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Confidential Influenza-Associated Mortality Case Report Form
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Document Date: 2014-07-18 22:19:26


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City

Anchorage / /

Facility

hospital ED / /

/

MedicalCondition

Secondary bacterial infection / Pneumonia / Pulmonary embolus / e.g. hypertension / Cardiac disease / Chronic pulmonary disorder / seasonal influenza / e.g. diabetes mellitus / Encephalitis/encephalopathy / Hemoglobinopathy / Metabolic disorder / e.g. cerebral palsy / Neurological disorder / Genetic disorder / e.g. cancer / Influenza / Acute renal failure / Sepsis / e.g. sickle cell disease / hyperlipidemia / Down syndrome / /

MedicalTreatment

hemodialysis / chemotherapy / Immunosuppression / /

MusicGroup

DFA / /

/

ProvinceOrState

ARDS / Alaska / /

Technology

chemotherapy / /

URL

http /

SocialTag