Investigation of a Foodborne Outbreak
Public Domain
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November, 2004
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Description:This form is used to report foodborne disease outbreak investigations to CDC. It is also used to report Salmonella Enteritidis and E. coli O157:H7 outbreak investigations involving any mode of transmission. A foodborne outbreak is defined as the occurrence of two or more cases of a similar illness resulting from the ingestion of a common food in the United States. This form has 6 parts. Part 1 asks for the minimum or basic information needed and must be completed for the investigation to be counted in the CDC annual summary. Part 2 asks for additional information for any foodborne outbreak, while Parts 3 – 6 ask for information concerning specific vehicles or etiologies. Please complete as much of all parts as possible.
Form approved OMB No. 0920-0004
CDC 52.13 revised November, 2004
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Pages in Document:6 unnumbered pages
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Main Document Checksum:urn:sha-512:8446d2eb5e917072bd690449b3c95af662859887459583d6521d79d8de3518582cb1ead8c41291f906b3c5c06064c182303868b10ccdfccd91558b3fe58bb8d3
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