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Kentucky Department for Public Health GI/Oubreak Surveillance Form (Staff/Employees) Facility: Contact Person: Date of Onset for INDEX case: Date Outbreak Identified:
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Document Date: 2014-09-11 11:53:27
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File Size: 69,86 KB
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MedicalCondition
diarrhea /
vomiting /
State Onset Date Onset Time Vomiting Yes/No /
Diarrhea Yes/No Bloody Diarrhea Yes/No /
/
Organization
Health Department /
Kentucky Department for Public Health GI/Oubreak Surveillance Form /
/
/
SocialTag
Diarrhea
Medicine
Waterborne diseases
Health