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Influenza-Like Illness Outbreak Surveillance Form for Camp Settings Camps should use this form (or modify it to fit the needs of the camp) for tracking purposes if an outbreak of influenza-like illness is suspected or oc
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Document Date: 2014-06-18 14:17:20


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Facility

Camp Settings Camps / Camp Name / /

MedicalCondition

Fever / Sore throat R / influenza / Cough A / influenza-like illness / Vomiting S / Runny nose O / Diarrhea H / Headache T / Tiredness/fatigue V / Muscle aches / /

Organization

Staff Unit / /

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