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

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This document is a report form for health care providers to record and report clinical findings related to foodborne poisoning incidents, specifically related to mushroom consumption, to the local
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How to fill out Confidential Communicable Disease Report—Part 2

01
Start by writing the patient's full name at the top of the form.
02
Fill in the patient's date of birth and contact information.
03
Indicate the date of diagnosis or report.
04
Provide details about the disease or condition being reported.
05
Include the name of the healthcare provider filling out the report.
06
Sign and date the completed report.
07
Submit the report to the appropriate health department as required.

Who needs Confidential Communicable Disease Report—Part 2?

01
Healthcare providers diagnosing or treating communicable diseases.
02
Individuals responsible for reporting public health data.
03
Public health officials monitoring disease outbreaks.
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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 standardized form used to report cases of specific communicable diseases to health authorities while ensuring patient confidentiality.
Healthcare providers, including physicians, laboratories, and public health officials, are required to file Confidential Communicable Disease Report—Part 2 when they diagnose or identify cases of reportable communicable diseases.
To fill out the report, enter accurate patient information, document the disease diagnosis, provide laboratory results if applicable, and ensure that all required fields are completed before submitting the report to the relevant health department.
The purpose of the report is to facilitate public health surveillance, enable timely interventions, and monitor the spread of communicable diseases to protect public health.
The report must include the patient's demographic details, the type of communicable disease, date of diagnosis, laboratory test results, and any relevant clinical information that could assist in public health response.
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