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Thiamine Bug Submission Form Submitter Name: Address: City: Zip: County: Phone: Email: Geographic location where collected from (circle) (Physical address or GPS coordinates if known) House (inside
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Step 1: Obtain the triatomine bug submission form from the designated source.
02
Step 2: Read the instructions on the form carefully to understand the necessary information.
03
Step 3: Fill out your personal details, including your name, contact information, and affiliation (if applicable).
04
Step 4: Provide details about the triatomine bug, such as the species, size, and any identifying markings.
05
Step 5: Indicate where the bug was found, including the location, date, and any additional relevant information.
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Step 6: If possible, include any observations or additional notes about the bug or the circumstances of its discovery.
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Step 7: Check that all the information provided is accurate and complete.
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Step 8: Submit the filled-out form using the designated method, such as online submission or mailing it to the appropriate address.

Who needs triatomine bug submission form?

01
Researchers and scientists studying triatomine bugs.
02
Public health agencies monitoring the prevalence and distribution of triatomine bugs.
03
Individuals who have discovered a triatomine bug and want to report its presence.
04
Healthcare professionals encountering triatomine bugs in a clinical setting.
05
Government entities responsible for pest control and disease prevention.
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The triatomine bug submission form is a document used to report the presence of triatomine bugs, also known as kissing bugs, to health authorities.
Anyone who suspects or confirms the presence of triatomine bugs in their area is required to file the submission form.
To fill out the triatomine bug submission form, one must provide information about the location of the bugs, any related health concerns, and contact information for the person reporting.
The purpose of the triatomine bug submission form is to track the presence of these bugs and prevent the spread of Chagas disease.
Information such as date of sighting, location of sighting, description of bugs, and any related health symptoms must be reported on the form.
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