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Appendix 4. Community-based surveillance template reporting form

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Appendix 4. Community-based surveillance  template reporting form

  • Below is a template community-based cholera surveillance reporting form for use in collecting daily aggregate data on individuals meeting the applicable definition of a suspected cholera case or death in the community.
  • An editable version of the form can be downloaded here.
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Book traversal links for Appendix 4. Community-based surveillance template reporting form

  • ‹ Appendix 3. Template cholera line list
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  • Introduction
  • Sections
  • Appendix 1
  • Appendix 2
  • Appendix 3
  • Appendix 4
  • Appendix 5
  • Appendix 6
  • Appendix 7
  • Appendix 8
  • Appendix 9
  • Appendix 10
  • Appendix 11
  • Appendix 12
  • Appendix 13
  • Appendix 14
  • Appendix 15
  • Appendix 16
  • Appendix 17

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