Aggregate counts of persons exposed to highly pathogenic avian influenza (HPAI)
State:
Report Date: (mm/dd/yyyy)
Report for MMWR week: _____ (MMWR weeks run from Sunday to following Saturday)
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USDA/ Contract Responders* |
State or Producer Responders* |
Not affiliated with Response (e.g. farm owners, workers) |
Other, specify: ________________________ |
Total |
Total number of individuals exposed and intended to be actively monitored (associated with 2022 HPAI outbreaks) |
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Total number of individuals whose monitoring period is complete |
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Total number of individuals lost to follow-up before the monitoring period was complete |
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Total number of individuals currently actively monitoring** |
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Total ill¥¥ in past week |
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Total tested in past week |
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*an individual who participated in the confirmation, depopulation, and/or decontamination of the site.
**Actively monitored can either be daily active monitoring (DAM) or a modified form of active monitoring (including day 0, 5, and 10) as long as contact with the individual has been made via in person, phone, text, or email.
¥¥compatible with HPAI including any of the following symptoms: fever or feeling feverish/chills; cough; sore throat; runny or stuffy nose; eye tearing, redness, irritation (“pink eye”); sneezing; difficulty breathing; shortness of breath; fatigue (feeling very tired); muscle or body aches; headaches; nausea; vomiting; diarrhea; seizures; or rash
Please send this data to the Influenza Division at CDC (email: [email protected])
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | Matthew Biggerstaff |
| File Modified | 0000-00-00 |
| File Created | 2022-04-18 |