Get the free Anthrax Investigation Form - dhhr wv

Anthrax West Virginia Electronic Disease Surveillance System Division of Surveillance and Disease Control Infectious Disease Epidemiology Program Phone 304-558-5358 or 800-423-1271 in West Virginia Fax 304-558-8736 Investigation Information indicates required fields Closed Open Regional Review Case Status Confirmed Not a Case Probable State Review Suspect Superceded Unassigned Unknown Patient Information Last Name First Name Middle Initial Street...

How to fill out anthrax investigation form

How to fill out Anthrax Investigation Form

1. Obtain the Anthrax Investigation Form from the appropriate health department or organization.
2. Fill in the date of the report at the top of the form.
3. Provide the contact information of the person reporting the incident.
4. Enter details about the suspected anthrax case, including the name, age, and contact information of the individual affected.
5. Describe the symptoms and any relevant medical history of the individual.
6. Include details about the location where the exposure may have occurred.
7. Attach any laboratory results or documentation that support the claim.
8. Review the form for completeness and accuracy.
9. Submit the form to the designated health authority or agency.

Who needs Anthrax Investigation Form?

1. Health care providers who suspect a case of anthrax.
2. Public health officials investigating potential anthrax exposures.
3. Laboratories that detect anthrax in samples.
4. Employers in industries at risk for anthrax exposure.

People Also Ask about

What is the physical form of anthrax?

Cutaneous anthrax begins as an itchy bump or a group of small blisters. A painless ulcer (a skin sore) then appears with a black center. Skin sores may also have a black appearance when they form dry scabs called "eschars." In the majority of cases, the sore(s) appears on the face, neck, arms, or hands.

Can anthrax be survived?

Without treatment, up to 20% of people with cutaneous anthrax die. With appropriate antibiotic treatment, almost all patients with cutaneous anthrax survive.

What are 3 facts about anthrax?

Summary Anthrax is a rare and potentially fatal bacterial disease that most commonly affects the skin. Anthrax tends to affect hoofed animals and humans are occasionally infected. Treatment options include antibiotics and hospitalisation in intensive care.

How many people has anthrax killed?

Incidents IncidentDateCasualties 2001 anthrax attacks 18 September 2001 5 deaths 17 infected 2014 anthrax outbreak October 2014 7 deaths 2016 anthrax outbreak July 2016 1 human death (~100 infected) 2,300 animal deaths 2018 anthrax outbreak June 2018 Cattle farms affected in France2 more rows

What are the main causes of anthrax?

Overview. Anthrax is a serious disease usually caused by Bacillus anthracis bacteria. It's found naturally in soil around the world and commonly affects livestock and wild animals. People usually get sick with anthrax if they come in contact with infected animals or contaminated animal products.

What is the laboratory investigation of anthrax?

Serum can be used to test for an immune response to anthrax and to test for anthrax LF toxin. For serological testing: Two samples should be collected, the first seven days after symptom onset, and the second collected 14-35 days after symptom onset. Ideally, the second sample should be taken two weeks after the first.

What is anthrax information in English?

Anthrax is a rare but serious illness caused by a spore-forming bacterium, Bacillus anthracis. Anthrax mainly affects livestock and wild game. Humans can become infected through direct or indirect contact with sick animals.

What is anthrax clinical form?

The main clinical forms of anthrax are cutaneous (most common), oropharyngeal, gastrointestinal, meningeal, and inhalation (most lethal). Gastrointestinal and inhalation anthrax are not transmitted from person to person.

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What is Anthrax Investigation Form?

The Anthrax Investigation Form is a document used to report suspected cases of anthrax, a serious infectious disease caused by the bacterium Bacillus anthracis.

Who is required to file Anthrax Investigation Form?

Healthcare providers, public health officials, and laboratory personnel who suspect or confirm cases of anthrax are required to file the Anthrax Investigation Form.

How to fill out Anthrax Investigation Form?

To fill out the Anthrax Investigation Form, one must provide details such as patient identification, clinical information, exposure history, laboratory test results, and any relevant epidemiological data.

What is the purpose of Anthrax Investigation Form?

The purpose of the Anthrax Investigation Form is to facilitate the timely reporting and investigation of suspected anthrax cases to prevent outbreaks and ensure public health safety.

What information must be reported on Anthrax Investigation Form?

The form must include the patient's demographics, clinical symptoms, history of exposure to anthrax, laboratory findings, and any geographical or occupational information relevant to the case.