Get the free Influenza Reporting Form - dphhs mt

Este documento proporciona instrucciones para que las agencias de salud pública informen sobre casos confirmados y sospechosos de influenza en Montana. Incluye pautas para la recopilación y envío

How to fill out influenza reporting form

How to fill out Influenza Reporting Form

1. Obtain the Influenza Reporting Form from the designated health department website or office.
2. Fill in the patient’s demographic information including name, age, and contact details.
3. Provide details on the patient's symptoms, including onset date, duration, and severity.
4. Include any relevant medical history such as previous flu vaccinations or chronic conditions.
5. Specify the laboratory results if available, indicating the type of influenza virus identified.
6. Complete any additional questions regarding the patient’s exposure history.
7. Review the completed form for accuracy and completeness.
8. Submit the form via the method indicated by the health department (online, fax, or mail).

Who needs Influenza Reporting Form?

1. Healthcare providers who have patients diagnosed with influenza.
2. Laboratories that perform influenza testing and report findings.
3. Public health officials monitoring influenza outbreaks.
4. Researchers studying flu patterns and vaccine efficacy.

People Also Ask about

Should I report flu?

Influenza is a laboratory reportable condition and should be reported within 24 hours of detection by the lab into CDRSS! Influenza (flu) is a contagious respiratory illness caused by influenza.

Does influenza A need to be reported?

Influenza is a nationally notifiable disease – these are diseases that present a risk to public health. Health authorities in each state and territory report new laboratory confirmed cases to us daily through the National Notifiable Diseases Surveillance System.

Does influenza need to be reported?

Mandatory Influenza Reporting Respiratory Outbreaks - Any time when there is a higher-than-expected number influenza like illnesses should be reported immediately to your health department for investigation.

What is influenza form?

Flu, also called influenza, is an infection of the nose, throat and lungs, which are part of the respiratory system. The flu is caused by a virus. Influenza viruses are different from the "stomach flu" viruses that cause diarrhea and vomiting.

Is influenza A reportable disease to CDC?

Human infection with a novel influenza A virus is a nationally notifiable condition reportable to CDC.

What are the CDC guidelines for influenza?

Vaccination is the most effective way to prevent influenza and its complications. In the United States, CDC recommends annual seasonal influenza vaccination for people aged ≥6 months who do not have contraindications.

For pdfFiller’s FAQs

What is Influenza Reporting Form?

The Influenza Reporting Form is a standardized document used to collect and report data related to influenza cases and outbreaks.

Who is required to file Influenza Reporting Form?

Health care providers, laboratories, and public health officials are typically required to file the Influenza Reporting Form.

How to fill out Influenza Reporting Form?

The Influenza Reporting Form should be filled out by providing patient details, clinical information, test results, and other relevant data as specified in the form instructions.

What is the purpose of Influenza Reporting Form?

The purpose of the Influenza Reporting Form is to facilitate surveillance, monitoring, and response to influenza activity and outbreaks within a population.

What information must be reported on Influenza Reporting Form?

Information that must be reported includes patient demographics, diagnosis, symptoms, laboratory test results, vaccination status, and details of the influenza outbreak, if applicable.