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Gastroenteritis outbreak in a residential care facilityInitial notification form Do not leave any fields backdate of referral:Population Health Unit fax no.:Name and position of staff member reporting:

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How to fill out initial outbreak notification form

01

Obtain the initial outbreak notification form from the relevant authority or organization.

02

Fill in all required fields with accurate information regarding the outbreak including date, location, affected individuals, and any relevant symptoms.

03

Provide contact information for the person responsible for reporting the outbreak in case further information is needed.

04

Include any additional details or notes that may be relevant to the outbreak.

05

Review the completed form for accuracy and completeness before submission.

Who needs initial outbreak notification form?

01

Healthcare facilities

02

Public health departments

03

Laboratories

04

Any organization responsible for monitoring and responding to disease outbreaks

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What is initial outbreak notification form?

The initial outbreak notification form is a document that must be filed to report the occurrence of an outbreak.

Who is required to file initial outbreak notification form?

Healthcare facilities and public health authorities are required to file the initial outbreak notification form.

How to fill out initial outbreak notification form?

The form must be filled out with detailed information about the outbreak, including the date of onset, number of cases, and affected individuals.

What is the purpose of initial outbreak notification form?

The purpose of the initial outbreak notification form is to alert authorities and other relevant parties about the occurrence of an outbreak, so that appropriate actions can be taken.

What information must be reported on initial outbreak notification form?

The form must include information such as the type of pathogen causing the outbreak, the affected population, and any measures taken to control the outbreak.

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