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InfluenzaAssociated Pediatric Mortality Reporting Form Instructions SVI USE ONLY Section (case report form only) This section at the top of the form should be used by health departments to record
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How to fill out influenza-associated pediatric mortality case
How to fill out influenza-associated pediatric mortality case
01
Gather relevant information including patient demographics, medical history, and symptoms.
02
Complete the influenza-associated pediatric mortality case report form.
03
Include information on laboratory results, vaccination history, and any underlying medical conditions.
04
Submit the completed form to the appropriate public health authorities.
Who needs influenza-associated pediatric mortality case?
01
Healthcare providers who have identified a pediatric patient who has died of influenza.
02
Public health officials who are monitoring influenza-related mortality rates in children.
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What is influenza-associated pediatric mortality case?
Influenza-associated pediatric mortality case refers to a case where a child's death is linked to complications from influenza infection.
Who is required to file influenza-associated pediatric mortality case?
Healthcare providers or medical examiners are required to file influenza-associated pediatric mortality case.
How to fill out influenza-associated pediatric mortality case?
To fill out the case, relevant information about the child's medical history, influenza symptoms, treatment received, and cause of death must be documented.
What is the purpose of influenza-associated pediatric mortality case?
The purpose of the case is to track and monitor influenza-related deaths in children to better understand the impact of the virus and improve preventive measures.
What information must be reported on influenza-associated pediatric mortality case?
Information such as the child's age, gender, vaccination status, date of illness onset, date of death, laboratory testing results, underlying health conditions, and autopsy findings must be reported.
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