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    This document is a tally sheet for weekly reporting of disease surveillance data through the Early Warning and Response System (EWARS). It includes fields for the week number, facility name, location, report date, facility number, and reporting officer. It then has columns to report case counts of various syndromes separately for males and females under 5 years old and over 5 years old. These syndromes include things like acute watery diarrhea, bloody diarrhea, acute respiratory infection, suspected COVID-19, suspected measles/rubella, and more. It concludes with fields for confirmed malaria, suspected dengue, confirmed dengue, and other syndromes like unexplained fever and severe malnutrition.

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    This document is a tally sheet for weekly reporting of disease surveillance data through the Early Warning and Response System (EWARS). It includes fields for the week number, facility name, location, report date, facility number, and reporting officer. It then has columns to report case counts of various syndromes separately for males and females under 5 years old and over 5 years old. These syndromes include things like acute watery diarrhea, bloody diarrhea, acute respiratory infection, suspected COVID-19, suspected measles/rubella, and more. It concludes with fields for confirmed malaria, suspected dengue, confirmed dengue, and other syndromes like unexplained fever and severe malnutrition.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    17 views1 page

    New Form Weekly

    Uploaded by

    Activity Manager
    This document is a tally sheet for weekly reporting of disease surveillance data through the Early Warning and Response System (EWARS). It includes fields for the week number, facility name, location, report date, facility number, and reporting officer. It then has columns to report case counts of various syndromes separately for males and females under 5 years old and over 5 years old. These syndromes include things like acute watery diarrhea, bloody diarrhea, acute respiratory infection, suspected COVID-19, suspected measles/rubella, and more. It concludes with fields for confirmed malaria, suspected dengue, confirmed dengue, and other syndromes like unexplained fever and severe malnutrition.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    Tally Sheet for weekly reporting through EWARS

    Week Number _______

    Facility Name
    Location
    Report Date
    Facility Number
    Name of The Reporting Officer
    Under 5y Under 5y Over 5y Over 5y
    Syndromes
    Male Case count Female Case Male Case count Female Case
    (for case definitions see reverse)
    count count
    1 Acute Watery Diarrhoea
    2 Bloody Diarrhoea
    3 Other Diarrhoea
    4 Acute Respiratory Infection
    5 Suspected COVID-19
    6 Suspected Measles/Rubella
    7 Suspected Mumps
    8 Acute Flaccid Paralysis (AFP)
    9 Suspected Meningitis
    10 Acute Jaundice Syndrome
    11 Suspected Haemorrhagic Fever
    12 Neonatal Tetanus
    13 Adult Tetanus
    14 Suspected Malaria

    15 Confirmed Malaria
    16 Suspected Dengue
    17 Confirmed Dengue
    18 Suspected Varicella
    19 Unexplained Fever >
    101˚F/38.5˚C
    20 Severe Malnutrition
    21 Injuries / Wounds
    22 Others
    Comments

    WHO Health Emergencies

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