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This human anthrax case reporting tool, developed by Washington State Department of Health, provides a blank sample form for use during case investigations. Data collected includes: Report Source,...
Aug 16, 2006
The EHS-Net Foodborne illness Complaint Form is a 3-page document designed to facilitate foodborne illness complaint data capture. The target audience/users of the form are public health officials...
Aug 14, 2006
Typhoid Fever Surveillance Report is a 1 page PDF
Aug 10, 2006
Salmonella Paratyphi Questionnaire is to be given to patients with acute paratyphi only, not to be administered for patients identified through testing for carriage of S. Paratyphi. 5 page pdf.
This draft copy of a viral hepatits case report is a 6 page PDF. Content includes Hepatitis A-C.
Hepatitis A Case Investigation form is a 5 page PDF. Contents: Clinical Information, Epidemiologic Information, Risk Factors, and Follow up.
Hepatitis A Investigation for surveillance of persons with Hepatitis A. 11 page Word Document.
Hepatitis A Questionnaires are 10-14 page Word Documents each. For surveilleance or outbreak investigation.
Questionnaire is a 7 page Word document that is to be used for a possible foodborne or waterborne infectious disease outbreak investigation or surveillance. Content includes: Illness History; Open...
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