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ZIKA CONGENITAL CASE INVESTIGATION FORM NCIS ID:Date of notification: / / Date of interview: / / DEMOGRAPHIC DETAILS First Name:Surname:DOB:Address:Suburb:Postcode:Phone (home):Phone (mobile):Email:Indigenous
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How to fill out zika congenital case investigation

01
To fill out zika congenital case investigation, follow these steps:
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Begin by gathering all necessary information about the case, including the patient's medical history, laboratory test results, and any relevant clinical documentation.
03
Complete the demographic information section, which includes details such as the patient's name, age, gender, and contact information.
04
Provide information about the pregnancy, including the gestational age, date of onset of symptoms, and any prenatal care received.
05
Document any symptoms and physical findings observed in the infant, including microcephaly, eye abnormalities, hearing loss, and other related conditions.
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Include details about the mother's exposure to Zika virus during pregnancy, such as travel history to affected areas, presence of mosquito bites, or sexual contact with an infected partner.
07
List any laboratory tests conducted on the infant, including results for Zika virus testing, serologic testing, and viral culture.
08
Provide additional information about any other relevant factors, such as the presence of other birth defects or developmental delays in the infant.
09
Review the completed investigation form for accuracy and completeness before submitting it for further analysis and evaluation.
10
Keep all records and documentation related to the zika congenital case investigation for future reference or follow-up.
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Remember to follow any additional guidelines or requirements set forth by your local health department or relevant authorities.

Who needs zika congenital case investigation?

01
Zika congenital case investigation is needed for:
02
- Infants who are suspected or confirmed to have congenital Zika syndrome (CZS)
03
- Infants with microcephaly or other birth defects potentially associated with Zika virus infection
04
- Pregnant women with confirmed Zika virus infection
05
- Pregnant women with potential exposure to Zika virus (e.g., travel to areas with ongoing transmission, sexual contact with an infected individual)
06
- Healthcare providers or researchers studying Zika virus and its impact on pregnancy and infant health
07
- Public health agencies and organizations involved in surveillance and prevention efforts related to Zika virus
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Zika congenital case investigation is the process of gathering data and analyzing cases where infants are born with birth defects associated with Zika virus infection during pregnancy.
Healthcare providers, including physicians and hospitals, are required to file zika congenital case investigations when they identify relevant cases.
To fill out a zika congenital case investigation, healthcare providers must collect relevant clinical data, maternal history, and any laboratory results related to Zika virus exposure and its effects during pregnancy.
The purpose of zika congenital case investigation is to monitor and understand the impact of Zika virus on fetal development and to implement appropriate public health responses.
Information required in zika congenital case investigations includes maternal Zika virus exposure and symptoms, infant birth defects, laboratory test results, and outcomes of the pregnancy.
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