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Appendix 20Varicella Surveillance Worksheet Generic MAGNATE (last) (first)Varicella MISADDRESS (Street and No.) PhoneSUBJECT ADDRESS CITY PID11.3 SUBJECT ADDRESS STATE PID11.4 SUBJECT ADDRESS COUNTY
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How to fill out varicella surveillance worksheet
How to fill out varicella surveillance worksheet
01
To fill out the varicella surveillance worksheet, follow these steps:
02
Start by gathering all the necessary information such as the patient's name, age, and contact details.
03
Record the date of the varicella diagnosis.
04
Specify the type of varicella case, whether it is primary or breakthrough.
05
Include the source of infection if known.
06
Note any complications or hospitalizations related to varicella.
07
Document any vaccination history and indicate the vaccine type and dates administered.
08
Provide additional remarks or observations relevant to the varicella case.
09
Finally, review the completed worksheet for accuracy and make any necessary corrections before submitting it.
Who needs varicella surveillance worksheet?
01
The varicella surveillance worksheet is typically needed by healthcare professionals, epidemiologists, or public health agencies involved in tracking and monitoring varicella cases within a community or population.
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What is varicella surveillance worksheet?
Varicella surveillance worksheet is a form used to track and monitor cases of chickenpox in a specific population.
Who is required to file varicella surveillance worksheet?
Healthcare providers, schools, and public health agencies are required to file varicella surveillance worksheet.
How to fill out varicella surveillance worksheet?
Varicella surveillance worksheet can be filled out by documenting the number of cases, symptoms, and demographic information of individuals with chickenpox.
What is the purpose of varicella surveillance worksheet?
The purpose of varicella surveillance worksheet is to help track and prevent the spread of chickenpox in a community.
What information must be reported on varicella surveillance worksheet?
Information such as the number of cases, symptoms, age, gender, and vaccination status of individuals with chickenpox must be reported on varicella surveillance worksheet.
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