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    Zero Reporting Template

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    lance tabinas
    This document summarizes Philippine reporting requirements for communicable diseases. It begins by stating that Republic Act 3573 requires all individuals and health facilities to report cases of notifiable diseases to local and national public health authorities. It then provides a template for a Weekly Notifiable Disease Report, which includes a summary page with reporting details and a list of diseases that must be reported, divided into Category I (immediate) and Category II (weekly) notification. Facilities are instructed to report the number of cases for each disease and submit the report every Friday.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    Zero Reporting Template

    Uploaded by

    lance tabinas
    563 views1 page
    This document summarizes Philippine reporting requirements for communicable diseases. It begins by stating that Republic Act 3573 requires all individuals and health facilities to report cases of notifiable diseases to local and national public health authorities. It then provides a template for a Weekly Notifiable Disease Report, which includes a summary page with reporting details and a list of diseases that must be reported, divided into Category I (immediate) and Category II (weekly) notification. Facilities are instructed to report the number of cases for each disease and submit the report every Friday.

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    ZERO-REPORTING-TEMPLATE

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    This document summarizes Philippine reporting requirements for communicable diseases. It begins by stating that Republic Act 3573 requires all individuals and health facilities to report cases of notifiable diseases to local and national public health authorities. It then provides a template for a Weekly Notifiable Disease Report, which includes a summary page with reporting details and a list of diseases that must be reported, divided into Category I (immediate) and Category II (weekly) notification. Facilities are instructed to report the number of cases for each disease and submit the report every Friday.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    563 views1 page

    Zero Reporting Template

    Uploaded by

    lance tabinas
    This document summarizes Philippine reporting requirements for communicable diseases. It begins by stating that Republic Act 3573 requires all individuals and health facilities to report cases of notifiable diseases to local and national public health authorities. It then provides a template for a Weekly Notifiable Disease Report, which includes a summary page with reporting details and a list of diseases that must be reported, divided into Category I (immediate) and Category II (weekly) notification. Facilities are instructed to report the number of cases for each disease and submit the report every Friday.

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    © All Rights Reserved
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    Philippine Integrated Disease Republic Act 3573 (Law of Reporting of Communicable Diseases),

    Surveillance and Response requires all individuals and health facilities to


    report notifiable diseases to local and national public health authorities.

    Weekly Notifiable Disease Report


    Summary Page

    Name of Disease Reporting Unit :

    Type of facility:  Gov’t Hospital  Private Hospital  Rural Health Unit  Clinic
     City Health Office  Gov’t Laboratory  Private Laboratory  Seaport/Airport
    Address:_____________________________________________________________________Tel. No.

    This report was prepared by: _ _ Date: / /


    (Signature over printed name)
    This report was submitted to
    (Name of RHU/CHO/PHO/CHD): _ Date: / /

    This report was approved by: _ _ Date: / /

    List of Notifiable Diseases/Syndromes


    Indicate the number of case/s in the corresponding line for case/s of disease/
    syndrome seen and “0” if no cases seen.

    Category I (Immediately Notifiable) Category II (Weekly Notifiable)

    _ Acute Flaccid Paralysis Acute Bloody Diarrhea


    _ Adverse Event Following Immunization (AEFI) Acute Meningitis Encephalitis Syndrome
    _ Anthrax Acute Encephalitis Syndrome
    _ Ebola Virus Disease Acute Hemorrhagic Fever Syndrome
    _ Hand, Foot and Mouth Disease Acute Viral Hepatitis
    Malaria Bacterial Meningitis
    _ Measles-Rubella Chikungunya
    _ Meningococcal Disease Cholera
    _ MERS– CoV Dengue
    _ Neonatal Tetanus Diphtheria
    _ Paralytic Shellfish Poisoning Influenza-like Illness
    _ Rabies Leptospirosis
    _ Severe Acute Respiratory Infection (SARI) Non-neonatal Tetanus
    _ Zika Virus Disease Pertussis
    _ Outbreaks Rotavirus
     Clusters of diseases Typhoid and Paratyphoid Fever
     Unusual diseases or threats

    Category I: Notify simultaneously the PHO and DOH within 24 hours of detection and send advance
    copy of the Case Investigation Form (CIF) as soon as possible.
    Category II: Report all cases of notifiable diseases/syndromes every FRIDAY of the week to the next higher
    level using the Case Report Form (CRF).

    Reminder: Submission of report is every FRIDAY of the week. The weekly report should include this page (Summary Page) ,
    Case Investigation Forms (CI
    “Let’s help prevent epidemics”

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