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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 reporting clinical findings related to foodborne poisoning cases, specifically scombroid fish poisoning, to local health departments by healthcare providers.
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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 online.
02
Fill in the patient's identification information such as name, date of birth, gender, and contact details.
03
Provide clinical information, including the date of symptom onset, laboratory test results, and diagnosis.
04
Indicate any relevant epidemiological information, such as exposure history and travel history.
05
Complete the reporting physician's information, including name, contact number, and address.
06
Review the form for completeness and accuracy before submission.
07
Submit the completed form to the designated public health authority.

Who needs Confidential Communicable Disease Report—Part 2?

01
Healthcare providers who diagnose cases of communicable diseases.
02
Laboratories that perform tests for communicable diseases.
03
Public health officials monitoring disease outbreaks.
04
Epidemiologists conducting research on disease patterns.
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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 specific form used to report cases of communicable diseases to health authorities, providing detailed information about the disease and its impact.
Healthcare providers, including physicians, nurses, and laboratory personnel, are required to file Confidential Communicable Disease Report—Part 2 when they diagnose or identify a case of a communicable disease.
To fill out Confidential Communicable Disease Report—Part 2, provide accurate patient information, details about the disease, clinical findings, and any demographic data required, ensuring confidentiality is maintained throughout the process.
The purpose of Confidential Communicable Disease Report—Part 2 is to track the incidence of communicable diseases, monitor outbreaks, and implement necessary public health measures to prevent the spread of diseases.
Information that must be reported includes patient identification details, diagnosis, date of symptom onset, laboratory test results, demographics, and treatment information if applicable, all while ensuring confidentiality.
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