 | Disaster Reports Number 5: Hurricane Gilbert in Jamaica, September, 1988 (PAHO-OPS, 1988, 42 p.) |
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Appendix 1
REPORT SYMPTOMS OR CLEARLY RECOGNIZABLE DISEASES
MINISTRY OF
HEALTH JAMAICA
Name of Health Facility or Shelter:________________ Date:__________
Location:______________________________________________________
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CASES |
(Deaths) CASES | |||||
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AGE (Years) |
0-4 |
5-15 |
15 & + |
0-4 |
5-15 |
15 & + |
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Fever (No diarrhoea/cough) | ||||||
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Fever with Cough (cold) | ||||||
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Gastroenteritis* | ||||||
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Conjunctivitis | ||||||
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Measles | ||||||
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Fever with Rash |
, | |||||
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Skin Rash | ||||||
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Wheezing or SOB | ||||||
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Burns | ||||||
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Trauma | ||||||
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Other (Specify): | ||||||
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Malnutrition | ||||||
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1. Daily Total | ||||||
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2. Total patients seen per day | ||||||
COMMENTS:________________________________________________________
___________________________________________________________________
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N S. Gastroenteritis is the presence of three or more watery stools/day.
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