Get Outbreak Reporting Form - Other - Washington State Department Of ... - Doh Wa

Filling out the Outbreak Reporting Form - Other is an essential process for reporting disease outbreaks to the Washington State Department of Health. This guide provides clear, step-by-step instructions to assist users in successfully completing the form online.

Follow the steps to accurately complete the outbreak reporting form.

1. Click ‘Get Form’ button to access the Outbreak Reporting Form - Other and open it in the appropriate viewer.
2. Begin by entering the disease information. Specify the primary route of transmission by checking one of the options provided: person-to-person, environmental, indeterminate, other, or unknown.
3. Complete the reporting agency information. Fill in the date of initial notification to the Department of Health, local health jurisdiction cluster number, and the date the report was sent.
4. Indicate the form status by selecting either ‘preliminary report; in progress’ or ‘final report’. Enter the DOH outbreak number and NORS number if applicable.
5. Provide local health jurisdiction details along with the date and time of the initial notification. Include the contact person’s details and their phone number.
6. Document the investigation start date and time, along with the lead agency responsible for the outbreak investigation.
7. In the investigation methods section, check all applicable methods used, such as interviews, site visits, or studies, and note the investigation completion date.
8. Fill in the key date fields, including the date of the first case becoming ill, initial exposure date, last case date, and last exposure date.
9. Specify the geographic location of the exposure and list any other local health jurisdictions involved.
10. Provide detailed information regarding primary cases, including the number of lab-confirmed and probable cases along with demographic data.
11. Complete the incubation period and duration of illness sections by filling in the shortest, median, and longest durations.
12. List the signs or symptoms associated with primary cases, detailing the number of cases that exhibited each feature.
13. For secondary cases, indicate the mode of transmission and provide counts for lab-confirmed and probable secondary cases.
14. Complete laboratory sections to indicate if etiology is known and provide additional specimen details as needed.
15. Identify major settings of exposure and provide attack rates for those settings if applicable.
16. Document any public health actions taken and summarize the findings of the outbreak investigation.
17. Review all entered information for accuracy before finalizing the form. Once completed, save changes, then download, print, or share the form as necessary.

Complete your outbreak reporting form online to ensure timely and accurate disease reporting.