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

This form is used by healthcare providers in North Carolina to report clinical findings related to foodborne poisoning caused by Staphylococcus aureus. It collects patient information, clinical symptoms,

How to fill out confidential communicable disease reportpart

How to fill out Confidential Communicable Disease Report—Part 2

1. Begin by gathering all relevant patient information including name, date of birth, and contact details.
2. Accurately record the date of report submission and the reporting facility's information.
3. Fill out the patient's medical history, including any known communicable diseases and symptoms.
4. Indicate the specific communicable disease being reported and detail the onset date of symptoms.
5. Complete the exposure history section by documenting potential sources of infection and any relevant travel history.
6. Ensure to provide information on any laboratory results relevant to the diagnosis.
7. Include the names of healthcare providers involved in the patient's care.
8. Review the report for completeness and accuracy before submitting.

Who needs Confidential Communicable Disease Report—Part 2?

1. Healthcare professionals responsible for reporting communicable diseases.
2. Public health officials tracking disease outbreaks.
3. Laboratories confirming diagnoses of communicable diseases.
4. Any facility required by law to report certain communicable diseases.

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.

For pdfFiller’s FAQs

What is Confidential Communicable Disease Report—Part 2?

Confidential Communicable Disease Report—Part 2 is a specific documentation format used to report certain communicable diseases to public health authorities to ensure proper tracking, response, and management of disease outbreaks.

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

Healthcare providers, laboratories, and public health officials are typically required to file the Confidential Communicable Disease Report—Part 2 when they diagnose or identify certain communicable diseases.

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

To fill out the Confidential Communicable Disease Report—Part 2, individuals must accurately provide patient information, details about the disease, and any relevant clinical data while ensuring that the report is kept confidential and submitted through the appropriate channels.

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

The purpose of the report is to facilitate the monitoring and control of communicable diseases by enabling public health officials to collect and analyze data on disease trends, outbreaks, and epidemiological patterns.

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

Required information typically includes patient demographics, diagnosis details, symptoms, testing results, and any treatment provided, along with specific disease information as mandated by public health guidelines.