Cholera-Communicable Diseases by monkey6

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Cholera-Communicable Diseases

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									                        KWA ZULU – NATAL
                     DEPARTMENT OF HEALTH
                 DAILY CDC INFORMATION REPORT
  TO BE COMPLETED BY THE SUB DISTRICT OFFICE / JOC AND FORWARDED TO THE DISTRICT
OFFICE / JOC / CONTROL CENTRE. THE DISTRICT OFFICE / JOC / CONTROL CENTRE WILL IN TURN
                  FORWARD TO PROVINCIAL HEALTH OPERATIONS CENTRE


Date        Time        Log      District Office / JOC   Reporting       Signature
                       Number       Control Centre        Officer



SPECIFY OUTBREAK :

NUMBER OF NEWLY IDENTIFIED WATER SOURCES TESTED POSITIVE
NUMBER OF CASES CURRENTLY IN HOSPITAL
NUMBER OF CASES IN THE LAST 24 HOURS - HOSPITALS
NUMBER OF CASES IN THE LAST 24 HOURS - CLINICS
NUMBER OF CASES IN THE LAST 24 HOURS-EMERGENGY CENTRES
NUMBER OF DEATHS

    THE FOLLOWING MUST REFLECT CURRENT TOTALS
NUMBER OF EMERGENCY CENTRES UP AND RUNNING
OTHER ……………………………………………….

                      ADDITIONAL INFORMATION
    INSTITUTION                  CASES               EMERGENCY CENTRES
     HOSPITAL / CLINIC /   CURRENT     NEW           AREA     DATE IN  DATE OUT
      EMERGENCY TENT




       Phockzn 01/08/02 review

								
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