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Michigan Hepatitis A Outbreak Questionnaire May 2018 Interviewer Name: ___Interview Date: ___Health Department: ___Phone number: ___Interviewers: This form should be used as a supplement to the standard
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How to fill out hepatitis a virus infection
How to fill out hepatitis a virus infection
01
Obtain hepatitis A vaccine from healthcare provider or pharmacy.
02
Schedule an appointment to receive the vaccine.
03
Inform healthcare provider of any allergies or medical conditions before receiving the vaccine.
04
Receive the vaccine via injection in the arm.
05
Follow up with second dose as recommended by healthcare provider.
Who needs hepatitis a virus infection?
01
Individuals who are at increased risk of hepatitis A infection such as travelers to countries with high prevalence of the virus.
02
People with chronic liver disease or conditions that weaken the immune system.
03
Those who work in healthcare settings or in close contact with infected individuals.
04
Men who have sex with men.
05
People who use injectable drugs.
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What is hepatitis a virus infection?
Hepatitis A virus infection is a contagious liver infection caused by the hepatitis A virus.
Who is required to file hepatitis a virus infection?
Healthcare professionals and public health authorities are required to report cases of hepatitis A virus infection.
How to fill out hepatitis a virus infection?
Hepatitis A virus infection can be reported through electronic submission of laboratory test results or by completing a case report form.
What is the purpose of hepatitis a virus infection?
The purpose of reporting hepatitis A virus infection is to track and monitor the spread of the virus in order to implement public health interventions.
What information must be reported on hepatitis a virus infection?
Information such as patient demographics, clinical symptoms, laboratory test results, and potential sources of infection must be reported on hepatitis A virus infection.
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