Get the free Combined InfluenzaHFMD Surveillance Form final.doc

National Surveillance Program Communicable Diseases Division Surveillance form (GP) To note: 1. Place specimen(s) in two Ziploc bags (outer bag with the biohazard logo). 2. Fax a copy to MOH at 6221

How to fill out combined influenzahfmd surveillance form

How to fill out combined influenzahfmd surveillance form

1. Step 1: Begin by entering the date and location of the surveillance form.
2. Step 2: Fill out the demographic information of the person being surveilled, including their name, age, and gender.
3. Step 3: Record the symptoms experienced by the person, such as fever, cough, sore throat, and body aches.
4. Step 4: Indicate whether the person has been vaccinated for influenza or not.
5. Step 5: Include any additional notes or relevant information about the case.
6. Step 6: Submit the completed form to the designated authority for further analysis and tracking.

Who needs combined influenzahfmd surveillance form?

1. The combined influenzahfmd surveillance form is needed by healthcare professionals, epidemiologists, and public health departments who are involved in monitoring and tracking cases of influenza and hand, foot, and mouth disease. It helps in collecting standardized data to understand the spread and impact of these diseases.

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What is combined influenzahfmd surveillance form?

The combined influenza and foot-and-mouth disease (HFMD) surveillance form is a standardized document used by health authorities to systematically collect data regarding influenza and HFMD cases for monitoring and public health decision-making.

Who is required to file combined influenzahfmd surveillance form?

Health care providers, laboratories, and designated health organizations are required to file the combined influenza HFMD surveillance form when they detect cases or outbreaks of influenza and HFMD.

How to fill out combined influenzahfmd surveillance form?

To fill out the combined influenza HFMD surveillance form, respondents should provide detailed information including patient demographics, clinical symptoms, laboratory results, and any relevant epidemiological data as specified in the form's instructions.

What is the purpose of combined influenzahfmd surveillance form?

The purpose of the combined influenza HFMD surveillance form is to facilitate the monitoring of influenza and HFMD trends, help in planning responses to outbreaks, and inform public health policies.

What information must be reported on combined influenzahfmd surveillance form?

The form requires information such as patient identification details, onset date of symptoms, diagnostic tests conducted, vaccination status, and any relevant travel history or exposure to outbreaks.