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Avian Influenza Case Surveillance Report of Suspect, Probable or Confirmed Case of Influenza A (H or H5N1) Date of Notification to Public Health Department: Notifying Clinician: Notifying Institute

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What is avian influenza form?

The avian influenza form is a document that is used to report cases of avian influenza or bird flu.

Who is required to file avian influenza form?

Poultry farmers, veterinarians, and anyone else who has knowledge of a suspected or confirmed case of avian influenza are required to file the avian influenza form.

How to fill out avian influenza form?

To fill out the avian influenza form, provide all the necessary information requested, such as details about the affected birds, their location, and any relevant laboratory test results, if available.

What is the purpose of avian influenza form?

The purpose of the avian influenza form is to gather information about suspected or confirmed cases of avian influenza in order to monitor and control the spread of the disease.

What information must be reported on avian influenza form?

The avian influenza form typically requires information such as the number and species of affected birds, the location of the outbreak, clinical signs observed, laboratory test results, and contact information of the person reporting the case.

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