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Get the free DOH Pertussis Case Report - health state tn

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Form used to report cases of pertussis to the Department of Health, including patient information, clinical findings, laboratory results, and public health actions taken.
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How to fill out doh pertussis case report

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How to fill out DOH Pertussis Case Report

01
Collect patient information, including name, date of birth, and contact details.
02
Document the patient's clinical history, including symptoms and onset dates.
03
Include vaccination history related to pertussis, specifying dates and types of vaccines.
04
Provide laboratory results if available, indicating diagnostic tests conducted.
05
Complete the epidemiological data, including exposure history to known cases.
06
Review the report for accuracy before submission.
07
Submit the completed report to the designated health authority as per local guidelines.

Who needs DOH Pertussis Case Report?

01
Healthcare providers diagnosing a suspected case of pertussis.
02
Public health officials for epidemiological tracking and outbreak management.
03
Researchers studying the incidence and spread of pertussis.
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The DOH Pertussis Case Report is a standardized form used by public health authorities to collect and document information about cases of pertussis (whooping cough) in order to monitor and control outbreaks.
Health care providers, including physicians, nurse practitioners, and other medical personnel who diagnose or treat a patient with pertussis, are required to file the DOH Pertussis Case Report.
To fill out the DOH Pertussis Case Report, health care providers must complete all required sections of the form, including patient demographics, clinical information, laboratory results, and exposure history, before submitting it to the appropriate health department.
The purpose of the DOH Pertussis Case Report is to facilitate the monitoring of pertussis cases, assist in outbreak investigations, guide public health interventions, and ensure proper vaccination strategies are implemented.
The information that must be reported includes patient identification details, clinical signs and symptoms, laboratory test results, vaccination history, and any known contacts or potential sources of infection.
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