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

This document is a report form used by healthcare providers in North Carolina to report cases of foodborne poisoning, specifically ciguatera. It includes detailed patient information, clinical findings,

How to fill out confidential communicable disease reportpart

How to fill out Confidential Communicable Disease Report—Part 2

1. Begin by obtaining the Confidential Communicable Disease Report—Part 2 form from the appropriate health department website or office.
2. Fill in the patient's personal information, including their name, date of birth, and contact details in the designated sections.
3. Provide information about the communicable disease being reported, including the diagnosis date and the type of disease.
4. Include details regarding the patient's history, symptoms, and any relevant lab test results.
5. Ensure to note any treatment information or interventions that have been initiated.
6. Complete the epidemiologic information section, which may involve detailing potential exposure sources and contacts.
7. Review the form for completeness and accuracy before submitting it.
8. Submit the form as instructed, usually to the health department's communicable disease section, either electronically or physically.

Who needs Confidential Communicable Disease Report—Part 2?

1. Healthcare providers, such as physicians or nurse practitioners, who diagnose reportable communicable diseases.
2. Public health officials who require the report for tracking and managing disease outbreaks.
3. Laboratories that conduct tests for communicable diseases and must report results to the appropriate health authorities.

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 document used to report cases of communicable diseases to health authorities while maintaining the confidentiality of the individuals involved.

Who is required to file Confidential Communicable Disease Report—Part 2?

Healthcare providers, hospitals, and laboratories that diagnose or treat communicable diseases are typically required to file Confidential Communicable Disease Report—Part 2.

How to fill out Confidential Communicable Disease Report—Part 2?

To fill out Confidential Communicable Disease Report—Part 2, follow the instructions provided on the form, ensuring all required fields are accurately completed with patient information, disease specifics, and reporting details.

What is the purpose of Confidential Communicable Disease Report—Part 2?

The purpose of Confidential Communicable Disease Report—Part 2 is to facilitate public health surveillance and intervention efforts by providing health authorities with data on communicable disease cases while protecting patient confidentiality.

What information must be reported on Confidential Communicable Disease Report—Part 2?

The report must include the patient's demographics, details of the diagnosis, disease onset date, treatment information, and any relevant exposure history related to the communicable disease.