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POX CONTACT LISTING FORM
15 March 2023
Case information
NameSurnameContact detailsAddress/LocationSubdistrictDistrictProvinceDate of symptom onset
(dd/mm/YYY)Contact information
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How to fill out signs and symptomsmpoxpoxvirus
How to fill out signs and symptomsmpoxpoxvirus
01
Look for symptoms such as fever, headache, fatigue, muscle aches, and skin rash.
02
Take note of any respiratory symptoms like cough, shortness of breath, and chest pain.
03
Keep track of any gastrointestinal symptoms like nausea, vomiting, and diarrhea.
04
Monitor for neurological symptoms such as confusion, seizures, and hallucinations.
05
Consult a healthcare provider for further evaluation and testing if signs and symptoms persist or worsen.
Who needs signs and symptomsmpoxpoxvirus?
01
Individuals who suspect they may have been exposed to the poxvirus or have symptoms consistent with poxvirus infection.
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What is signs and symptomsmpoxpoxvirus?
Signs and symptomsmpoxpoxvirus refer to the specific indications and characteristics of the illness caused by the poxvirus.
Who is required to file signs and symptomsmpoxpoxvirus?
Healthcare providers and facilities are typically required to report signs and symptomsmpoxpoxvirus to the appropriate health authorities.
How to fill out signs and symptomsmpoxpoxvirus?
The signs and symptomsmpoxpoxvirus form can usually be filled out by documenting the patient's information, symptoms, and relevant medical history.
What is the purpose of signs and symptomsmpoxpoxvirus?
The purpose of signs and symptomsmpoxpoxvirus reporting is to track and monitor the spread of the virus, as well as to facilitate appropriate treatment and prevention measures.
What information must be reported on signs and symptomsmpoxpoxvirus?
Information such as patient demographics, symptom onset, severity of symptoms, and any relevant travel or exposure history may need to be reported on the signs and symptomsmpoxpoxvirus form.
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