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This document is used to report verified cases of tuberculosis, including patient details, testing results, and treatment information.
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How to fill out REPORT OF VERIFIED CASE OF TUBERCULOSIS

01
Obtain the official REPORT OF VERIFIED CASE OF TUBERCULOSIS form from your local health department or relevant authority.
02
Fill in patient information including full name, date of birth, and contact details.
03
Provide demographic information such as sex, race, and address.
04
Include details about the clinical history of the patient, including symptoms and date of diagnosis.
05
Document the laboratory results indicating the presence of tuberculosis.
06
Fill in the treatment information, including the medication prescribed and adherence details.
07
List any contacts of the patient who may be at risk of tuberculosis infection.
08
Sign and date the report, verifying that all information provided is accurate and complete.
09
Submit the completed report to the appropriate public health agency as required.

Who needs REPORT OF VERIFIED CASE OF TUBERCULOSIS?

01
Healthcare providers who need to report confirmed tuberculosis cases to public health authorities.
02
Public health officials for monitoring and controlling tuberculosis outbreaks.
03
Epidemiologists tracking the incidence and prevalence of tuberculosis in the community.
04
Researchers studying the patterns and effects of tuberculosis in specific populations.
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People Also Ask about

Tuberculosis (TB) disease is a nationally notifiable disease, and reporting is mandated in all U.S. states.
Tuberculosis (TB) is a serious illness that mainly affects the lungs. The germs that cause tuberculosis are a type of bacteria. Tuberculosis can spread when a person with the illness coughs, sneezes or sings. This can put tiny droplets with the germs into the air.
Mandatory TB notification is the responsibility of all healthcare providers (i.e. health care professionals who are registered and or licensed to provide health services to patients) offering TB care services.
TB infection, TB disease, and suspicion of TB disease are all reportable to your local or regional health department. See How do I report TB? for reporting requirements.
In States/UTs or districts where the bilateral understanding is established between the Health Establishments and the local public health authorities for convenient local TB notification, the information on TB Notification can be submitted to the local public health authorities (e.g. Medical Officer of the Primary
How to Report TB. TB reports should be made to the local or regional TB public health program contact or by calling 800-705-8868. Paper reporting forms can be obtained by calling your local or regional health department, or by downloading Epi 2 form.
TB blood tests (also called interferon-gamma release assays or IGRAs) use a blood sample to find out if you are infected with TB germs. The tests measure how your immune system reacts when a small amount of your blood is mixed with TB proteins.
In States/UTs or districts where the bilateral understanding is established between the Health Establishments and the local public health authorities for convenient local TB notification, the information on TB Notification can be submitted to the local public health authorities (e.g. Medical Officer of the Primary

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The REPORT OF VERIFIED CASE OF TUBERCULOSIS is a formal document used to confirm and report cases of tuberculosis (TB) diagnosed by healthcare professionals, ensuring tracking and management of the disease.
Healthcare providers, including doctors and laboratories that diagnose TB, are required to file the REPORT OF VERIFIED CASE OF TUBERCULOSIS with public health authorities.
To fill out the REPORT OF VERIFIED CASE OF TUBERCULOSIS, complete all sections with patient information, clinical data, diagnostic results, and provide relevant epidemiological information, ensuring accuracy and compliance with local health regulations.
The purpose of the REPORT OF VERIFIED CASE OF TUBERCULOSIS is to facilitate the surveillance and control of TB by ensuring that public health officials are informed of new cases for monitoring, treatment, and prevention efforts.
Information that must be reported includes patient demographics (age, sex, address), clinical information (symptoms, diagnosis, treatment initiated), laboratory results (culture, sensitivity), and epidemiological data (exposure history, contact investigations).
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