Get Surveillance Of Measles Case Investigation Form - Epid Gov

This guide provides clear and detailed instructions on how to effectively complete the Surveillance of Measles Case Investigation Form - Epid Gov online. It aims to support users at every step of the process, ensuring accurate and comprehensive data submission.

Follow the steps to complete the form online:

1. Press the ‘Get Form’ button to access the form and open it in the available digital editor.
2. Fill in the section labeled 'Week ending of notification' with the appropriate date. Indicate the serial number assigned from the Infectious Disease Register.
3. Provide patient particulars in section A. Input the patient’s name in block letters, their residential address, date of birth, age, sex, and ethnic group by checking the relevant boxes.
4. Continue to specify the patient's occupation, the DPDHS division, and the MOH area.
5. In section B for present illness and outcome, record the date of symptom onset, where medical advice was first sought, and whether the patient was admitted to a hospital.
6. If the patient was transferred, please record the names and dates of any hospitals involved.
7. Indicate the patient's outcome in question 21, choosing from cured, died, transferred, or not known.
8. For clinical data in section C, check all relevant symptoms and complications experienced by the patient.
9. In section D on laboratory findings, clarify whether blood was taken for measles serology and provide further details if applicable.
10. In section E, outline the measles vaccination status by indicating whether a vaccine was given prior to the onset of illness and offering details on immunization.
11. In section F, note any contact the patient had with individuals showing similar symptoms within three weeks before illness onset.
12. Complete the remarks section, providing any additional information required, then ensure the form is signed and dated.
13. Finally, save your changes, and you can choose to download, print, or share the completed form as necessary.

Complete your submission online to ensure timely and accurate data reporting.