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Appendix 102Mumps Surveillance Worksheet Name (Last, First)Hospital Record NumberAddress (Street and Number)CityCountyReporting Physician/Nurse/Hospital/Clinic/LabStateDEM165DEM161DEM162Zip CodeDEM163AddressPhone

How to fill out mumps surveillance worksheet- appendix

How to fill out mumps surveillance worksheet- appendix

1. To fill out the Mumps Surveillance Worksheet-Appendix, follow these steps:
2. Start by filling out the basic information section on the top of the form. This includes the date, name of the facility, and the person completing the form.
3. Next, gather the necessary data for each mumps case you are reporting. This includes details such as the date of onset, demographic information, and vaccination history.
4. In the following sections of the form, provide information about each case's symptoms, laboratory test results, and any complications that may have occurred.
5. If there are multiple cases to report, ensure that each case is documented separately on the form.
6. Additional sections of the form may include information about exposure settings, outbreak details, and control measures taken.
7. Once all the relevant information has been entered for each case, review the form for accuracy and completeness.
8. Finally, submit the completed Mumps Surveillance Worksheet-Appendix to the appropriate authority or department responsible for mumps surveillance in your jurisdiction.
9. Remember to follow any additional guidelines or instructions provided by your local health department or relevant regulatory agencies.

Who needs mumps surveillance worksheet- appendix?

1. The Mumps Surveillance Worksheet-Appendix is typically needed by healthcare professionals, epidemiologists, or personnel involved in mumps surveillance and outbreak investigations.
2. This form helps to collect and consolidate information about mumps cases, which is crucial for monitoring disease trends, identifying potential outbreaks, and implementing appropriate control measures.
3. Health departments, public health agencies, and other relevant authorities often utilize this worksheet to gather data for surveillance purposes and to inform public health interventions.
4. It is important for those responsible for mumps surveillance and control to accurately and promptly complete the Mumps Surveillance Worksheet-Appendix to ensure effective disease monitoring and response.

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What is mumps surveillance worksheet- appendix?

The mumps surveillance worksheet- appendix is a document used to track and report cases of mumps.

Who is required to file mumps surveillance worksheet- appendix?

Healthcare providers and facilities are required to file the mumps surveillance worksheet- appendix.

How to fill out mumps surveillance worksheet- appendix?

The mumps surveillance worksheet- appendix is typically filled out by entering information about mumps cases, including patient demographics and medical history.

What is the purpose of mumps surveillance worksheet- appendix?

The purpose of the mumps surveillance worksheet- appendix is to monitor and control the spread of mumps by documenting cases and identifying trends.

What information must be reported on mumps surveillance worksheet- appendix?

Information such as patient name, age, gender, vaccination status, symptoms, and date of diagnosis must be reported on the mumps surveillance worksheet- appendix.