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Appendix 105Mumps Surveillance Worksheet MUMPS MAGNATE (last) (first)GENERIC MISADDRESS (Street and No.) monthPID7daySex Male PID8yearHospital Record No. This information will not be sent to REPORTING
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Gather all necessary information and data related to mumps surveillance.
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Open the mumps surveillance worksheet-appendix 10-5 form.
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Start filling out the form from top to bottom.
04
Enter the date and relevant details as required in the first section of the form.
05
Proceed to the next section and provide information about the suspected or confirmed mumps cases.
06
Fill in the details of each case, including the patient's name, age, sex, and contact information.
07
Record the date of onset, onset symptoms, vaccination history, and laboratory results for each case.
08
Continue filling out the form by providing information about contacts of the mumps cases.
09
Specify the date of contact, relationship to the case, and any symptoms or vaccination history of contacts.
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Medical facilities and healthcare providers reporting mumps cases to health authorities.
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The mumps surveillance worksheet-appendix 10-5 is a form used to track and report cases of mumps in a particular population or community.
Healthcare providers, public health agencies, and other entities responsible for monitoring and reporting infectious diseases are required to file mumps surveillance worksheet-appendix 10-5.
The mumps surveillance worksheet-appendix 10-5 should be filled out with information on each suspected or confirmed case of mumps, including demographic information, symptoms, laboratory results, and vaccination history.
The purpose of mumps surveillance worksheet-appendix 10-5 is to monitor and track the spread of mumps within a population, identify outbreaks, and implement control measures.
Information such as patient demographics, symptoms, laboratory results, vaccination history, and possible sources of exposure must be reported on the mumps surveillance worksheet-appendix 10-5.
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