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School Syndromic Surveillance Weekly Reporting - Epidemiology

  1. Sympton

  2. Number of cases this week only

    Enter "0" if you have no cases

  3. Fever/fever-related symptoms

    Oral temperature >/= 100 degrees F

  4. Diarrhea

  5. Vomiting

  6. Respiratory Illness

    Congestion, runny nose, cough, wheeze, stuffy nose, respiratory allergies

  7. Rash

    Chicken pox, scabies, hives, poison ivy

  8. Sore throat

  9. Headache

  10. Asthma attacks and asthma prevention

    Preventative puffs

  11. Stomach ache

  12. Leave This Blank:

  13. This field is not part of the form submission.