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AGENCY EXPOSURE/COMTAMINATION FORM (Completed by emergency worker at the time of the incident) Phone Number of Agency Contact: Demographics Name: Date of Incident Time of Incident Run Number: Shift:.

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Case Reporting A doctor diagnoses and/or a laboratory confirms a reportable disease. The hospital, healthcare provider, or laboratory sends information about this case to the public health department. The public health department receives disease data and uses them to: Identify and control disease outbreaks.

Communicable diseases are illnesses that spread from one person to another or from an animal to a person, or from a surface or a food. Diseases can be transmitted during air travel through: direct contact with a sick person. respiratory droplet spread from a sick person sneezing or coughing.

Case reports of a communicable disease provide minimal identifying data of name, address, diagnosis, age, gender and date of report for each patient, and, in some instances, other suspected cases. Dates of onset and basis for diagnosis are also useful.

Mandatory written reporting: A report of the disease must be made in writing. Examples are gonorrhea and salmonellosis. Mandatory reporting by telephone: The provider must make a report by phone. Examples are rubeola (measles) and pertussis (whooping cough).

Registered medical practitioners have a statutory duty to notify the 'proper officer' at their local council or local health protection team (HPT) of suspected cases of notifiable diseases. They must: Complete a notification form immediately on diagnosis of a suspected notifiable disease.

The triad consists of an external agent, a susceptible host, and an environment that brings the host and agent together. In this model, disease results from the interaction between the agent and the susceptible host in an environment that supports transmission of the agent from a source to that host.

Case reports of a communicable disease provide minimal identifying data of name, address, diagnosis, age, gender and date of report for each patient, and, in some instances, other suspected cases.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Content Takedown Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232