Get the free Drug Overdose Surveillance and Epidemiology (DOSE)
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OVERDOSE REPORT FORM
To be sent to the Department of Public Health confidential fax number: 1 866 8678026
or at surveillance.vigie.nrbhss@ssss.gouv.qc.ca during office hours Details for use on reverse
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How to fill out drug overdose surveillance and
How to fill out drug overdose surveillance and
01
Contact local health department to understand reporting requirements and forms.
02
Collect data on drug overdose cases including demographics, substances involved, and outcome.
03
Submit completed forms and data to designated agency for analysis and monitoring.
04
Review and analyze surveillance data to identify trends and patterns of drug overdose.
Who needs drug overdose surveillance and?
01
Healthcare providers
02
Public health agencies
03
Government organizations
04
Community organizations
05
Law enforcement agencies
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What is drug overdose surveillance and?
Drug overdose surveillance is the ongoing and systematic collection, analysis, interpretation, and dissemination of data on drug overdose deaths and nonfatal drug overdoses.
Who is required to file drug overdose surveillance and?
Healthcare providers, hospitals, and health departments are required to file drug overdose surveillance.
How to fill out drug overdose surveillance and?
Drug overdose surveillance can be filled out by reporting information on drug overdose cases, including demographic information, substances involved, and circumstances of the overdose.
What is the purpose of drug overdose surveillance and?
The purpose of drug overdose surveillance is to track trends, identify risk factors, and inform public health interventions to prevent drug overdoses.
What information must be reported on drug overdose surveillance and?
Information such as age, sex, race/ethnicity, drugs involved, location, and cause of overdose must be reported on drug overdose surveillance.
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