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Contact Line List for Pertussis Outbreaks Name of Case: Contact NameAgeSex Phone numerate of Illness Onset: Relation to Baselines in same household (Y/N)Division of Infectious Disease Epidemiology

How to fill out communicable disease reporting and

How to fill out communicable disease reporting and

1. Step 1: Gather all necessary information such as patient demographics, symptoms, diagnosis, and laboratory test results.
2. Step 2: Use a communicable disease reporting form provided by the local health department or government agency.
3. Step 3: Fill out the form with accurate and complete information.
4. Step 4: Include the patient's personal information, such as name, age, gender, and contact details.
5. Step 5: Provide details about the disease, including the name, type, and any relevant codes or classifications.
6. Step 6: Document the date of disease onset and the dates of diagnosis and reporting.
7. Step 7: Include information about the healthcare provider, such as name, contact details, and license number.
8. Step 8: Submit the completed form to the appropriate health department or agency through the designated channels.
9. Step 9: Retain a copy of the report for your records.

Who needs communicable disease reporting and?

1. Healthcare providers, including doctors, nurses, and other medical professionals, who diagnose or treat patients with communicable diseases.
2. Laboratories that perform tests for communicable diseases and identify positive cases.
3. Hospitals, clinics, and other healthcare facilities where patients with communicable diseases seek treatment.
4. Local health departments, government agencies, and public health authorities responsible for disease surveillance and control.
5. Researchers and epidemiologists studying communicable diseases.
6. Any individual or organization involved in public health and disease prevention efforts.

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