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This document is a supplemental investigation form used by the California Department of Public Health for reporting West Nile Virus infections. It collects information about the patient's medical
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How to fill out West Nile Virus (WNV) Infection Case Report Supplemental Investigation Form

01
Obtain the West Nile Virus (WNV) Infection Case Report Supplemental Investigation Form from your local health department or online resources.
02
Fill in the patient's personal information, including name, date of birth, and contact details in the designated fields.
03
Indicate the date of onset of symptoms experienced by the patient.
04
Provide information about the patient's medical history, including any previous WNV infections and underlying health conditions.
05
Document any relevant travel history, including places visited and dates.
06
Record the type of symptoms experienced, such as fever, headache, or neurological signs.
07
Fill out laboratory test results for WNV, if available, including test dates and types of tests conducted.
08
Include details of any treatments administered to the patient.
09
Sign and date the form at the bottom before submission.

Who needs West Nile Virus (WNV) Infection Case Report Supplemental Investigation Form?

01
Healthcare providers who suspect a patient has West Nile Virus infection.
02
Local health departments for monitoring and surveillance of WNV.
03
Public health officials for epidemiological tracking and outbreak investigations.
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People Also Ask about

WNV IgM antibodies typically appear three to eight days after illness onset and persist 30 to 90 days (but can persist up to 500 days). WNV IgG antibodies appear shortly after IgM antibodies and persist greater than 500 days.
Call the WNV Call Center at 1-877-WNV-BIRD or file a report online.
West Nile virus can result in mild illness with flu-like symptoms or severe illness that affects the central nervous system or results in hospitalization or death. There is no treatment for West Nile virus disease (West Nile). Rest, fluids, and pain medications may relieve symptoms.
The most common diagnostic method used is IgM-capture enzyme-linked immunosorbent assay (ELISA). The sensitivity of this test is 95%–100% in both serum and spinal fluid (5). In most cases, the IgM is detectable in the serum and cerebrospinal fluid by onset of disease (communication from CDC).

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The West Nile Virus (WNV) Infection Case Report Supplemental Investigation Form is a document used by health authorities to collect detailed information on cases of WNV infection to aid in surveillance, prevention, and response efforts.
Healthcare providers diagnosing a case of West Nile Virus infection, as well as public health officials, are required to file the West Nile Virus Infection Case Report Supplemental Investigation Form.
To fill out the form, provide patient demographic information, medical history, clinical symptoms, laboratory test results, potential exposure history, and any other relevant epidemiological information.
The purpose of the form is to gather comprehensive data on WNV infections to better understand the spread of the virus, improve public health responses, and facilitate effective disease control measures.
The form must report patient identifiers, symptoms, onset dates, test results, exposure history, and demographic data such as age and geographic location.
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