Review / Reporting / Surveillance Forms

Reporting Forms

AEFI

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  • AEFI following COVID 19 Vaccines

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  • AEFI Form - 01

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  • Monthly Surveillance Report on AEFI ( AEFI Form - 02 )

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  • Case Investigation Form ( AEFI Form - 03 )

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  • Regional Epidemiologist Monthly Consolidate Return of AEFI

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  • Anaphylaxis following immunization Case Investigation Form

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  • Hypotonic–Hyporesponsive Episode (HHE) Case Investigation Form

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  • Investigation of Deaths related to immunization

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  • Meningitis following immunization - Case Investigation Form

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  • Monthly return of O.P.V. Immunization Form – ( Returnees from South India )

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  • New MOH Office Vaccine Movement Register

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  • New MOH Clinic Vaccine Movement Register

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NIP/VPD Review Formats

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  • 1-EPI and VPD review_Guidelines for data collection_2024

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  • 5-EPI and VPD review_Decisions format_2024

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  • 4-EPI and VPD review_RE presentation format_2024

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  • 2-EPI and VPD review_MOH data collection format_2024

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  • 3-EPI and VPD review_MOH presentation format_2024

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Special Surveillance Forms

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Other Surveillance Forms

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  • Hepatitis B & C Quarterly Return

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  • RDHS's Monthly Consolidated Return on Water Quality Surveillance

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  • Water Quality Surveillance (MOOH's Monthly Consolidated Return)

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  • Ebola Field Investigation Form

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  • Suspected Influenza Infection - Death Reporting Form

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  • Form of National Influenza Laboratory , Department of Virology MRI

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  • Data formats for Influenza Surveillance (English)

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  • Death Reporting Form - Suspected Influenza Infection ( English )

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