Sample Suspect Avian Influenza A (H5N1) Specimen Submittal Form

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Author: Santa Clara Health Department

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SC Specimen Submittal id323

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Drawn from the Santa Clara County Public Health Department Pandemic Influenza Preparedness and Response Plan, this document offers a sample for what might be included in instructions for submitting potential influenza A specimens for laboratories. Specific information would need to be obtained in order to modify the order to meet the requirements of other states and localities.

Program: Public Health Preparedness

Submitted Date: Jul 17, 2006 | Modified Date: Sep 30, 2025

Primary Toolkit: Preparedness Toolkit | Secondary Toolkit: Preparedness Toolkit

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Institution Type: LHD - County,

Keywords: Epidemiology, Hazards and Health Effects

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