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This form is used to collect basic demographic data, clinical information, and epidemiological details for the investigation of tularemia cases.
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How to fill out tularemia investigation form

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How to fill out TULAREMIA INVESTIGATION FORM

01
Begin by entering the date of the investigation at the top of the form.
02
Fill in the case number assigned for this investigation.
03
Provide demographic information about the patient, including name, age, sex, and address.
04
Document the symptoms experienced by the patient, including onset dates.
05
Include any potential exposure history related to tularemia, such as contact with wild animals or contaminated water.
06
Record laboratory testing information and results relevant to the diagnosis.
07
Note any treatment given and the patient’s response to treatment.
08
Specify any additional relevant information or comments in the designated section.
09
Sign and date the form at the bottom.

Who needs TULAREMIA INVESTIGATION FORM?

01
Health care providers who suspect a case of tularemia.
02
Epidemiologists conducting public health investigations.
03
Laboratories performing testing for tularemia.
04
Health departments tracking infectious diseases.
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People Also Ask about

Tularemia is treatable with antibiotics. The case fatality rate of tularemia is typically <2% (3) but can be as high as 24%, depending on the infecting genotype and clinical manifestation (4).
About 100 to 200 cases are reported every year in the United States.
Francisella tularensis is a small, non-motile, aerobic, non-spore-forming gram-negative intracellular coccobacillus. It is highly infectious (infectious dose: 10–50 organisms) and can survive for weeks to months on fomites.
Tularemia, also known as rabbit fever, is an infectious disease caused by the bacterium Francisella tularensis. Symptoms may include fever, skin ulcers, and enlarged lymph nodes. Occasionally, a form that results in pneumonia or a throat infection may occur.
Detection of antibodies to F. tularensis through a single serologic test. Ideally, serum would be collected at least 14 days after illness onset to ensure sufficient time for development and detection of an antibody response.
Clinical manifestations typically include fever and localized symptoms that vary by route of infection. The case fatality rate of tularemia is typically <2% but can be higher depending on clinical manifestation and infecting strain. Tularemia is treatable with antibiotics.
How common is tularemia? There are fewer than 300 cases per year reported in the U.S., coming from all states except Hawaii, but it's most common in the south-central United States, the Great Plains region, and parts of Massachusetts.
Tularemia is fatal in about 5% of untreated cases, and in less than 1% of treated cases.

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The Tularemia Investigation Form is a document used to collect and report information related to suspected or confirmed cases of Tularemia, a highly infectious zoonotic disease caused by the bacterium Francisella tularensis.
Health care providers, laboratories, and public health officials are required to file the Tularemia Investigation Form when they suspect or confirm a case of Tularemia.
To fill out the Tularemia Investigation Form, the individual must provide detailed patient information, clinical symptoms, exposure history, laboratory results, and any other relevant epidemiological data to assist public health authorities in their investigation.
The purpose of the Tularemia Investigation Form is to aid in the identification, tracking, and management of Tularemia cases, to help control outbreaks, and to ensure proper public health response.
The information that must be reported on the Tularemia Investigation Form includes patient demographic data, clinical presentation, laboratory findings, potential exposure sources, travel history, and any treatment administered.
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