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DEPARTMENT OF HEALTH SERVICES STATE OF WISCONSIN Division of Public HealthF44151 (Rev. 08/08) ACUTE & COMMUNICABLE DISEASE CASE REPORT Information for completing this form on reverse side s. 252.05,
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Begin by gathering all necessary information about the acute and communicable disease, such as its symptoms, causes, and treatment options.
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Make sure you have access to the appropriate forms and documents required to fill out the report for the disease.
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Start by entering the patient's personal information, including their name, age, and contact details.
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Provide a detailed description of the symptoms and signs observed in the patient, along with the date of onset.
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Indicate any laboratory tests or diagnostic procedures performed to confirm the diagnosis of the disease.
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Record any medical treatments and medications administered to the patient, including dosages and frequencies.
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Include information regarding the patient's vaccination history and immunization status, if applicable.
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Provide details about any potential sources or modes of transmission of the disease.
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Include information about any preventive measures or interventions taken to control the spread of the disease.
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Finally, review the filled-out form for accuracy and completeness before submitting it to the appropriate authorities.

Who needs acute amp communicable disease?

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Healthcare professionals, such as doctors, nurses, and epidemiologists, need acute and communicable disease information to diagnose, treat, and prevent the spread of such diseases.
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Public health officials and organizations require this information to monitor disease outbreaks, implement appropriate public health measures, and develop strategies to control and prevent further transmission.
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Individuals who suspect they have an acute and communicable disease or have been exposed to one may also need this information to seek appropriate medical care and take necessary precautions to protect themselves and others.

What is ACUTE & COMMUNICABLE DISEASE CASE REPORT Form?

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Acute and communicable diseases are illnesses that are of short duration and easily spread from person to person.
Healthcare providers and certain institutions are required to report cases of acute and communicable diseases to public health authorities.
The reporting can usually be done electronically through a designated system provided by public health authorities.
The purpose of reporting acute and communicable diseases is to monitor and control the spread of such illnesses in the community.
Information such as the patient's demographics, symptoms, diagnosis, and other relevant details must be reported.
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