific communicable disease being reported.
05
Fill in the date of diagnosis and any relevant clinical information.
06
List the names and contact information of known contacts if applicable.
07
Sign and date the report to certify the information provided.
08
Submit the completed form to the appropriate health department or agency as indicated.
Who needs Confidential Communicable Disease Report—Part 2?
01
Healthcare providers who diagnose a communicable disease.
02
Laboratories that conduct tests for communicable diseases.
03
Public health officials who need to track and manage disease outbreaks.
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People Also Ask about
What are communicable diseases 2?
In New York City, call 1 (866) NYC-DOH1 (1-866-692-3641) for additional information. Health care personnel in New York City should use the downloadable Universal Reporting Form (PD-16) ; those belonging to NYC MED can complete and submit the form online .
What are two communicable diseases?
A communicable disease is one that spreads from one person or animal to another or from a surface to a person. They are the result of pathogens, such as viruses and bacteria. Communicable diseases include colds and flu.
What are communicable diseases class 2?
Information for Specific Communicable Diseases Chickenpox / Shingles. COVID-19. Ebola. Ending the HIV Epidemic (EHE) Hepatitis B. Hepatitis C. HIV / AIDS. HIV / STDs / Hepatitis.
How do I report a communicable disease in NYC?
How to report a suspected notifiable disease. If the case is an urgent notifiable disease, you must report it by telephone to your local UKHSA health protection team within 24 hours. This is to discuss actions to protect public health. Report all cases on the Report a notifiable disease online service within 3 days.
What are reportable communicable diseases?
Some examples of reportable communicable diseases include HIV, hepatitis A, B, and C, measles, salmonella, measles, and blood-borne illnesses. The most common forms of spread include fecal-oral, food, sexual intercourse, insect bites, contact with contaminated fomites, droplets, or skin contact.
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What is Confidential Communicable Disease Report—Part 2?
Confidential Communicable Disease Report—Part 2 is a form used to collect detailed information about communicable diseases that are considered confidential for public health tracking and response.
Who is required to file Confidential Communicable Disease Report—Part 2?
Healthcare providers, laboratories, and other entities that diagnose or treat communicable diseases are required to file Confidential Communicable Disease Report—Part 2.
How to fill out Confidential Communicable Disease Report—Part 2?
To fill out the report, complete each section accurately, providing patient demographics, disease specifics, and any other requested information. Ensure that all details are filled in completely to maintain the report's validity.
What is the purpose of Confidential Communicable Disease Report—Part 2?
The purpose of the report is to help health authorities track and manage the incidence of communicable diseases, facilitating public health intervention and prevention strategies.
What information must be reported on Confidential Communicable Disease Report—Part 2?
Required information includes patient identification details, the type of communicable disease, date of diagnosis, clinical information, and any contributing social factors relevant to the case.
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