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Varicella Outbreak Report Mobile App

The Center for Infectious Diseases, Division of Communicable Disease Control, requires the information within this app and is intended for use by health professionals only. Reportable Diseases and Conditions for specific diseases and conditions are mandated by state laws and regulations to be reported by healthcare providers and laboratories to local health officers. The Varicella Outbreak Report mobile app provides an easy to complete paperless version of the mandated case report form specific to Varicella. The app is filled out using a smartphone or tablet. This GoCanvas app can be made HIPAA compliant and is ideal for Disease Surveillance and Reporting.

The Center for Disease Control, national centers, children’s hospital, public health and local health departments urge health care providers to promptly report infectious diseases as well as virus infections. It is important for patient safety. Pregnant women, immigrant children, illegal immigrants and travelers are at a greater risk for communicable diseases and birth defects from lack of infection control and virus transmission. This app is specific to Varicella but please don’t hesitate to report any suspicious respiratory illness, flu, rash, pneumonia or virus infection. Timely reporting can stop outbreaks.

  • Lendlease
  • The Cooperative
  • PG&E
  • Red Bull
  • Mirvac

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Take a peek inside the Varicella Outbreak Report Mobile App

Included Features

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Included Fields

Customize to add, remove, or edit any of the fields below.

  • Ico textbox

    WebCMR ID Number

  • Ico textbox

    IZ Branch Outbreak Number

  • Ico textbox

    Investigator’s Name

  • Ico textbox

    Telephone Number

  • Ico textbox

    Investigator’s LHD or Jurisdiction

  • Ico date

    Date Reported to County

  • Ico textbox

    County

  • Ico textbox

    Name of outbreak location

  • Ico textbox

    Type of setting

  • Ico textbox

    Address

  • Ico textbox

    City

  • Ico dropdown

    State

  • Ico integer

    Zip Code

  • Ico integer

    Total population

  • Ico integer

    Number of infected persons

  • Ico integer

    Number of cases lab confirmed

  • Ico integer

    Number hospitalized*

  • Ico integer

    Number of deaths*

  • Ico statictext

    Date of rash onset

  • Ico date

    First case

  • Ico date

    Last case

  • Ico statictext

    Number of persons ill by age group

  • Ico integer

    Under 1 year

  • Ico integer

    1-4 years

  • Ico integer

    5-9 years

  • Ico integer

    10-19 years

  • Ico integer

    20-39 years

  • Ico integer

    40-59 years

  • ...and More!

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