Get Outbreak Reporting Form - Other. Form Used By Disease Investigators At Local Health Departments To

This guide provides a clear and comprehensive overview of how to correctly fill out the Outbreak Reporting Form - Other, utilized by disease investigators at local health departments. Follow these step-by-step instructions to ensure accurate and thorough reporting on outbreaks.

Follow the steps to accurately complete the Outbreak Reporting Form - Other online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Complete the disease information section by selecting the primary route of transmission. Choose from the available options: person-to-person, environmental, indeterminate, other, or unknown.
3. Fill in the reporting agency information, including the date of initial notification to the Department of Health (DOH) and your Local Health Jurisdiction (LHJ) Cluster Number.
4. Specify the date the report was sent to DOH and provide the LHJ Cluster Name. Indicate the status of the form as either a preliminary or final report.
5. Provide the DOH outbreak number, NORS number, and the name of the local health jurisdiction.
6. Record the initial LHJ notification date and time, along with the contact person's information, which includes their name and phone number.
7. Input the investigation start date and time, followed by the lead agency’s name.
8. In the investigation methods section, check all methods that apply, such as interviews, site visits, or other investigation activities.
9. Complete the dates section by providing pertinent dates regarding the cases, including the first case illness, initial exposure, last case illness, and last exposure.
10. In the geographic location section, indicate where the exposure occurred and list any additional local health jurisdictions that were involved.
11. Fill in the primary cases section by providing details about lab-confirmed and probable cases, including demographic breakdowns.
12. Record the incubation period and duration of illness for primary cases, indicating shortest, median, and longest durations.
13. Detail the signs or symptoms exhibited by primary cases, clearly listing each sign along with the corresponding case counts.
14. For secondary cases, indicate the mode of transmission and provide statistics for lab-confirmed and probable cases.
15. Complete the laboratory section to inform whether the etiology is known, if specimens were collected, and for what they were tested.
16. Describe the major setting(s) of exposure, listing all relevant settings where cases may have encountered the outbreak.
17. If applicable, calculate attack rates for major settings of exposure based on the estimates of individuals exposed and those who became ill.
18. Conclude with any public health actions and control measures that have been implemented in response to the outbreak.
19. Finally, summarize the findings of the outbreak investigation in the discussion or conclusion section.
20. Once all sections are completed, ensure to save your changes, and download, print, or share the form as necessary.

Complete your outbreak reporting forms online to ensure efficient communication and response to health threats.