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Appendix I: Initial Outbreak Report FormInitial RI Outbreak Form (one form per affected unit) Date form completed:Affected Facility: ___Affected Unit:___Date CDC Notified: Outbreak Lead Name and Phone
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How to fill out appendix i initial outbreak

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Step 1: Write the name of the person who first started showing symptoms of the outbreak
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Step 2: Include the date when the symptoms first appeared
03
Step 3: Provide details of the symptoms experienced by the individual
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Step 4: Mention any possible causes or sources of the outbreak
05
Step 5: Sign and date the appendix to confirm the accuracy of the information

Who needs appendix i initial outbreak?

01
Individuals or organizations involved in monitoring and containing outbreaks
02
Healthcare professionals
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Public health agencies
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Appendix I initial outbreak is a document that must be filed by companies or individuals who experience an outbreak of a specific disease or condition.
Companies or individuals who experience an outbreak of a specific disease or condition are required to file appendix I initial outbreak.
To fill out appendix I initial outbreak, information about the disease or condition outbreak must be provided, including the date of onset, affected individuals, and any actions taken in response.
The purpose of appendix I initial outbreak is to track and monitor outbreaks of specific diseases or conditions to prevent further spreading and take appropriate actions to control the situation.
Information such as the date of onset, affected individuals, symptoms, location of the outbreak, and any preventative measures taken must be reported on appendix I initial outbreak.
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