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Get the free Outbreak Notification Form - Department of Health Portal

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Section 9 OutbreaksOutbreaksSection 9 10 Outbreak Notification Report Page 1 of 9 2020 09 30Guide for Completing the Outbreak Notification and Summary Report The outbreak notification form is available
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How to fill out outbreak notification form

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How to fill out outbreak notification form

01
Gather the required information such as name of the disease outbreak, date of onset, location of outbreak, number of affected individuals, etc.
02
Complete all sections of the outbreak notification form accurately and legibly.
03
Submit the form to the designated authority or agency responsible for monitoring and managing outbreaks.

Who needs outbreak notification form?

01
Healthcare providers
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Laboratories
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Public health agencies
04
Government officials
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An outbreak notification form is a document used to report instances of infectious disease outbreaks to public health authorities.
Public health officials, healthcare providers, and other entities that identify or suspect an outbreak must file the outbreak notification form.
To fill out the outbreak notification form, provide details such as the type of outbreak, number of cases, affected population, and contact information for follow-up.
The purpose of the outbreak notification form is to inform health authorities about potential outbreaks for timely investigation and response.
The form must include information on the outbreak's location, causative agent, number of affected individuals, onset dates, and contact details.
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