Get the free Dengue Case Investigation Form 06-01-16.doc

Dengue Case Investigation NBS Patient ID: Denguelike illness Dengue Severe DenguePLEASE PRINT LEGIBLYPatient Information Last Name: First Name Date of Birth: / / Sex: Male Female UnknownStreet Address:

How to fill out dengue case investigation form

How to fill out dengue case investigation form

1. Step 1: Start by gathering all the necessary information about the dengue case, such as the patient's personal details, medical history, and symptoms.
2. Step 2: Fill out the patient's personal information section, including their name, age, address, and contact details.
3. Step 3: Provide details about the patient's medical history, such as any pre-existing conditions or medications they are taking.
4. Step 4: Document the symptoms experienced by the patient, including the onset date, duration, and severity of each symptom.
5. Step 5: Include any laboratory test results or diagnostic procedures performed on the patient.
6. Step 6: Describe the patient's travel history, if applicable, including recent trips to dengue-endemic areas.
7. Step 7: Provide information about the patient's potential exposure to dengue mosquitoes, such as living in an area with high mosquito activity or having contact with infected individuals.
8. Step 8: Record the dates and locations of mosquito bite investigations, if conducted.
9. Step 9: Finally, review the completed form for accuracy and ensure all relevant sections are filled out.
10. Step 10: Submit the filled-out dengue case investigation form to the appropriate authorities or healthcare provider.

Who needs dengue case investigation form?

1. Healthcare providers
2. Public health agencies
3. Epidemiologists
4. Medical researchers
5. Government agencies

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What is dengue case investigation form?

The dengue case investigation form is a document used to collect information about individuals who have been diagnosed with dengue fever.

Who is required to file dengue case investigation form?

Healthcare professionals and facilities are required to file the dengue case investigation form for patients diagnosed with dengue fever.

How to fill out dengue case investigation form?

The dengue case investigation form can be filled out by providing relevant information about the patient's symptoms, travel history, and laboratory test results.

What is the purpose of dengue case investigation form?

The purpose of the dengue case investigation form is to track and monitor cases of dengue fever in order to prevent outbreaks and guide public health interventions.

What information must be reported on dengue case investigation form?

Information such as the patient's demographics, symptoms, laboratory test results, and travel history must be reported on the dengue case investigation form.