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BASIC Questionnaire template for local event Outbreaks EXECUTIVE SUMMARY This template works for most \” local event\” outbreaks of gastroenteritis (restaurants, weddings, etc). This is a template;
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How to fill out basic outbreak questionnaire template

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How to fill out basic outbreak questionnaire template

01
Start by entering the date of the outbreak
02
Provide information on the location where the outbreak occurred
03
List the symptoms experienced by those affected
04
Include demographic information such as age, gender, and occupation of individuals involved
05
Document any potential sources of the outbreak
06
Record any actions taken to control and prevent further spread of the outbreak

Who needs basic outbreak questionnaire template?

01
Health officials
02
Medical professionals
03
Emergency response teams

What is Basic Outbreak Questionnaire Template - Oregon.gov Form?

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The basic outbreak questionnaire template is a standardized form used to gather information about an outbreak of a communicable disease.
Healthcare facilities and public health departments are required to file basic outbreak questionnaire templates.
The basic outbreak questionnaire template should be filled out by providing accurate and detailed information about the outbreak, including dates, locations, and impacted individuals.
The purpose of the basic outbreak questionnaire template is to help track and investigate outbreaks of communicable diseases in order to prevent further spread.
Information such as the nature of the disease, number of cases, affected populations, and possible sources of infection must be reported on the basic outbreak questionnaire template.
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