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A form used for reporting cases of pertussis to the Minnesota Department of Health, collecting demographic, laboratory, and epidemiological information about the patient.
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How to fill out pertussis reporting form
How to fill out PERTUSSIS REPORTING FORM
01
Ensure you have the latest version of the Pertussis Reporting Form.
02
Fill in the patient's personal information including name, age, and contact details.
03
Provide information on the patient's symptoms and their onset dates.
04
Include details of any laboratory tests conducted, including dates and results.
05
Record any relevant vaccination history concerning pertussis.
06
Document any contact with confirmed or suspected pertussis cases.
07
Review all entries for accuracy and completeness.
08
Submit the form to the appropriate health department or agency as per local guidelines.
Who needs PERTUSSIS REPORTING FORM?
01
Healthcare providers diagnosing or treating patients with suspected or confirmed pertussis.
02
Public health officials monitoring and controlling pertussis outbreaks.
03
State or local health departments requiring data for epidemiological purposes.
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People Also Ask about
How do I report a whooping cough?
Report suspected and confirmed cases to the PHA Health Protection Duty Room. The duty team will provide advice on the appropriate public health management of suspected cases and contacts to help reduce the spread of infection.
Does pertussis need to be reported?
Pertussis is a nationally notifiable disease in the United States.
Do you have to report pertussis to the health department?
Pertussis is a nationally notifiable disease in the United States.
Do you report pertussis?
Pertussis is a nationally notifiable disease. Healthcare providers should notify the appropriate health department of all patients with suspected pertussis.
Do you have to report pertussis to health department?
Whooping cough is a bacterial infection caused by Bordetella pertussis . It spreads when an infected person coughs or sneezes and you breathe it in. The bacteria affect the lungs and airways, causing a person to cough violently and uncontrollably. This can make it hard for the infected person to breathe.
Does a whooping cough need to be reported?
Whooping cough (pertussis) is a notifiable disease under the Public Health Act (NI) 1967. Health professionals have a duty of care to report all suspected and confirmed cases to public health to ensure that contacts are managed promptly.
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What is PERTUSSIS REPORTING FORM?
The PERTUSSIS REPORTING FORM is a document used to report cases of pertussis, commonly known as whooping cough, for public health surveillance and management.
Who is required to file PERTUSSIS REPORTING FORM?
Healthcare providers and laboratories that diagnose or suspect cases of pertussis are required to file the PERTUSSIS REPORTING FORM.
How to fill out PERTUSSIS REPORTING FORM?
To fill out the PERTUSSIS REPORTING FORM, you should provide patient demographics, clinical information, laboratory test results, and vaccination history as specified on the form.
What is the purpose of PERTUSSIS REPORTING FORM?
The purpose of the PERTUSSIS REPORTING FORM is to facilitate the tracking and management of pertussis cases, aiding in outbreak control and vaccination efforts.
What information must be reported on PERTUSSIS REPORTING FORM?
Information that must be reported includes the patient's name, contact information, date of birth, symptoms, diagnosis confirmation, vaccination status, and any relevant epidemiological details.
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