HEALTHCARE PROFESSIONALS
Report suspect or confirmed cases IMMEDIATELY to local health department by phone and follow up with written report.
LOCAL HEALTH DEPARTMENTS
Required Forms
- WVEDSS
- Case Report Form
- Form 2a: Case Travel/Activity Worksheet - Infectious Period
- Form 2b: Smallpox Primary Contact/Site Worksheet
- Form 2c: Case Transportation Worksheet - Infectious Period
- Form 2d: Smallpox Contact Tracing Form
- Form 2e: Case Household & Primary Contact Surveillance Form
- Form 2f: Case Primary Contact's Household Members Surveillance
- Form 3a: Smallpox Case Exposure Investigation Form
- Form 3b: Case Travel/Activity Worksheet - Exposure Period
- Form 3c: Case Transportation Worksheet - Exposure Period
- Information for Public Health Officials
