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This form is effective beginning with the January 1 to June 30, 2017, accounting period (2017/1) If you are filing for a prior accounting period, contact the Licensing Division for the correct form.

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How to fill out high incidence and mortality

01

Research the specific disease or condition to determine the incidence and mortality rates.

02

Identify the population at risk for the disease or condition.

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Gather data from reputable sources such as government health agencies or medical journals.

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Calculate the number of new cases and deaths related to the disease or condition over a specific time period.

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Use this data to determine the incidence and mortality rates, typically expressed per 100,000 people.

Who needs high incidence and mortality?

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Public health officials

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Healthcare providers looking to improve treatment and prevention strategies

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What is high incidence and mortality?

High incidence and mortality refers to a situation where there is a high number of cases and deaths related to a specific disease or condition within a given population.

Who is required to file high incidence and mortality?

Healthcare providers, hospitals, and public health agencies are required to file high incidence and mortality reports.

How to fill out high incidence and mortality?

High incidence and mortality reports are typically filled out using specific forms provided by public health authorities, with information regarding the disease or condition, number of cases, and deaths.

What is the purpose of high incidence and mortality?

The purpose of high incidence and mortality reporting is to track and monitor the spread of diseases or conditions, and to implement appropriate public health measures.

What information must be reported on high incidence and mortality?

Information such as the disease or condition being reported, the number of cases, deaths, demographics of affected individuals, and any relevant risk factors must be reported on high incidence and mortality reports.

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