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Dhhs 2124-2026

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  1. Click ‘Get Form’ to open the dhhs 2124 in the editor.
  2. Begin by entering the NC EDSS EVENT ID# at the top of the form. This is crucial for tracking the disease event.
  3. Fill in patient details including their last name, first name, middle name, sex, birthdate, and age type. Ensure accuracy as this information is vital for health records.
  4. Indicate the patient's race and any associations with specific settings such as child care or health care. Check all applicable boxes to provide comprehensive data.
  5. Complete the clinical information section by noting if the patient was symptomatic and specifying symptoms if applicable. Include treatment details for sexually transmitted diseases.
  6. Provide diagnostic testing information, including lab results and specimen details. This ensures that local health departments have all necessary data for follow-up.
  7. Finally, review all entries for accuracy before submitting your completed form to ensure compliance with reporting requirements.

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Case Reporting A doctor diagnoses and/or a laboratory confirms a reportable disease. The hospital, healthcare provider, or laboratory sends information about this case to the public health department. The NNDSS team receives, secures, processes, and provides de-identified data to disease-specific programs across CDC.
Non-reportable Sexually Transmitted Infections Include: Bacterial Vaginosis (BV) Genital Herpes. Human Papillomavirus (HPV) Pediculosis (Pubic Lice) Trichomoniasis.
A communicable disease can be reported by phone, fax, or e-mail through the Communicable Disease Reporting System (CDRS).

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Reportable Diseases AIDS. Anthrax* Botulism. Brucellosis. Campylobacter. Cholera. Chlamydia. COVID-19.
North Carolina law mandates healthcare providers and laboratories to report over 70 diseases or conditions to their local health department. Some examples of the reportable communicable diseases include Hepatitis A, B C, coronavirus, influenza, measles, and salmonella and other food borne illnesses.
A communicable disease can be reported by phone, fax, or e-mail through the Communicable Disease Reporting System (CDRS).
Infection with Salmonella, Shiga-toxin producing Escherichia coli (STEC, including O157 and other serogroups), Listeria, Shigella, Vibrio, and hepatitis A virus, as well as botulism, are reportable almost everywhere in the United States.
Syphilis (including congenital syphilis), gonorrhea, chlamydia, chancroid, and HIV are reportable diseases in every state.

Related links

NC Electronic Disease Surveillance System (NCEDSS)

Alternatively, you can call the 24/7 North Carolina. Communicable Disease Branchs Epi On Call consultation line at. 919-733-3419. DHHS 2124 (Revised OctoberRead more

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Public Health: Legal Framework

When Should Public Health Be Called? Reportable diseases / conditions (10A NCAC 41A .0101). (Form 2124)

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