Get the free Influenza Surveillance Specimen Submission Form

This document is used for the submission of specimens for influenza testing by the Tarrant County Public Health Department. It outlines the necessary patient, facility, and specimen information that

How to fill out influenza surveillance specimen submission

How to fill out Influenza Surveillance Specimen Submission Form

1. Obtain the Influenza Surveillance Specimen Submission Form from the appropriate health department or agency website.
2. Fill in the patient’s demographic information including name, age, gender, and contact details.
3. Provide clinical information such as symptoms, onset date, and any relevant medical history.
4. Specify the specimen type being submitted (e.g., nasal swab, throat swab, sputum).
5. Indicate the date of specimen collection.
6. Ensure all required sections of the form are completed and legible.
7. Review the form for accuracy before submission.
8. Submit the form along with the specimen to the designated laboratory.

Who needs Influenza Surveillance Specimen Submission Form?

1. Healthcare providers who are submitting specimens for influenza testing.
2. Public health officials monitoring influenza activity.
3. Laboratories conducting influenza surveillance.

People Also Ask about

What is influenza surveillance?

Influenza surveillance is the collection, compilation and analysis of information on influenza activity in a defined population. This could be a country, specific population groups or a region.

Who influenza surveillance program?

Global Influenza Surveillance and Response System. The Global Influenza Surveillance and Response System (GISRS) is a global network of laboratories that has the purpose to monitor the spread of influenza with the aim to provide the World Health Organization with influenza control information.

What is flu surveillance?

The purpose of systematic surveillance of influenza activity is to: better understand when and where influenza activity is occurring; determine which influenza viruses are circulating; detect changes (mutations) in influenza virus; and. measure the impact influenza is having on illness, hospitalizations and deaths.

Who influenza surveillance program?

Global Influenza Surveillance and Response System. The Global Influenza Surveillance and Response System (GISRS) is a global network of laboratories that has the purpose to monitor the spread of influenza with the aim to provide the World Health Organization with influenza control information.

What is meant by disease surveillance?

Disease surveillance is an ongoing process that involves the systematic collection, analysis, interpretation, and dissemination of information regarding the occurrence of diseases in defined populations for public health action to reduce morbidity and mortality.

What is CDC laboratory support for influenza surveillance clsis SharePoint site?

The CDC Laboratory Support for Influenza Surveillance (CLSIS) SharePoint Site is intended to facilitate technical support for domestic U.S. and international public health and research institutions performing influenza laboratory surveillance and/or research.

For pdfFiller’s FAQs

What is Influenza Surveillance Specimen Submission Form?

The Influenza Surveillance Specimen Submission Form is a document used to collect and submit specimens for monitoring and understanding the prevalence and characteristics of influenza viruses.

Who is required to file Influenza Surveillance Specimen Submission Form?

Healthcare providers, laboratories, and public health officials who are involved in the collection and submission of influenza specimens are required to file the Influenza Surveillance Specimen Submission Form.

How to fill out Influenza Surveillance Specimen Submission Form?

To fill out the form, complete each section with accurate information, including patient details, specimen details, and any relevant clinical information, ensuring compliance with submission guidelines.

What is the purpose of Influenza Surveillance Specimen Submission Form?

The purpose of the form is to facilitate the systematic collection of influenza specimen data to support public health surveillance, research, and response efforts regarding influenza activity and strain variation.

What information must be reported on Influenza Surveillance Specimen Submission Form?

The form typically requires information such as patient demographics, clinical symptoms, specimen type, collection date, laboratory information, and any prior influenza vaccination history.