Species Serotype/ Serogroup / Dura / Calculate Age Percentages / State Comments Country / Chemical/ Toxin Number Species Serotype/ Serogroup / Chemical/ Toxin Species Serotype/ Serogroup / /
food/water / distant site / septic systems / agricultural chemical application / chemical / Individual water systems / chemical pollution / chemicals / biosolid/land application site / age / transient systems / food / /
Organization
Number Unit / ID CDC / Unit Number Unit / Environmental Protection Agency / / /
Position
General / General / Water-General / CDC Report ID State Report ID General / Form General National Outbreak Reporting System Waterborne Disease Transmission This form / /