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Pertussis Enhanced Surveillance Form Initials ID No. Sex: M F HSE Area Age DOB NK Please state whether Months or Years CCA Place of birth Date of notification Reporting GP/Consultant/Lab/Hospital
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What is pertussis enhanced surveillance form?
The pertussis enhanced surveillance form is a document that collects detailed information about cases of pertussis, also known as whooping cough, in order to monitor and track the spread of the disease.
Who is required to file pertussis enhanced surveillance form?
Healthcare providers, laboratories, and public health agencies are typically required to file the pertussis enhanced surveillance form when they diagnose or identify a case of pertussis.
How to fill out pertussis enhanced surveillance form?
The pertussis enhanced surveillance form usually requires information such as demographics of the patient, symptoms, laboratory test results, vaccination history, and details of any known contacts. The specific instructions for filling out the form may vary depending on the jurisdiction and reporting system in place.
What is the purpose of pertussis enhanced surveillance form?
The purpose of the pertussis enhanced surveillance form is to gather comprehensive and standardized information about pertussis cases to facilitate effective disease control and prevention efforts. It helps public health agencies to monitor trends, identify outbreaks, and inform vaccination strategies.
What information must be reported on pertussis enhanced surveillance form?
The information typically required on the pertussis enhanced surveillance form includes patient demographics, symptoms, laboratory test results, vaccination history, and information about contacts with other individuals who may have been exposed to the disease.
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