Form malaria 2026

See details

4.9 out of 5

31 votes

The Malaria Case Surveillance Report form is designed for reporting smear-confirmed malaria cases to the National Malaria Surveillance System. It includes sections for patient information, travel history, treatment details, and outcomes. The form aims to collect comprehensive data on malaria cases to assist in surveillance and public health efforts. Key elements include patient identifiers, travel reasons, chemoprophylaxis usage, treatment efficacy, and any adverse events following treatment.

Here's how it works

01. Edit your malaria test name online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send malaria test report via email, link, or fax. You can also download it, export it or print it out.

How to use or fill out form malaria with our platform

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Click ‘Get Form’ to open it in the editor.
Begin with Part I. Fill in the 'State Case No' if your state assigns case numbers. Leave 'CSID No' and 'Case No' blank for CDC use.
Enter the 'County' where the case is reported, followed by the patient's name, ensuring compliance with local confidentiality regulations.
Provide the 'Date of Birth' to help identify duplicates. Indicate if the patient is pregnant, as this can affect treatment severity.
Report all positive lab results and specify if specimens are being sent to CDC for coordination.
List all countries of travel or residence outside the U.S., or use regional identifiers if specific countries are unknown.
Complete questions regarding residency prior to travel, principal reason for travel, and whether malaria chemoprophylaxis was taken.
In Part II, provide information on treatment outcomes if available, including symptom resolution and any adverse events experienced post-treatment.

Start filling out your form malaria today using our platform for a seamless experience!

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What is the most common way to get malaria?

Most people get malaria when bitten by an infective mosquito carrying the malaria parasite. Only female Anopheles mosquitoes can spread malaria from one person to another. For the Anopheles mosquito to become infective, they must bite, or take a blood meal, from a person already infected with the malaria parasites.

What is the form of malaria?

Malaria is caused by protozoa of the genus Plasmodium. Four species cause disease in humans: P falciparum, P vivax, P ovale and P malariae. Other species of plasmodia infect reptiles, birds and other mammals.

What is severe form malaria?

Plasmodium falciparum is the most severe form of malaria that can lead to cerebral malaria and death. The incubation period for this species is 7-14 days. Plasmodium vivax is a less severe type of malaria, but it can cause severe symptoms if left untreated.

What is the most common form of malaria?

Plasmodium falciparum is the predominant species in the world. P. vivax and P. ovale are traditionally thought to occupy complementary niches, with P. ovale predominating in Sub-Saharan Africa and P. vivax in the other areas; but their geographical ranges do overlap.

What is the most common type of malaria?

P. falciparum is the deadliest malaria parasite and the most prevalent on the African continent. P. vivax is the dominant malaria parasite in most countries outside of sub-Saharan Africa. The other malaria species which can infect humans are P. malariae, P. ovale and P. knowlesi.

test of malaria name

3 stages of malaria Types of malaria Malaria symptoms Malaria treatment Malaria Definition Prevention of malaria What are the 10 causes of malaria Types of malaria and their symptoms

Security and compliance

At DocHub, your data security is our priority. We follow HIPAA, SOC2, GDPR, and other standards, so you can work on your documents with confidence.

Learn more

What is the most infectious form of malaria?

Plasmodium falciparum the most prevalent, causes the majority of severe malaria cases and deaths. Plasmodium vivax the main cause of relapsing malaria, with a blood and a liver infection causing acute and ongoing symptoms.