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Smallpox Case Investigation Supplementary Form 1B- page 2 Case Report STATE Clinical Course Disposition Survived 11. OUTCOME Died 12. DATE OF DEATH Month Day Yes 13. AUTOPSY PERFORMED Year No Unknown DATE 14. SITE AUTOPSY PERFORMED NAME OF PATHOLOGIST Site/Institute TELEPHONE Area Code City Number State Laboratory Information 15. LAB TESTING FOR SMALLPOX Mark those that apply DATE SPECIMEN TAKEN PCR Culture Electronic Microscopy IgM IgG Acute IgG Convalescent // RESULT TYPE OF SPECIMEN SKIN...

How to fill out smallpox case investigation supplementary

How to fill out Smallpox Case Investigation Supplementary (Form 1B- page 2)

1. Start with the patient’s information: Fill out the patient's name, age, gender, and contact details.
2. Document the date of symptom onset: Clearly specify the date when the symptoms first appeared.
3. Provide vaccination history: Indicate the patient's smallpox vaccination status, including dates and details of past vaccinations.
4. Detail exposure history: Record any potential exposures to known cases of smallpox or individuals who were vaccinated recently.
5. Fill in clinical information: Describe the symptoms experienced by the patient, including fever and rash development.
6. Include laboratory test results: If available, attach results from any diagnostic tests conducted.
7. Sign and date the form: Ensure that the person completing the form adds their signature and the date of completion.

Who needs Smallpox Case Investigation Supplementary (Form 1B- page 2)?

1. Healthcare providers who suspect a case of smallpox.
2. Public health officials investigating potential outbreaks.
3. Researchers conducting studies related to smallpox.
4. Epidemiologists tracking disease patterns.

People Also Ask about

Who was the English doctor smallpox?

Like any other doctor of the time, Edward Jenner carried out variolation to protect his patients from smallpox. However, from the early days of his career Edward Jenner had been intrigued by country-lore which said that people who caught cowpox from their cows could not catch smallpox.

Why don't I have a smallpox vaccine scar?

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.

When was the last confirmed case of smallpox in the US?

Thanks to the success of vaccination, smallpox was eradicated, and no cases of naturally occurring smallpox have happened since 1977. The last natural outbreak of smallpox in the United States occurred in 1949. The World Health Assembly declared smallpox eradicated in 1980.

For pdfFiller’s FAQs

What is Smallpox Case Investigation Supplementary (Form 1B- page 2)?

The Smallpox Case Investigation Supplementary (Form 1B- page 2) is a document used for reporting and tracking smallpox cases, specifically to gather detailed information about the case for public health monitoring.

Who is required to file Smallpox Case Investigation Supplementary (Form 1B- page 2)?

Healthcare providers, epidemiologists, and public health officials who are investigating confirmed or suspected smallpox cases are required to file this form.

How to fill out Smallpox Case Investigation Supplementary (Form 1B- page 2)?

To fill out the form, the investigator should follow the instructions provided on the form, ensuring all relevant patient information, exposure history, clinical data, and laboratory results are documented accurately.

What is the purpose of Smallpox Case Investigation Supplementary (Form 1B- page 2)?

The purpose of the form is to collect comprehensive data on smallpox cases to aid in surveillance, outbreak management, and epidemiological research, ensuring public health responses are effective.

What information must be reported on Smallpox Case Investigation Supplementary (Form 1B- page 2)?

The form requires reporting of patient demographics, clinical features, vaccination history, exposure history, laboratory test results, and any public health interventions undertaken.