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This document serves as a report form for severe respiratory illness cases, detailing patient information, hospital data, symptoms, exposure history, and medical history for surveillance and epidemiology
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How to fill out C.4 Severe Respiratory Illness Case Definition and Report Form

01
Start by gathering all necessary patient information, including name, age, gender, and contact information.
02
Record the date of onset of symptoms.
03
Document the symptoms observed, such as cough, fever, or difficulty breathing.
04
Note any relevant medical history or pre-existing conditions.
05
Indicate any recent travel history or exposure to known cases of respiratory illness.
06
Fill out the laboratory results if available, including any conducted tests related to respiratory illness.
07
Complete the sections regarding hospital admission details, if applicable.
08
Review all entries for accuracy before submission.

Who needs C.4 Severe Respiratory Illness Case Definition and Report Form?

01
Healthcare providers who diagnose or treat patients with severe respiratory illness.
02
Public health officials tracking respiratory illness outbreaks.
03
Researchers studying patterns and causes of respiratory diseases.
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Respiratory tract infections with viral pathogens are frequently identified using the World Health Organization (WHO) case definition of severe acute respiratory infection (SARI), defined as fever of ≥38°Celsius, cough, onset within 10 days, and hospitalization.
Severe Acute Respiratory Infection (SARI) Page 2 of 3. CASE DEFINITION/CLASSIFICATION: INFLUENZA- LIKE-ILLNESS (ILI) Suspected case: A person with acute respiratory infection, with measured fever of ≥38°C and cough with onset within the last 10 days.
The World Health Organization (WHO) case definition of severe acute respiratory infections (SARI) is anyone with an acute respiratory infection with symptoms within 10 days of presentation, cough, fever, and hospitalization.
Respiratory tract infections with viral pathogens are frequently identified using the World Health Organization (WHO) case definition of severe acute respiratory infection (SARI), defined as fever of ≥38°Celsius, cough, onset within 10 days, and hospitalization.
For this system, ILI is defined as fever (temperature of 100°F [37.8°C] or greater) and a cough and/or a sore throat.
Acute respiratory infection (ARI) is defined as the acute onset of one or more of the respiratory symptoms and/or a clinician's judgement that the illness is due to an infection of the respiratory tract.

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C.4 Severe Respiratory Illness Case Definition and Report Form is a standardized document used for reporting cases of severe respiratory illnesses, aimed at facilitating tracking and management of such cases within public health surveillance systems.
Healthcare providers, hospitals, and relevant public health officials are typically required to file the C.4 Severe Respiratory Illness Case Definition and Report Form when they encounter cases meeting the defined criteria.
To fill out the C.4 Severe Respiratory Illness Case Definition and Report Form, individuals should accurately provide patient demographics, clinical information, laboratory test results, and any relevant epidemiological details as specified in the form's instructions.
The purpose of the C.4 Severe Respiratory Illness Case Definition and Report Form is to ensure standardized reporting of severe respiratory illness cases to aid in public health monitoring, disease control efforts, and resource allocation.
The information that must be reported on the C.4 Severe Respiratory Illness Case Definition and Report Form includes patient identification details, symptom onset date, clinical findings, laboratory results, exposure history, and vaccination status, as applicable.
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