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NEW YORK STATE DEPARTMENT OF HEALTH Division of Epidemiology Confidential Case Report County of Residence Serial # Date of Report / / Patient Information Patient s Name Last Patient s Alias Guardian
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How to fill out doh 389:

01
Begin by obtaining a copy of the doh 389 form from the relevant authority. This form is typically used for a specific purpose, such as reporting health-related incidents or maintaining records.
02
Ensure that you have all the necessary information required to complete the form. This can include details such as personal information, dates, times, and any other relevant specific data.
03
Review the instructions provided with the form carefully. These instructions will guide you on how to accurately complete each section of the doh 389 form.
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Start filling out the form by entering your personal details in the appropriate section. This may include your full name, contact information, and any other required identifiers.
05
Move on to the main section of the doh 389 form, where you will provide the specific information related to the purpose of the form. This could involve describing the incident, providing medical details, or disclosing any necessary documentation.
06
Double-check your entries to ensure accuracy and completeness. Review all the information you have provided before proceeding to the next step.
07
Sign and date the form, as instructed. This verifies that the information you have provided is true and accurate to the best of your knowledge.
08
If required, make copies of the completed doh 389 form for your records or submission to relevant parties.
09
Submit the filled-out form as per the instructions provided. This could involve mailing it to the appropriate address, submitting it online, or delivering it in person.

Who needs doh 389:

01
Healthcare professionals: Doctors, nurses, and other healthcare providers may need to fill out the doh 389 form to report patient incidents, infectious diseases, or other health-related issues.
02
Public health departments: Government agencies responsible for public health and safety may require the completion of the doh 389 form for various purposes such as monitoring outbreaks, tracking data, or enforcing health regulations.
03
Individuals involved in health-related incidents: If you have experienced an incident that relates to public health, such as a food poisoning episode or exposure to a contagious disease, you may be required to fill out the doh 389 form to provide crucial information for investigation and preventive measures.
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Outbreaks: while individual cases of some diseases (e.g., streptococcal sore throat, head lice, impetigo, scabies and pneumonia) are not reportable, a cluster or outbreak of cases of any communicable disease is a reportable event.
The term NCDs refers to a group of conditions that are not mainly caused by an acute infection, result in long-term health consequences and often create a need for long-term treatment and care. These conditions include cancers, cardiovascular disease, diabetes and chronic lung illnesses.
Notifiable diseases Meningococcal meningitis and septicaemia. Meningitis. Typhoid Fever. Legionnaires' disease. Anthrax.
Most Common Infectious Diseases in the U.S. Chlamydia. 1/15. This sexually transmitted disease affects men and women. Influenza A and B. 2/15. Sudden fever and chills, muscle aches, headache, tiredness, sore throat, congestion. Staph. 3/15. E. Coli. Herpes Simplex 1. 5/15. Herpes Simplex 2. 6/15. Shigellosis. 7/15. Syphilis. 8/15.
✓ If the employee has a doctor diagnosed illnesses of: Salmonella, Shigella, E. coli 0157:H7, Entamoeba histolytica, hepatitis A, or Norovirus must be reported to local environmental health agency.
Four types of non-communicable diseases account for over two thirds of deaths globally: Cardiovascular diseases. Cancers. Diabetes. Chronic respiratory diseases.
Annual Summaries of Notifiable Diseases Cholera. Cryptosporidiosis. Cyclosporiasis. Giardiasis. Hepatitis A. Legionellosis. Malaria* Salmonellosis.
A disease that, when diagnosed, requires health providers (usually by law) to report to state or local public health officials.

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The doh 389 is a form used for reporting certain health data to the Department of Health.
Healthcare facilities and providers are required to file doh 389.
Doh 389 can be filled out online or submitted via mail with the required information.
The purpose of doh 389 is to monitor and track public health data for analysis and research.
Information such as patient demographics, diagnoses, treatments, and outcomes must be reported on doh 389.
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