Maritime conveyance cumulative influenza/influenza-like illness (ILI) form

Details

• Corporate Authors:
  Centers for Disease Control and Prevention (U.S.)
• Description:
  CDC does not require that cruise ships traveling to or within U.S. waterways report individual cases of suspected or confirmed influenza. CDC requests the reporting of total influenza-like illness (ILI)/influenza cases (including zero) for each voyage by using this form. Cumulative ILI reporting is not requested from cargo ships.
  
  Form Approved
  
  OMB Control Number 0920-0134
  
  Expiration date 7/31/2015
  
  
• Subjects:
  Disease Notification Influenza, Human Ships Travel
• Document Type:
  Pamphlet (or booklet)
• Genre:
  Forms
• Pages in Document:
  1 unnumbered page
• Collection(s):
  Stephen B. Thacker CDC Library
• Main Document Checksum:
  urn:sha256:bbcf4b50350596d4a47c43d7211ed970a0b8ec1426d7d4f1b2037c4d8679d3d3
• Download URL:
  https://stacks.cdc.gov/view/cdc/25789/cdc_25789_DS1.pdf
• File Type:
  [PDF - 197.07 KB ]