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Pediatric severe influenza illness form ( 18 years old - IDEHA

Pediatric severe influenza illness form ( 18 years old - IDEHA 2025

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The document is a Pediatric Severe Influenza Illness Form for the 2003-04 season, designed to collect detailed information on cases of severe influenza in children under 18 years old. It includes sections for patient demographics, illness course, symptoms, medical care received, existing medical conditions, complications, laboratory testing results for influenza and other infections, vaccination history, treatment details, and specific forms for reporting fatal cases and encephalopathy. The form aims to gather comprehensive data to assist public health authorities in monitoring and responding to severe influenza cases.

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