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

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This document is used for healthcare providers to report clinical findings related to Dengue disease to local health departments in North Carolina as part of public health surveillance.
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How to fill out Confidential Communicable Disease Report—Part 2

01
Obtain a copy of the Confidential Communicable Disease Report—Part 2 form.
02
Fill out the patient's identifying information in the designated fields, including their name, date of birth, and contact information.
03
Provide details of the communicable disease, including diagnosis, date of diagnosis, and any relevant symptoms.
04
Enter information regarding the patient’s medical history that pertains to the communicable disease.
05
Include any relevant laboratory test results that support the diagnosis.
06
Fill out the sections regarding potential contacts or sources of exposure.
07
Ensure that all information is accurate and complete before submitting.
08
Sign and date the report if required.

Who needs Confidential Communicable Disease Report—Part 2?

01
Healthcare providers diagnosing or treating communicable diseases.
02
Public health officials managing outbreaks or public health data.
03
Laboratories reporting test results related to communicable diseases.
04
Epidemiologists conducting research on disease transmission.
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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 document used to report specific communicable diseases to public health authorities, ensuring that cases are tracked and necessary public health actions can be taken.
Healthcare providers, including doctors, nurses, and laboratories that diagnose or treat communicable diseases, are required to file this report.
To fill out the report, one should provide patient identification details, clinical information related to the disease, and any relevant epidemiological data as mandated by local health authorities.
The purpose of this report is to monitor the incidence of communicable diseases, facilitate outbreak control, and ensure that appropriate public health interventions are implemented.
The report must include patient demographics, the name of the disease, date of diagnosis, treatment status, and any other relevant clinical information as required by the jurisdiction.
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