Are you/ your in a high risk occupation Yes Child care/kindergarten staff or attendees or high risk environment (including paid No Food handler and unpaid/volunteer position)? Health care provider Other (specify) Occupation: Name of Child care/Kindergarten/Employer Child care/Kindergarten/Employer Contact Information (name, phone number, etc.) Address Are you/ your child currently experiencing Yes Last day case attended child diarrhea? care/kindergarten/work: No High Risk Occupation/High Risk Environment Case/Parent/Guardian advised Exclusion required from child Yes Yes that public health unit will care/kindergarten/work? No No contact child care/ kindergarten/work? Could we have your permission to release Yes your/ your child’s diagnosis to child No care/kindergarten/work? Refer to the current Infectious Diseases Protocol, Typhoid Fever chapter, Appendix A, Management of Cases section for exclusion pertaining to day care staff and attendees, food handlers, and health care providers. For iPHIS data entry if the case is excluded from work or child care/kindergarten, enter information under → – Interventions. Laboratory Specimen Clearance Results Case or Specimen Collection Result Date Result Comments/Client Contact? Type Date Notification Case 1 Contact Case 2 Contact Case 3 Contact Case 4 Contact Case 5
Are you/ your in a high risk occupation or high risk environment (including paid and unpaid/volunteer position)? Yes No Child care/kindergarten staff or attendees Food handler Health care provider Other (specify) Occupation: Name of Child care/Kindergarten/Employer Child care/Kindergarten/Employer Contact Information (name, phone number, etc.) Address Are you/ your child currently experiencing diarrhea? Yes No Last day case attended child care/kindergarten/work: High Risk Occupation/High Risk Environment Exclusion required from child care/kindergarten/work? Yes No Case/Parent/Guardian advised that public health unit will contact child care/ kindergarten/work? Yes No Could we have your permission to release your/ your child’s diagnosis to child care/kindergarten/work? Yes No Refer to the current Infectious Diseases Protocol, Typhoid Fever chapter, Appendix A, Management of Cases section for exclusion pertaining to day care staff and attendees, food handlers, and health care providers. → For iPHIS data entry – if the case is excluded from work or child care/kindergarten, enter information under Interventions. Laboratory Specimen Clearance Results Case or Contact? Specimen Type Collection Date Result Date Result Comments/Client Notification 1 Case Contact 2 Case Contact 3 Case Contact 4 Case Contact 5 Case
Typhoid%20Fever%20Investigation%20Tool.docx