Get the free Confidential Communicable Disease Report—Part 2 - epi publichealth nc
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This document is used by healthcare providers in North Carolina to report clinical findings related to the disease Ehrlichiosis, HGA. It includes sections for patient details, laboratory results,
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How to fill out Confidential Communicable Disease Report—Part 2
01
Obtain the Confidential Communicable Disease Report—Part 2 form from the appropriate health department or website.
02
Fill out the patient's personal information, including full name, date of birth, and contact information.
03
Enter the details of the communicable disease diagnosis, including the date of diagnosis and type of disease.
04
Provide information about the healthcare provider, including name, contact details, and facility.
05
Indicate any relevant symptoms or additional information related to the patient's condition.
06
Sign and date the report to confirm accuracy and completeness.
07
Submit the completed report to the designated health authority via mail, fax, or electronic submission as required.
Who needs Confidential Communicable Disease Report—Part 2?
01
Healthcare providers who diagnose communicable diseases need to complete this report.
02
Public health authorities require this report to monitor and control the spread of communicable diseases.
03
Researchers or epidemiologists may need this data for disease tracking and prevention efforts.
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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 by healthcare providers to report detailed information about cases of communicable diseases to public health authorities in a confidential manner.
Who is required to file Confidential Communicable Disease Report—Part 2?
Healthcare providers, including physicians and laboratories, who diagnose or treat patients with 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, healthcare providers must complete all required fields with accurate and relevant patient information, including disease specifics, patient demographics, and exposure history, following the guidelines provided by local health authorities.
What is the purpose of Confidential Communicable Disease Report—Part 2?
The purpose of the report is to facilitate public health surveillance, prevent disease outbreaks, and monitor the incidence of communicable diseases within the community.
What information must be reported on Confidential Communicable Disease Report—Part 2?
The report must include patient identifying information, details of the illness, the date of diagnosis, any relevant laboratory findings, and information on potential exposure sources.
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