Get Measles (rubeola) Case Report. Cdph 8345 - Lapublichealth

Filling out the Measles (Rubeola) Case Report is crucial for effective public health monitoring and response. This guide provides step-by-step instructions to assist users in accurately completing the form to ensure all necessary information is reported.

Follow the steps to correctly complete the Measles Case Report.

1. Click ‘Get Form’ button to obtain the form and open it.
2. Begin by filling out the patient demographics section. Include the patient’s last name, first name, middle initial, date of birth, age, city, and complete address including the ZIP code. Make sure to provide the correct state and county as well as emergency contact numbers.
3. Next, complete the ethnicity and race sections. Check the appropriate boxes to indicate the patient’s ethnicity and race, ensuring to provide any specifications if 'Other' is selected.
4. Enter the common local health department tracking data. Fill in the CMRID number, the date the case was reported to the county, and the date the investigation started. Include the names and contact information for the person or clinician reporting the case.
5. Document the signs and symptoms of the patient. Indicate whether the patient has a rash, fever, Koplik's spots, or conjunctivitis. Include additional symptoms and relevant dates such as rash onset and fever onset.
6. If applicable, fill out the complications and other symptoms section. Indicate whether the patient was hospitalized and if there were any complications such as pneumonia or encephalitis. Include details about hospitalization duration and any additional complications.
7. Complete the laboratory tests section by indicating if lab tests for measles were performed. Document all relevant results and dates, including whether the specimen was sent for further testing.
8. In the vaccination and medical history section, specify if the patient received any measles-containing vaccines and the dates of administration. Indicate reasons for not being vaccinated, if applicable.
9. Provide information on the epidemiological exposure history by noting relevant settings and any travel history within 18 days of rash onset, as well as close contacts with similar symptoms.
10. Finally, in the case classification section, determine the classification of the case as confirmed, probable, or suspect based on the reported information.
11. Once all sections are completed, ensure all information is accurate. Save changes, and use the available options to download, print, or share the form as needed.

Complete the Measles (Rubeola) Case Report form online to contribute to public health efforts.