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CASE REPORT FORM Malaria - Public Health Surveillance - surv esr cri 2026
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- Click ‘Get Form’ to open it in the editor.
- Begin by filling in the EpiSurv No. and Reporting Authority details, including the name of the Public Health Officer responsible for the case.
- In the Notifier Identification section, select the reporting source from options like General Practitioner or Hospital-based Practitioner, and provide relevant contact information.
- Complete the Case Identification section by entering the case's name, NHI number, current address, and contact phone numbers.
- Fill out Case Demography with details such as location, date of birth, sex, occupation, and ethnic group. Ensure all required fields are marked with an asterisk.
- For Basis of Diagnosis, indicate laboratory criteria and additional laboratory details regarding Plasmodium species if applicable.
- Document Clinical Course and Outcome by providing hospitalization status and any relevant dates.
- If applicable, specify outbreak details and risk factors related to overseas travel during the incubation period for malaria.
- Finally, review all entries for accuracy before saving or submitting your completed form using our platform’s features.
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Is malaria a notifiable disease?
Malaria can present up to a year after the patient has been in a malarious area. Malaria is a notifiable disease.
What should I do if I test positive for malaria?
If you test positive for malaria, your healthcare provider will start you on medication to treat the disease immediately. The medications prescribed will be based on the type of malaria you have. If you test negative for malaria, work with your healthcare provider to determine the cause of your symptoms.
Do you have to report malaria?
Malaria is a Nationally Notifiable Disease in all U.S. states and territories.
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People also ask
Should I be worried if I have malaria?
Malaria is a serious illness that can be fatal if not diagnosed and treated quickly. Severe complications of malaria can occur within hours or days of the first symptoms. This means it is important to seek urgent medical help as soon as possible.
How to make a malaria report?
Record the patients clinical symptoms related to malaria. Document the date of symptom onset and any previous malaria history. Note the results of the malaria diagnostic tests (e.g., blood smear, rapid diagnostic test).
Related links
by M Adnan 2020 Cited by 7 EpiSurv is the core surveillance system used for monitoring the occurrence of notifiable infectious diseases such as campylobacteriosis andRead more
by EW Amene 1915 A series of case report forms () Cambridge University Press; 2006. 9. EpiSurv: Public Health Surveillance, InformationRead more