Get the free Confidential Communicable Disease Report—Part 2 - epi publichealth nc
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This document serves as a reporting form for healthcare providers to communicate clinical findings related to cases of Clostridium perfringens infections to local health departments in North Carolina.
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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 full name, date of birth, and address.
02
Provide details about the communicable disease diagnosed, including the name of the disease and the date of diagnosis.
03
Indicate the date of symptom onset and any relevant medical history that pertains to the disease.
04
Fill in information about the healthcare provider submitting the report, including their name, contact information, and credentialing details.
05
Include any laboratory results or findings that confirm the diagnosis, along with relevant dates.
06
Note any public health interventions that have been implemented or recommended.
07
Review the completed report for accuracy and completeness before submission.
Who needs Confidential Communicable Disease Report—Part 2?
01
Healthcare providers diagnosing communicable diseases.
02
Public health officials monitoring and investigating outbreaks.
03
Laboratories conducting tests for communicable diseases.
04
Emergency response teams in public health organizations.
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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 for reporting certain communicable diseases to public health authorities, ensuring that information is collected for epidemiological purposes while maintaining the confidentiality of affected individuals.
Who is required to file Confidential Communicable Disease Report—Part 2?
Healthcare providers, including physicians, nurses, and other authorized personnel who 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 Confidential Communicable Disease Report—Part 2, providers must complete all required fields, including patient demographics, disease-specific information, and relevant clinical details, ensuring accuracy and legibility.
What is the purpose of Confidential Communicable Disease Report—Part 2?
The purpose of Confidential Communicable Disease Report—Part 2 is to facilitate the surveillance and control of communicable diseases, allowing health authorities to monitor disease trends and implement necessary public health interventions.
What information must be reported on Confidential Communicable Disease Report—Part 2?
Information that must be reported includes the patient's name, address, date of birth, the name of the disease, date of diagnosis, symptoms, laboratory results, and any relevant epidemiological links.
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