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Avian Influenza Tool Kit Form 3. Avian influenza case investigation Unique identifier (assigned by public health) Investigation details Date of investigation (DD/MM/YY)
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Document Date: 2014-09-18 08:40:22
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File Size: 243,93 KB
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Company
Yes No Yes No Other (specify) Travel /
Yes No Laboratory /
Avian Influenza Tool Kit Travel /
Avian Influenza Tool Kit Laboratory /
Yes No Unknown Result Laboratory /
/
IndustryTerm
food exposure /
laboratory processing samples /
http /
MedicalCondition
Fever /
Sore throat /
Conjunctivitis /
Vomiting /
body ache /
unexplained acute respiratory illness /
atypical pneumonia /
Avian influenza /
Headache /
seasonal influenza /
Shortness of breath /
Cough /
Coma /
influenza A/H5N1 /
joint pain /
/
Organization
Telephone Mobile Fax Email Patient /
European Commission /
/
Position
General practitioner /
Veterinary Yes No Poultry worker /
veterinarian /
Postcode Postcode Telephone Mobile Occupation Health care worker /
butcher /
Consultant /
/
URL
http /
SocialTag
Animal virology
Medicine
Health
Influenza
Avian influenza
Flu season
Transmission and infection of H5N1
Global spread of H5N1
Epidemiology
Influenza A virus subtype H5N1
Avian Influenza Tool Kit Form 3. Avian influenza case investigation Unique identifier (assigned by public health) Investigation details Date of investigation (DD/MM/YY)