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Get the free Confidential Communicable Disease Report—Part 2 - epi publichealth nc

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This document is a reporting form for healthcare providers to report clinical findings related to Cyclosporiasis cases to local health departments in North Carolina. It includes patient demographic
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How to fill out Confidential Communicable Disease Report—Part 2

01
Begin by entering the patient's personal information, including their name, date of birth, and address.
02
Check the box for the specific communicable disease being reported.
03
Fill in the date of diagnosis and any relevant medical history.
04
Provide details about the patient's symptoms and any relevant laboratory results.
05
List any known contacts of the patient who may also need to be tested or monitored.
06
Sign and date the report to verify the information provided is accurate.

Who needs Confidential Communicable Disease Report—Part 2?

01
Healthcare providers who diagnose or treat communicable diseases.
02
Public health officials who need data for disease tracking and prevention.
03
Laboratories that conduct tests for communicable diseases.
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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 .
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.
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 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.
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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Confidential Communicable Disease Report—Part 2 is a form used to report specific communicable diseases to health authorities while ensuring patient confidentiality.
Healthcare providers, laboratories, and institutions that diagnose or treat reportable communicable diseases are required to file Confidential Communicable Disease Report—Part 2.
To fill out the report, provide detailed patient information, the diagnosis, the specific disease being reported, and any relevant clinical or epidemiological details as required by the reporting guidelines.
The purpose of the report is to track the incidence of communicable diseases, facilitate public health surveillance, and implement control measures to prevent disease outbreaks.
Information to be reported includes patient demographics, clinical information related to the disease, laboratory test results, and any epidemiological data that may aid in public health investigation.
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