Case Report Form for Coccidioidomycosis (Valley Fever) Enhanced Surveillance - Ohio

Case Report Form for Coccidioidomycosis (Valley Fever) Enhanced Surveillance - Ohio

Case Report Form for Coccidioidomycosis (Valley Fever) Enhanced Surveillance is a legal document that was released by the Ohio Department of Health - a government authority operating within Ohio.

FAQ

Q: What is Coccidioidomycosis?A: Coccidioidomycosis, also known as Valley Fever, is a fungal infection caused by inhaling spores of a fungus called Coccidioides.

Q: What is enhanced surveillance?A: Enhanced surveillance refers to an increased level of monitoring and reporting of a specific disease, in this case Coccidioidomycosis.

Q: Why is enhanced surveillance important for Valley Fever?A: Enhanced surveillance is important for Valley Fever to track and understand the spread of the disease, identify risk factors, and develop strategies for prevention and control.

Q: What is the purpose of the Case Report Form?A: The Case Report Form is a standardized tool used to collect and record important information about individuals diagnosed with Coccidioidomycosis.

Q: Who uses the Case Report Form?A: The Case Report Form is typically used by healthcare professionals, including physicians and public health officials, to report and record cases of Coccidioidomycosis.

Q: What information is included in the Case Report Form?A: The Case Report Form includes demographic data of the individual, clinical presentation of the disease, and laboratory test results.

Q: How can someone get Coccidioidomycosis?A: Coccidioidomycosis is primarily acquired by inhaling spores present in the soil of certain regions, such as the southwestern United States.

Q: What are the symptoms of Valley Fever?A: The symptoms of Valley Fever can range from flu-like symptoms, such as fever, cough, and fatigue, to more severe forms that affect the lungs, skin, or other organs.

Q: Can Valley Fever be treated?A: Yes, Valley Fever can be treated with antifungal medications prescribed by a healthcare professional.

Q: Is Valley Fever contagious?A: No, Valley Fever is not contagious and cannot be spread from person to person.

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Form Details:

  • Released on November 30, 2017;
  • The latest edition currently provided by the Ohio Department of Health;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of the form by clicking the link below or browse more documents and templates provided by the Ohio Department of Health.

Download Case Report Form for Coccidioidomycosis (Valley Fever) Enhanced Surveillance - Ohio

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