| Document Date: 2014-08-16 10:59:06
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City Los Angeles / VCMR / / Continent Asia / / Country United States / Canada / Mexico / / Facility Hospital Name / / IndustryTerm food handler / food stores / patient travel / / MedicalCondition hepatitis A / acute illness / False Hepatitis A / hepatitis E / acute hepatitis / hepatitis C / hepatitis B / acute hepatitis A / vaccine hepatitis B / hepatitis D / virus infection / NOT acute hepatitis / VACCINE HISTORY hepatitis A / viral hepatitis / hepatitis / illness / Infectious period / laboratory-confirmed hepatitis A / HCV Genotype / HCV RNA / / Organization Household / / Person Child / / / Position Investigator / signature Date Health District Supervisor signature Area Medical Director / anti-HAV positive Investigator / / Product pre-op / / ProvinceOrState California / / Technology DIAGNOSTIC TESTS / Genotype / / URL www.lapublichealth.org/acd / /
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VIRAL HEPATITIS A OR E CASE REPORT Acute Communicable Disease Control 313 N. Figueroa St., Rm. 212, Los Angeles, CA7941 (phonefacsimile) www.lapublichealth.org/acd