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ANIMAL EXPOSURE SURVEILLANCE QUESTIONNAIRE Submission Instructions: Fax to Ellen BBB at Occupational Health at 410 955-1617 Confidential FOR OCCUPATIONAL HEALTH SERVICES USE ONLY This form is completed
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How to fill out animal exposure surveillance
How to fill out animal exposure surveillance:
01
Obtain the necessary forms and documents for animal exposure surveillance.
02
Provide detailed information about the animal involved in the exposure, including its species, breed, and any identifying characteristics.
03
Note the date, time, and location of the animal exposure incident.
04
Describe the nature of the exposure, such as whether it was a bite, scratch, or contact with bodily fluids.
05
Provide information about the person who was exposed to the animal, including their name, contact information, and any previous medical conditions.
06
Indicate whether any medical treatment was sought following the exposure and provide details about the treatment received.
07
Include information about the outcome of the exposure, such as whether the animal was tested for diseases or if any follow-up measures were taken.
08
Sign and date the animal exposure surveillance form to certify the accuracy of the information provided.
Who needs animal exposure surveillance:
01
Veterinarians and animal healthcare professionals who may come into contact with potentially infectious animals.
02
Animal control officers and workers who handle animals in their line of work.
03
Researchers and individuals working in laboratory settings where animals are used for experiments or research purposes.
04
Individuals who have been exposed to animals in a potentially harmful or dangerous manner, such as through bites or scratches.
05
Public health professionals responsible for monitoring and tracking animal-related diseases and infections.
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What is animal exposure surveillance?
Animal exposure surveillance is the systematic collection and analysis of data on animal interactions and potential exposure to infectious diseases.
Who is required to file animal exposure surveillance?
The requirement to file animal exposure surveillance may vary depending on the jurisdiction and specific regulations. It is typically the responsibility of animal owners, veterinarians, and public health authorities.
How to fill out animal exposure surveillance?
To fill out animal exposure surveillance, one needs to collect information on animal encounters, assess the potential risk of disease transmission, and report the data using the designated method or form provided by the relevant authority or organization.
What is the purpose of animal exposure surveillance?
The purpose of animal exposure surveillance is to monitor and track potential disease transmission between animals and humans, identify high-risk areas or populations, inform public health interventions, and prevent the spread of infectious diseases.
What information must be reported on animal exposure surveillance?
The specific information that must be reported on animal exposure surveillance may vary, but it commonly includes details about the animal(s) involved, the nature of the exposure, the potential disease(s) of concern, and contact information of the person reporting.
How do I make changes in animal exposure surveillance?
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