Hpa 2026

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The document is a Food Poisoning Case Investigation Form used by the Health Protection Agency in the Maldives. It collects general information about individuals experiencing food poisoning, including personal details, symptoms, illness history, food consumption history, and outcomes. The form also includes sections for lab investigations and contact information for further inquiries.

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Click ‘Get Form’ to open it in the editor.
Begin by entering the date at the top of the form. This is essential for tracking the case.
Fill in your identification number or passport number, along with your name, work area, designation, outbreak number, year, and age in the general information section.
In the signs and symptoms section, tick the boxes that apply to you. Be sure to specify details such as frequency and consistency where required.
Provide a history of illness by noting the date of onset, hospitalization status, duration of illness, and any travel history within the last 2-3 weeks.
Complete the food history section by listing foods consumed in your last two meals and underlining any suspected items.
Indicate if you know anyone else who is sick and complete lab investigation details if applicable.
Finally, sign off on the form by entering your name and completion date at the bottom.

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