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Supplemental Pertussis Case Report Form http://www.kdheks.gov/epi/download/pertussisoutbreakform.pdf Pertussis cases or suspected cases are reportable by telephone (877-427-7317) to the Kansas Department
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Supplemental pertussis case report is a report that provides additional information about a pertussis case, including additional details on the patient's symptoms, diagnosis, and treatment.
Healthcare providers, laboratories, and other institutions that diagnose or treat pertussis cases are required to file supplemental pertussis case reports.
Supplemental pertussis case reports can be filled out using the designated reporting form provided by the public health department. The form typically asks for information about the patient's demographics, symptoms, diagnosis, treatment, and any relevant laboratory test results.
The purpose of supplemental pertussis case report is to gather comprehensive data on pertussis cases. This data helps public health officials monitor and track the spread of pertussis, identify any outbreak patterns, and inform public health interventions.
The information that must be reported on supplemental pertussis case report includes the patient's demographics (e.g., age, sex), symptoms, onset and duration of symptoms, diagnosis method, treatment administered, and any test results from laboratory diagnostics.
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