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This form is used to collect additional medical information regarding a proposer with a history of Filariasis or Elephantiasis for insurance purposes.
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How to fill out filariasis form

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How to fill out FILARIASIS FORM

01
Obtain the FILARIASIS FORM from your local health department or online.
02
Fill in personal information such as name, age, address, and contact number.
03
Provide information about your medical history related to filariasis and any symptoms you may be experiencing.
04
Include details about any relevant travel history to areas where filariasis is endemic.
05
Attach any necessary medical documents or test results if required.
06
Review the form for accuracy and completeness before submission.
07
Submit the form to the designated health authority or clinic as instructed.

Who needs FILARIASIS FORM?

01
Individuals showing symptoms of filariasis.
02
People who have traveled to endemic areas and may be at risk.
03
Healthcare professionals needing to report cases.
04
Public health officials conducting surveillance on filariasis.
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People Also Ask about

The skin becomes very itchy and a red spotty rash is often present. Scratching often leads to bleeding, ulcers and secondary infections. The lower trunk, pelvis, buttocks, thighs and legs appear to be the most affected. Microfilariae are the main cause of this dermatitis.
The usual treatment for lymphatic filariasis is a drug called diethylcarbamazine (DEC), which kills both immature and adult parasitic worms. Your healthcare provider may recommend either a single-day treatment or taking the drug for 12 days. DEC has been used globally for more than 50 years.
The best way to prevent lymphatic filariasis is to avoid mosquito bites. Avoid areas with high mosquito activity, especially between dusk and dawn. Mosquitoes that carry the parasite that causes lymphatic filariasis usually bite at night.
Lymphatic filariasis is caused by parasitic worms. These worms spread by mosquito bites.
Causes and spread Filarial worm diseases affect millions of people a year in Africa, South America, the Pacific islands, and Asia. They spread mostly through the bites of insects like blackflies, mosquitoes, or midges. Tiny immature worms, known as larvae, will enter a human body when the insect bites into the skin.
Cause Lymphatic filariasis is caused by the worms Wuchereria bancrofti, Brugia malayi, and Brugia timori. Loiasis a subcutaneous filariasis is caused by Loa loa (the eye worm). Serous cavity filariasis is caused by the worms Mansonella perstans and Mansonella ozzardi, which occupy the serous cavity of the abdomen.
Tiny worms, too small to see with the eye, invade your body. Under a microscope, the filarial worms look like threads. There are several types of filarial worms: Wuchereria bancrofti causes 9 out of 10 infections.
The disease is caused by the nematode worm, either Wuchereria bancrofti or Brugia malayi and transmitted by ubiquitous mosquito species Culex quinquefasciatus and Mansonia annulifera/M. uniformis respectively.

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The FILARIASIS FORM is a document used to report cases of filariasis, a tropical disease caused by parasitic worms, to health authorities for tracking and management purposes.
Healthcare professionals, including doctors and epidemiologists, who diagnose or treat patients with filariasis are required to file the FILARIASIS FORM to ensure proper reporting and surveillance.
To fill out the FILARIASIS FORM, one typically needs to provide patient details including name, age, gender, diagnosis, treatment given, and any relevant travel history.
The purpose of the FILARIASIS FORM is to gather data on filariasis cases to aid in epidemiological studies, inform public health responses, and track the effectiveness of control measures.
The FILARIASIS FORM must report patient demographics, clinical information, laboratory results, treatment details, and any travel history related to potential exposure to filariasis.
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