Get the free Influenza Surveillance Specimen Submission Form

This form is used for the submission of specimens for influenza surveillance and testing by the Tarrant County Public Health Department.

How to fill out influenza surveillance specimen submission

How to fill out Influenza Surveillance Specimen Submission Form

1. Obtain the Influenza Surveillance Specimen Submission Form from the relevant health department or organization.
2. Fill out the patient’s demographic information, including name, age, sex, and contact details.
3. Provide clinical information such as symptoms, onset date, and any relevant medical history.
4. Indicate the type of specimen being submitted (e.g., nasal swab, throat swab).
5. Include the date of specimen collection and any relevant testing protocols that were followed.
6. Sign and date the form to confirm that all information is accurate.
7. Submit the completed form along with the specimen as per the submission guidelines.

Who needs Influenza Surveillance Specimen Submission Form?

1. Healthcare providers who are conducting influenza tests.
2. Public health officials monitoring influenza trends.
3. Laboratories performing diagnostic testing for influenza.
4. Researchers studying influenza viruses and their impacts.

People Also Ask about

What is influenza surveillance?

Influenza surveillance is the collection, compilation and analysis of information on influenza activity in a defined population. This could be a country, specific population groups or a region.

Who influenza surveillance program?

Global Influenza Surveillance and Response System. The Global Influenza Surveillance and Response System (GISRS) is a global network of laboratories that has the purpose to monitor the spread of influenza with the aim to provide the World Health Organization with influenza control information.

What is flu surveillance?

The purpose of systematic surveillance of influenza activity is to: better understand when and where influenza activity is occurring; determine which influenza viruses are circulating; detect changes (mutations) in influenza virus; and. measure the impact influenza is having on illness, hospitalizations and deaths.

What is one of the functions of the World Health Organization influenza surveillance Network?

Influenza surveillance data help estimate influenza burden of disease study (of severe diseases, hospitalization and deaths), which in turn contribute to vaccine effectiveness studies and the development of new vaccines.

What is meant by disease surveillance?

Disease surveillance is an ongoing process that involves the systematic collection, analysis, interpretation, and dissemination of information regarding the occurrence of diseases in defined populations for public health action to reduce morbidity and mortality.

What is the influenza surveillance program?

The main objectives of influenza surveillance are: to measure the impact of the disease by collection and analysis of epidemiological information on morbidity and mortality, and to anticipate future epidemics and pandemics by the collection and analysis ofinfluenza viruses.

What is CDC laboratory support for influenza surveillance clsis SharePoint site?

The CDC Laboratory Support for Influenza Surveillance (CLSIS) SharePoint Site is intended to facilitate technical support for domestic U.S. and international public health and research institutions performing influenza laboratory surveillance and/or research.

Who surveillance influenza?

The WHO Global Influenza Programme provides a global platform for influenza and other respiratory viruses surveillance data reporting and analysis. The information is shared through FluNet and fluID by the Global Influenza Surveillance and Response System (GISRS) and national epidemiological institutions.

What is the purpose of a surveillance system?

Surveillance is used by citizens, for instance for protecting their neighborhoods. It is widely used by governments for intelligence gathering, including espionage, prevention of crime, the protection of a process, person, group or object, or the investigation of crime.

For pdfFiller’s FAQs

What is Influenza Surveillance Specimen Submission Form?

The Influenza Surveillance Specimen Submission Form is a document used by healthcare providers and laboratories to report and submit specimens for influenza testing as part of a surveillance program.

Who is required to file Influenza Surveillance Specimen Submission Form?

Healthcare providers, laboratories, and institutions involved in the collection and analysis of influenza specimens are required to file the Influenza Surveillance Specimen Submission Form.

How to fill out Influenza Surveillance Specimen Submission Form?

To fill out the Influenza Surveillance Specimen Submission Form, one must provide details such as patient demographics, specimen type, collection date, clinical information, and any relevant laboratory results. It's important to ensure that all fields are completed accurately.

What is the purpose of Influenza Surveillance Specimen Submission Form?

The purpose of the Influenza Surveillance Specimen Submission Form is to facilitate the collection, tracking, and analysis of influenza specimens to monitor the prevalence and trends of influenza viruses in the population.

What information must be reported on Influenza Surveillance Specimen Submission Form?

The information that must be reported on the Influenza Surveillance Specimen Submission Form includes patient identifiers, date of specimen collection, type of specimen, clinical presentation, and any previous vaccination history related to influenza.