Get the free Confidential Communicable Disease Report—Part 2 - epi publichealth nc
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This document is used by healthcare providers in North Carolina to report clinical findings and relevant patient information related to cases of invasive disease caused by Haemophilus influenzae.
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How to fill out confidential communicable disease reportpart
How to fill out Confidential Communicable Disease Report—Part 2
01
Start by entering the patient's demographic information, including name, address, and contact details.
02
Fill in the patient's date of birth and sex.
03
Indicate the type of communicable disease by selecting from the provided list or entering the specific disease.
04
Provide the date of diagnosis or the onset of symptoms.
05
Include information on the patient's health status and any relevant medical history.
06
Specify any relevant laboratory test results, including dates and types of tests conducted.
07
Document any treatment information, including medications prescribed and dosages.
08
Ensure all information is accurate and up to date before submission.
09
Sign and date the report, and submit it to the appropriate health department or agency.
Who needs Confidential Communicable Disease Report—Part 2?
01
Healthcare providers who diagnose or treat individuals with communicable diseases.
02
Public health officials tasked with tracking and managing communicable disease outbreaks.
03
Laboratory personnel who conduct tests for communicable diseases.
04
Epidemiologists and researchers studying the prevalence and control of communicable diseases.
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People Also Ask about
What are communicable diseases 2?
In New York City, call 1 (866) NYC-DOH1 (1-866-692-3641) for additional information. Health care personnel in New York City should use the downloadable Universal Reporting Form (PD-16) ; those belonging to NYC MED can complete and submit the form online .
What are two communicable diseases?
A communicable disease is one that spreads from one person or animal to another or from a surface to a person. They are the result of pathogens, such as viruses and bacteria. Communicable diseases include colds and flu.
What are communicable diseases class 2?
Information for Specific Communicable Diseases Chickenpox / Shingles. COVID-19. Ebola. Ending the HIV Epidemic (EHE) Hepatitis B. Hepatitis C. HIV / AIDS. HIV / STDs / Hepatitis.
How do I report a communicable disease in NYC?
How to report a suspected notifiable disease. If the case is an urgent notifiable disease, you must report it by telephone to your local UKHSA health protection team within 24 hours. This is to discuss actions to protect public health. Report all cases on the Report a notifiable disease online service within 3 days.
What are reportable communicable diseases?
Some examples of reportable communicable diseases include HIV, hepatitis A, B, and C, measles, salmonella, measles, and blood-borne illnesses. The most common forms of spread include fecal-oral, food, sexual intercourse, insect bites, contact with contaminated fomites, droplets, or skin contact.
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What is Confidential Communicable Disease Report—Part 2?
Confidential Communicable Disease Report—Part 2 is a form used to report specific information regarding cases of communicable diseases to public health authorities while ensuring the confidentiality of the patient's identity.
Who is required to file Confidential Communicable Disease Report—Part 2?
Healthcare providers, including doctors, nurses, and laboratories, are required to file Confidential Communicable Disease Report—Part 2 when they diagnose or identify a case of a communicable disease.
How to fill out Confidential Communicable Disease Report—Part 2?
To fill out Confidential Communicable Disease Report—Part 2, you should provide accurate details about the patient's demographic information, the disease diagnosed, relevant clinical information, and any other required data according to state guidelines.
What is the purpose of Confidential Communicable Disease Report—Part 2?
The purpose of Confidential Communicable Disease Report—Part 2 is to enable public health authorities to monitor, control, and prevent the spread of communicable diseases through timely reporting and surveillance.
What information must be reported on Confidential Communicable Disease Report—Part 2?
The information that must be reported includes the patient's age, sex, race, address, disease type, date of diagnosis, laboratory results, and any relevant epidemiological information.
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