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This document serves as a case report form for reporting human infections with novel influenza A viruses, detailing patient demographics, symptoms, clinical course, treatment, testing, and epidemiologic
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How to fill out Human Infection with Novel Influenza A Virus Case Report Form

01
Begin by entering patient identification information, including name, age, sex, and address.
02
Record the date of symptom onset and any relevant medical history.
03
Specify the exposure history, including any contact with infected individuals or travel history.
04
Fill out the clinical details, including symptoms experienced by the patient.
05
Include laboratory results and any diagnostic tests conducted, indicating the type of tests performed.
06
Provide details on any treatments administered to the patient.
07
Indicate the outcome of the case, such as recovery or death.
08
Submit the form to the appropriate health authority, ensuring all information is accurate and complete.

Who needs Human Infection with Novel Influenza A Virus Case Report Form?

01
Healthcare providers managing patients infected with Novel Influenza A Virus.
02
Epidemiologists and public health officials monitoring influenza outbreaks.
03
Research institutions studying viral infections and their impacts.
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People Also Ask about

From the CDC's (Flu) Viruses of Special Concern webpage: "A novel influenza A virus is one that has caused human infection, but is different from current seasonal human influenza A viruses that circulate among people. Novel influenza A viruses are usually influenza A viruses that circulate among animals.
Influenza A viruses are the only influenza viruses known to cause flu pandemics (i.e., global epidemics of flu disease). A pandemic can occur when a new and different influenza A virus emerges that infects people, has the ability to spread efficiently among people, and against which people have little or no immunity.
Flu can cause mild to severe illness, and at times can lead to death. Flu symptoms usually come on suddenly. People who have flu often feel some or all of these signs and symptoms: fever* or feeling feverish/chills.
Flu can cause mild to severe illness, and at times can lead to death.
ICD-10 Coding Tips for Influenza TypeCode Type A, H1N1 J09.X2 Type B J10.- Type C J10.- Unspecified J11.12 more rows

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The Human Infection with Novel Influenza A Virus Case Report Form is a standardized document used to collect and report data on cases of human infections caused by novel influenza A viruses. It is designed to gather pertinent epidemiological, clinical, and laboratory information about affected individuals.
Healthcare providers and public health officials are required to file the Human Infection with Novel Influenza A Virus Case Report Form when they diagnose or suspect a case of human infection with a novel influenza A virus, in order to ensure proper tracking and response.
To fill out the Human Infection with Novel Influenza A Virus Case Report Form, one should accurately complete all sections, providing detailed information about the patient’s demographics, clinical symptoms, travel history, laboratory test results, and any exposure to known sources of influenza A. It is important to follow the form's specific instructions and guidelines.
The purpose of the Human Infection with Novel Influenza A Virus Case Report Form is to facilitate the collection of data for public health surveillance, allowing health authorities to monitor outbreaks, implement control measures, and prevent further transmission of the virus.
The information that must be reported on the Human Infection with Novel Influenza A Virus Case Report Form includes patient identification details (name, age, sex), clinical symptoms, onset date, any relevant travel history, exposure sources, laboratory findings, and vaccination history against influenza.
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