Get the free Smallpox Post-Event Surveillance Form - bt cdc

Form 1 Smallpox Post-Event Surveillance Form Instructions Forms 1 2A 2B 2C and 2D some sections are filled out by the case investigator or interviewer. The case investigator/interview will return the forms to the State Coordination Center Supervisor. The Supervisor will assign the partially filled out Form 2Ds to contact tracers for contact tracing and surveillance. The contact tracers will fill out the rest of Form 2D and initiate Form 2E for both Household Contacts and Primary Contacts. The...

How to fill out smallpox post-event surveillance form

How to fill out Smallpox Post-Event Surveillance Form

1. Begin by entering the date of the event in the designated field.
2. Fill in the patient’s personal information, including name, age, and contact details.
3. Indicate the location of the event where potential exposure occurred.
4. Record any symptoms exhibited by the individual, including date of onset.
5. Provide vaccination history related to smallpox, including dates and types of vaccines received.
6. Include details of any known exposure to smallpox or individuals displaying symptoms.
7. Complete sections regarding laboratory testing results if applicable.
8. Review the form for completeness and accuracy before submission.

Who needs Smallpox Post-Event Surveillance Form?

1. Healthcare professionals monitoring potential smallpox cases.
2. Epidemiologists investigating outbreaks or exposure events.
3. Public health officials implementing surveillance protocols.
4. Emergency responders in case of bioterrorism or smallpox threat.

People Also Ask about

At what age were you given the smallpox vaccine?

A different version of the smallpox vaccine was at one time given routinely to all children in the United States at about 1 year of age. By the 1960s, the risk of smallpox in the United States was dramatically reduced.

What is the rarest form of smallpox?

Flat-type (malignant) smallpox Flat-type—or malignant—smallpox is very rare, and is characterized by intense toxemia. It occurs more frequently in children.

Does the smallpox vaccine require a booster?

This vaccine is given by using a needle to poke or jab the skin on your upper arm. You may need a booster dose of this vaccine every three years to maintain protection against smallpox. Ask your doctor if you will need another dose of this vaccine.

What is surveillance and containment of smallpox?

The strategy of “surveillance-containment” was simple in design. Teams of healthcare workers would actively seek out (i.e., search) for all potential cases of smallpox as quickly as possible.

Does smallpox vaccination last for life?

Smallpox vaccination can protect you from smallpox for about 3 to 5 years. After that time, its ability to protect you decreases. If you need long-term protection, you may need to get a booster vaccination. Historically, the vaccine has been effective in preventing smallpox infection in 95% of those vaccinated.

What is the protocol for a smallpox vaccination?

the skin rapidly with the needle 15 times (or the number of times specified in the vaccine package insert). Keep the needle pricks within an area approximately 5 mm in diameter. A trace of blood should appear at the vaccination site within 10 to 20 seconds.

What is smallpox information in English?

Smallpox is a serious and often deadly viral infection. It's contagious — meaning it spreads from person to person — and can cause permanent scarring. Sometimes, it causes disfigurement. Smallpox has affected humans for thousands of years but was wiped out worldwide by 1980 thanks to smallpox vaccines.

For pdfFiller’s FAQs

What is Smallpox Post-Event Surveillance Form?

The Smallpox Post-Event Surveillance Form is a document used to collect data on possible smallpox cases following an event that raises concerns about the re-emergence of smallpox.

Who is required to file Smallpox Post-Event Surveillance Form?

Healthcare providers, epidemiologists, and public health professionals are required to file the Smallpox Post-Event Surveillance Form whenever they suspect a case of smallpox.

How to fill out Smallpox Post-Event Surveillance Form?

To fill out the Smallpox Post-Event Surveillance Form, one should provide detailed information about the patient, including their symptoms, vaccination history, exposure history, and any laboratory findings.

What is the purpose of Smallpox Post-Event Surveillance Form?

The purpose of the Smallpox Post-Event Surveillance Form is to monitor and investigate potential smallpox cases and to facilitate rapid public health responses to any suspected outbreaks.

What information must be reported on Smallpox Post-Event Surveillance Form?

The information that must be reported includes patient demographics, clinical symptoms, vaccination status, contact history, and any relevant laboratory results.