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    IDSP P&L Forms

    Uploaded by

    Kunal Yadav
    The document contains two reporting formats used by the Integrated Disease Surveillance Program (IDSP) in India. Format P is the weekly reporting format for IDSP and collects data on 22 diseases and syndromes observed at reporting institutions. It includes the name of the reporting institution, reporting period, number of cases of each disease, and any unusual increases observed. Format L is the weekly reporting format for IDSP laboratories and collects data on samples tested and positive results for various diseases, including a line list of identifying information for positive cases other than malaria.

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    IDSP P&L Forms

    Uploaded by

    Kunal Yadav
    4K views2 pages
    The document contains two reporting formats used by the Integrated Disease Surveillance Program (IDSP) in India. Format P is the weekly reporting format for IDSP and collects data on 22 diseases and syndromes observed at reporting institutions. It includes the name of the reporting institution, reporting period, number of cases of each disease, and any unusual increases observed. Format L is the weekly reporting format for IDSP laboratories and collects data on samples tested and positive results for various diseases, including a line list of identifying information for positive cases other than malaria.

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    The document contains two reporting formats used by the Integrated Disease Surveillance Program (IDSP) in India. Format P is the weekly reporting format for IDSP and collects data on 22 diseases and syndromes observed at reporting institutions. It includes the name of the reporting institution, reporting period, number of cases of each disease, and any unusual increases observed. Format L is the weekly reporting format for IDSP laboratories and collects data on samples tested and positive results for various diseases, including a line list of identifying information for positive cases other than malaria.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    4K views2 pages

    IDSP P&L Forms

    Uploaded by

    Kunal Yadav
    The document contains two reporting formats used by the Integrated Disease Surveillance Program (IDSP) in India. Format P is the weekly reporting format for IDSP and collects data on 22 diseases and syndromes observed at reporting institutions. It includes the name of the reporting institution, reporting period, number of cases of each disease, and any unusual increases observed. Format L is the weekly reporting format for IDSP laboratories and collects data on samples tested and positive results for various diseases, including a line list of identifying information for positive cases other than malaria.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    FORM P (Weekly Reporting Format IDSP)

    Name of Reporting Institution: State: Officer-in-Charge IDSP Reporting Week:District: Name: Start Date:___/___/______ Diseases/Syndromes S.no
    1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22

    I.D. No.: Block/Town/City: Signature: End Date:___/___/______ Date of Reporting:___/___/______ No. of cases

    Acute Diarrhoeal Disease (including acute gastroenteritis) Bacillary Dysentery Viral Hepatitis Enteric Fever Malaria Dengue / DHF / DSS Chikungunya Acute Encephalitis Syndrome Meningitis Measles Diphtheria Pertussis Chicken Pox Fever of Unknown Origin (PUO) Acute Respiratory Infection (ARI) / Influenza Like Illness (ILI) Pneumonia Leptospirosis Acute Flaccid Paralysis < 15 Years of Age Dog bite Snake bite Any other State Specific Disease (Specify) Unusual Syndromes NOT Captured Above (Specify clinical diagnosis) Total New OPD attendance (Not to be filled up when data collected for indoor cases) Action taken in brief if unusual increase noticed in cases/deaths for any of the above diseases

    FORM L (Weekly Reporting Format IDSP)


    Name of the Laboratory: State: Officer-in-Charge: IDSP Reporting Week:District: Name: Start Date:___/___/______ Diseases
    Dengue / DHF / DSS Chikungunya JE Meningococcal Meningitis Typhoid Fever Diphtheria Cholera Shigella Dysentery Viral Hepatitis A Viral Hepatitis E Leptospirosis Malaria Other (Specify) Other (Specify)

    Institution: Block/Town/City: Signature: End Date:___/___/______ Date of Reporting:___/___/______

    No. Samples Tested

    No. found Positive

    PV:

    PF:

    Line List of Positive Cases (Except Malaria cases): Address: Name Age Sex Village/Town (Yrs) (M/F)

    Name of Test Done

    Diagnosis (Lab confirmed)

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