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Influenza-Associated Pediatric Deaths Case Report Form approved OMB No. 0920-0007 STATE USE ONLY DO NOT SEND INFORMATION IN THIS SECTION TO CDC Last Name: Address: First Name: City: County: State,
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How to fill out influenza-associated pediatric deaths case

01
To fill out the influenza-associated pediatric deaths case, gather all relevant information about the case, including the child's age, symptoms, and medical history.
02
Begin the case by documenting the child's personal information, such as their name, date of birth, and contact details.
03
Record the date and location of the child's death, as well as the cause of death, if known.
04
Document the child's medical history, including any underlying medical conditions or immunization status.
05
Describe the symptoms the child experienced leading up to their death, including the duration and severity.
06
Indicate whether the child received any medical treatment prior to their death, such as antiviral medications or hospitalization.
07
Include information about any laboratory tests performed, such as influenza diagnostic tests or postmortem examinations.
08
List the contributing factors or comorbidities, if any, that may have played a role in the child's death.
09
Keep track of any contacts the child may have had with individuals who were diagnosed with influenza.
10
Submit the completed influenza-associated pediatric deaths case to the appropriate health authorities or surveillance systems for analysis and monitoring purposes.
Who needs influenza-associated pediatric deaths case?
01
Health departments and public health agencies require influenza-associated pediatric deaths cases to track and monitor the impact of influenza on the pediatric population.
02
Epidemiologists and researchers utilize these cases to study the characteristics and risk factors associated with influenza-related deaths in children.
03
Medical professionals and clinicians may use the information from these cases to improve clinical management and preventive measures for pediatric influenza cases.
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What is influenza-associated pediatric deaths case?
Influenza-associated pediatric deaths case refers to the reporting of deaths related to influenza in children under the age of 18.
Who is required to file influenza-associated pediatric deaths case?
Healthcare professionals and institutions are required to file influenza-associated pediatric deaths case.
How to fill out influenza-associated pediatric deaths case?
The influenza-associated pediatric deaths case can be filled out by providing the necessary information about the deceased child, their influenza diagnosis, medical history, and other relevant details.
What is the purpose of influenza-associated pediatric deaths case?
The purpose of influenza-associated pediatric deaths case is to track and monitor the number of deaths associated with influenza in children, understand the patterns and severity of the disease, and implement appropriate preventive measures.
What information must be reported on influenza-associated pediatric deaths case?
The information that must be reported on influenza-associated pediatric deaths case includes the name and age of the child, date of death, influenza diagnosis, underlying medical conditions, and any additional relevant information.
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