Acute gastroenteritis norovirus 2026

1. Click ‘Get Form’ to open the Acute Gastroenteritis / Norovirus Case Report Worksheet in the editor.
2. Begin by entering the reporting facility name and contact information, including the contact name and phone number. This ensures that health authorities can reach you for follow-up.
3. Fill in the estimated number of exposed patients and staff during the outbreak. This data is crucial for assessing the outbreak's impact.
4. Provide the outbreak identification number assigned by your health department, along with the unit and location of stool specimen testing.
5. In the lab results section, enter the date of specimen collection, diagnostics status (Y/N/Unk), and whether there were any fatalities (Y/N/Unk).
6. Document symptom details such as abdominal cramps, fever, bloody stools, diarrhea, and vomiting by marking Y/N accordingly.
7. Complete patient/staff demographics by filling in sex, age, unique ID (optional), name, room/bed (for patients), and case location.
8. If necessary, redact names before faxing. Once completed, fax the form to your local or state health department.

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