Get the free Line List for Pertussis Outbreaks

Division of Infectious Disease Epidemiology 350 Capitol St., Room 125, Charleston, WV, 25301 Phones: (304) 5585358 ext. 1; Fax: (304) 5588736; Answering Service (304) 9259946Contact Tracing Completed

How to fill out line list for pertussis

How to fill out line list for pertussis

1. Step 1: Write the date when the case was reported.
2. Step 2: Write the patient's full name, including first name and last name.
3. Step 3: Write the patient's date of birth.
4. Step 4: Write the patient's gender.
5. Step 5: Write the patient's address, including city, state, and zip code.
6. Step 6: Write the patient's contact information, including phone number and email address if available.
7. Step 7: Write the date of the onset of symptoms.
8. Step 8: Write the date of the diagnosis.
9. Step 9: Write the name of the healthcare provider who made the diagnosis.
10. Step 10: Write the laboratory test results, if any.
11. Step 11: Write the vaccination history of the patient.
12. Step 12: Write any relevant medical history of the patient.
13. Step 13: Write any complications or hospitalizations related to the pertussis case.
14. Step 14: Write any other relevant information or notes.

Who needs line list for pertussis?

1. Line list for pertussis is needed by healthcare providers, public health officials, and epidemiologists for tracking and monitoring pertussis cases, identifying potential outbreaks, and analyzing disease patterns.

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What is line list for pertussis?

A line list for pertussis is a systematic record of individuals diagnosed with pertussis, including relevant details for tracking and managing outbreaks.

Who is required to file line list for pertussis?

Healthcare providers and facilities that diagnose or treat patients with pertussis are required to file a line list.

How to fill out line list for pertussis?

To fill out a line list for pertussis, collect patient information such as name, age, diagnosis date, vaccination status, and contact details, and then input this data into the designated format or system.

What is the purpose of line list for pertussis?

The purpose of the line list for pertussis is to monitor and control the spread of the disease, facilitate public health responses, and support epidemiological investigations.

What information must be reported on line list for pertussis?

The information that must be reported includes the patient's name, date of birth, diagnosis date, vaccination history, symptoms, and contact information.