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Reporting Form For Pertussis - Washington State Department of ... - doh wa 2026
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- Click ‘Get Form’ to open it in the editor.
- Begin by filling out the 'Reported to DOH' section, including the date and LHJ classification (Confirmed, Probable, Suspect). Indicate how the case was classified (Lab, Clinical).
- In the 'REPORT SOURCE' section, enter the LHJ notification date and investigation start date. Check all applicable reporter types such as Lab, Hospital, HCP, etc.
- Complete the 'PATIENT INFORMATION' section with details like name, address, birth date, gender, and contact information. Ensure accuracy for effective communication.
- Fill in 'CLINICAL INFORMATION', noting symptoms and their onset dates. Include vaccination status and any relevant clinical findings.
- Document exposure history in the 'EXPOSURE' section. Provide details about travel or contact with others who have similar symptoms.
- Finally, review all sections for completeness before submitting your form through our platform.
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When to declare a pertussis outbreak?
Outbreak Definition: Two or more epi-linked cases from different households with symptom onset within 42 days.
Do I have to report a whooping cough?
Whooping cough is a nationally notifiable disease.
Does pertussis have to be reported?
Surveillance and reporting Pertussis is a nationally notifiable disease in the United States. Get information on: CDCs data systems. Pertussis case definition.
Does whooping cough need to be reported to public health?
Cases of pertussis should be reported to the local health authority.
Does whooping cough need to be reported to the CDC?
Diagnostic laboratories should notify health departments of all positive pertussis laboratory results. State health departments then report pertussis cases to CDC through the National Notifiable Diseases Surveillance System (NNDSS).
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Do you report pertussis to the CDC?
Diagnostic laboratories should notify health departments of all positive pertussis laboratory results. State health departments then report pertussis cases to CDC through the National Notifiable Diseases Surveillance System (NNDSS). NNDSS is useful for monitoring epidemiologic trends in disease over time.
Related links
Department of Health to get a copy of your childs CIS: waiisrecords@doh.wa.gov or 1-866-397-0337. To fill out the form by hand: 1. Print your childs nameRead more
To request this document in another format, call 1-800-525-0127. Deaf or hard of hearing customers, please call 711 (Washington Relay) or email doh.information@Read more