Enhanced data collection during COVID-19 Pandemic - REDC

Enhanced Data Collection During COVID-19 Pandemic
**Please submit every Monday by 0900 EDT**
Form Approved

OMB No. 0920-0134
Exp. 3/31/2022
Directions: Enter new cases diagnosed from Monday 0000 EDT to Sunday 2359 EDT for each category as defined below.
Ship:
* must provide value

Date Submitted:
* must provide value

Total# of crew members onboard:

,_[ ____.I I
rm

Today

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M·D-Y

Please submit every Monday by 0900 EDT,

* must provide value

Closest seaport at time of submission (City):
* must provide value

Closest seaport at time of submission (Country):
* must provide value

,________.BJ

Case Counts and Diagnostic Testing:
Please ensure these counts are independent of each other (i.e., crew member is not listed as an Ill and a pneumonia
case).
What is your ARI case count for the specified time period?
* must provide value

Acute Respiratory Illness (ARI) is defined as the prese.nce of cough, sore throat,
or rt.inorrhea in the absence of fever.

What is your Ill case count for the specified time period?
* must provide value

What is your pneumonia case count for the specified time
period?
* must provide value

How many persons were tested for influenza via rapid
diagnostic test?
* must provide value

Of the persons tested for influenza via rapid diagnostic
test, how many tested positive?
* must provide value

Influenza-like Illness (lll) is defined as fever (100,4 °F (38 °c)) plus either
cough or sore throat in the absence of another diagnosis.

How many persons were tested for coronavirus via rapid
serology test?
* must provide value

Of the persons tested for coronavirus via rapid serology
test, how many tested positive?
* must provide value

What brand of test was used?
How many persons were tested for COVID-19 via PCR test?
* must provide value

Of the persons tested for COVID-19 via PCR test, how many
tested positive?
* must provide value

What brand of test was used?
How many persons needed hospitalization?
* must provide value

Of those hospitalized, how many required mechanical
ventilation?
* must provide value

Of those hospitalized, how many were medically evacuated
from the ship?
* must provide value

Please explain the reason for medevac(s).
Isolation Practices
Were persons with ARI, ILi or pneumonia isolated for
COVID-19 per CDC guidelines? (see footnote for isolation
discontinuation)
* must provide value

Oves
ONo

res.et

Persons with IU, ARI or pneumonia symptoms should be isolated using the same
guidelines as a confirmed COVID-19 case. Isolation may be discontinued for
symptomatic crew with suspected or confirmed COVID-19 under conditions
outlined at. www.cdc.gov/coronavirus/2019-ncov/hcp/disposition-in-home­

patients,html

Please explain.
Public reporting burden of this coUeetioo of information i s estimated to an.rage 10 m.ioutes per respoose, including t.he time for rexiewiog instructioos, sea.rchiug tmti:og

data sources, gathfflllg and maintaining the data needed, and completing and revieuillg the collection of information. Au agency may not conduct or sponsor, and a p.!non
is not required to respond to a collection of information unless it displays a currently valid O�m Control Number. Send comments regarding t.his burde-n estimate or uy
ot.her aspect of this collection of information, including suggestioos for reducing this burden to CDC/ATSDR Reports Clea.ranee Officer, 1600 Clifton Road NE, MS D-74,
Atlanta, Georgia 30333; ATTN: PR.'\ 0920-0134.