Missouri disease case report form 2025

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  1. Click ‘Get Form’ to open the Missouri Disease Case Report Form in our editor.
  2. Begin by filling out the Patient Information section. Enter the patient's full name, date of birth, and other identifiers such as age and marital status. Ensure all details are accurate for effective reporting.
  3. Next, complete the Reporter section. Provide your name, the facility you represent, and the date of report submission. This information is crucial for follow-up communications.
  4. In the Risk/Background Information section, indicate any associated cases or relevant risk factors. This helps public health officials understand potential outbreaks.
  5. Fill in the Disease section by specifying the disease name(s), onset dates, and vaccination history. Accurate data here is vital for tracking disease trends.
  6. Lastly, if applicable, complete the Diagnostics and Treatment sections with detailed lab results and treatment information. Attach any necessary documents directly within our platform.

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Missouri has 116 reportable communicable diseases such as tuberculosis, measles, whooping cough, hepatitis, and meningitis. Local health care providers are required to report such diseases to the Cape Girardeau County Public Health Center.
A disease that, when diagnosed, requires health providers (usually by law) to report to state or local public health officials. Notifiable diseases are of public interest by reason of their contagiousness, severity, or frequency.
The PD-23 is the general disease reporting form and should be used if other specialized forms are not available. PD-23 forms may either be faxed to 860-920-3131 or submitted by hospital IPs directly into CTEDSS (where applicable).
Diseases reportable to the CDC include: Anthrax. Arboviral diseases (diseases caused by viruses spread by mosquitoes, sandflies, ticks, etc.) such as West Nile virus, eastern and western equine encephalitis. Babesiosis. Botulism. Brucellosis. Campylobacteriosis. Cancer. Candida auris, clinical.
Details of Notifiable Diseases Source Of Infection And Prevention Whooping Cough (Pertusis) Plague Polio Rabies Small Pox Scarlet Fever Tetanus Tuberculosis Typhoid Fever Viral Encephalitis Mal Nutrition Vitamin A Deficiency5 more rows
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