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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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File Size: 62,00 KB
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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 /
/
SocialTag
Pandemics
Rhinorrhea
Swine influenza
Influenza treatment
Medicine
Health
Influenza