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OMB NO. 0920-0008 Exp. Date: 06/2003 Form 2A: Smallpox Case Travel/Activity Worksheet Infectious Period 1. State FF Please print 2. Case # 3. CASE NAME: / / Last First Middle Suffix Nickname/Alias
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What is form 2a smallpox case?
Form 2a smallpox case is a document used to report and track cases of smallpox, a highly contagious and potentially deadly viral disease.
Who is required to file form 2a smallpox case?
Healthcare providers, laboratories, and other relevant entities involved in diagnosing or treating smallpox cases are required to file form 2a smallpox case.
How to fill out form 2a smallpox case?
To fill out form 2a smallpox case, provide the requested information such as patient demographics, clinical symptoms, laboratory test results, and any relevant treatment information. Follow the instructions provided with the form to ensure accurate and complete reporting.
What is the purpose of form 2a smallpox case?
The purpose of form 2a smallpox case is to gather detailed information about smallpox cases for surveillance, monitoring, and control purposes. It helps authorities track the spread of the disease and implement appropriate public health measures.
What information must be reported on form 2a smallpox case?
Form 2a smallpox case requires reporting of various information including patient demographics, clinical symptoms, laboratory test results, treatment details, vaccination history, and any possible contacts with other smallpox cases.
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