Measles Outbreak Case Investigation and Follow-up Form

Form Template

In addition to a robust immunization program, public health officials, carefully investigate cases of infectious diseases as part of disease control and prevention.

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Measles infection is prompted by a highly contagious virus that can be particularly dangerous for pregnant women or unvaccinated children. With the Measles Outbreak Case Investigation and Follow-up Form app, health officials can effectively document a suspected or confirmed case of measles and identify individuals who were potentially exposed to the disease. The app includes a useful tool to help calculate the period of communicability. With the app, a health investigator can record clinical information presence and the onset of symptoms including a maculopapular rash and other signs of measles infection, vaccination history including vaccine names, MMR doses, and dates received, and any relevant lab results. Finally, the health investigator can complete a table of exposure information with the list of contacts with potential exposure to the disease and the immunization status of each of those contacts.

Features
  • Signature Capture
  • Image Capture
  • Conditional Fields
  • Submission Editing
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Platforms
  • iPhone
  • iPad
  • Android
  • Windows
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Integrations
  • Quickbooks
  • Salesforce
  • Google Docs
  • Dropbox
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