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Get the free Varicella (Chickenpox) Outbreak Report Form - cdph ca

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This document is used to report cases of variella outbreaks in California, detailing the location, number of infections, vaccination status, and information pertinent to school outbreaks.
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How to fill out varicella chickenpox outbreak report

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How to fill out Varicella (Chickenpox) Outbreak Report Form

01
Gather patient information, including name, address, and date of birth.
02
Provide the date of onset of symptoms for the first case of chickenpox.
03
List the names and contact information of all individuals involved in the outbreak.
04
Indicate the total number of confirmed cases and suspected cases.
05
Include details about vaccination history of individuals affected.
06
Record the location and dates of exposure during the outbreak.
07
Attach any relevant laboratory test results confirming the outbreak.
08
Submit the completed report to the appropriate public health authority.

Who needs Varicella (Chickenpox) Outbreak Report Form?

01
Healthcare providers who diagnose or treat individuals with chickenpox.
02
Public health officials monitoring outbreaks of varicella.
03
Schools and childcare facilities reporting outbreaks among students.
04
Employers who need to report cases in the workplace.
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Cases should be considered part of an outbreak if they occur within at least one incubation period (21 days) of the previous case. Outbreak surveillance should continue through two full incubation periods (42 days) after the rash onset of the last identified case to ensure that the outbreak has ended.
Notifications and clinical practice There is no change to existing clinical practice in relation to how patients are assessed for chickenpox; notification can be made by RMPs for any cases where this is suspected regardless of the type of consultation.
Varicella cases should be reported within one business day so that public health interventions may be implemented in a timely manner. To report a case visit Reporting Varicella (Chickenpox).
An outbreak of chickenpox is defined as: ▪ Five or more cases within a two-month period in persons in an elementary school. Three or more cases within a two-month period in persons in a middle or high school.
Varicella outbreak: The occurrence of ≥3 varicella cases that are related in place and are epidemiologically linked. VZV Transmission: See above section Transmission and infectious period.
Some special considerations need to be taken when handling a varicella outbreak in a residential setting. a. Outbreak Definition. In residential settings and healthcare settings an outbreak is defined as ≥ 3 cases occurring within a 3 week period (21 days).

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The Varicella (Chickenpox) Outbreak Report Form is a document used to report instances of chickenpox outbreaks to health authorities for monitoring and intervention purposes.
Healthcare providers, school officials, and public health professionals are typically required to file the Varicella (Chickenpox) Outbreak Report Form when they identify an outbreak of chickenpox.
To fill out the Varicella Outbreak Report Form, individuals should provide detailed information regarding the outbreak, including the number of cases, demographic data of infected individuals, onset dates, and any vaccination history.
The purpose of the Varicella Outbreak Report Form is to facilitate the collection of data on chickenpox outbreaks to help public health officials control and prevent the spread of the disease.
The form must include information such as the date of onset of cases, vaccination status of individuals, demographic details (age, gender), location, and the number of cases linked to the outbreak.
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