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    This document is a tally sheet for weekly reporting of syndromes and cases through the Early Warning Alert and Response System (EWARS). It includes sections to report the facility name, location, report date, facility number, and reporting officer. The main body consists of a table to tally the number of male and female cases under 5 years old and over 5 years old for 22 different syndromes, including acute watery diarrhea, bloody diarrhea, acute respiratory infection, suspected COVID-19, suspected measles/rubella, suspected malaria, confirmed malaria, suspected dengue, confirmed dengue, and others. Space is also provided for any comments.

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    This document is a tally sheet for weekly reporting of syndromes and cases through the Early Warning Alert and Response System (EWARS). It includes sections to report the facility name, location, report date, facility number, and reporting officer. The main body consists of a table to tally the number of male and female cases under 5 years old and over 5 years old for 22 different syndromes, including acute watery diarrhea, bloody diarrhea, acute respiratory infection, suspected COVID-19, suspected measles/rubella, suspected malaria, confirmed malaria, suspected dengue, confirmed dengue, and others. Space is also provided for any comments.

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

    New Form Weekly

    Uploaded by

    Activity Manager
    This document is a tally sheet for weekly reporting of syndromes and cases through the Early Warning Alert and Response System (EWARS). It includes sections to report the facility name, location, report date, facility number, and reporting officer. The main body consists of a table to tally the number of male and female cases under 5 years old and over 5 years old for 22 different syndromes, including acute watery diarrhea, bloody diarrhea, acute respiratory infection, suspected COVID-19, suspected measles/rubella, suspected malaria, confirmed malaria, suspected dengue, confirmed dengue, and others. Space is also provided for any comments.

    Copyright:

    © All Rights Reserved
    Download as DOC, 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
    Syndromes Under 5y Under 5y Over 5y Over 5y
    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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