Communicable Disease Notifying Form

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Instructions for completing notification forms
The adoption by the 58th World Health Assembly of the revised (2005) International Health Regulations
(IHR) provides the legal framework for mandating countries to have a disease surveillance system.
Therefore it is Mandatory under the International Health Regulations (IHR) to report communicable
diseases.
(*) Questions marked with this asterisk are mandatory to complete.
1. Reporting institution name and contact phone number should be in each form. (a seal may be used)
2. Tick the appropriate notifiable disease. The diseases in bold in this list should be notified within 24
hours. For a new emerging disease, i.e. a disease new to Maldives or not frequently seen, specify
the disease in the space, and inform by telephone as well. For other diseases not listed, please see
notes below.
3. Case classification: if uncertain, please check case definitions and confirmatory lab tests with the
booklet: Case definition for notifiable diseases in Maldives 2008, available in hospitals and on the
Ministry of Health and Family website.
4. Name: as in ID card, passport or work permit card (for non-nationals)
5. Permanent address: as in ID card (and usually in admission/registration documents)
6. Address of residence at time of onset of illness: Please specifically ask the patient or care-giver and
write the address where patient lived when the symptoms began.
7. Date of onset = approximate date when symptoms first began. Please ask the patient or caregiver if
it is not mentioned or not clear in the notes.
8. Re-notification: This is required for changes in diagnosis, case confirmation or outcome.
-Change of diagnosis includes change from DF (Dengue fever) to DHF or DSS.
-Case confirmation includes change in status i.e. suspect, probable or confirmed according to
the case definition, e.g. confirming diagnosis or causative organism by laboratory tests.
-Case outcome: This is often not known at time of reporting. However, if a patient with the
disease dies, develops life-long sequelae or disability, or develops chronic disease status or
chronic carrier status, please repeat notification mentioning the new outcome. In case of death,
please attach a copy of death certificate and death summary.
You may use either the previous form, a clear copy of it or a fresh form for re-notification.
The following diseases do not require case-based notification:
Viral fever
Out-patient Acute Respiratory Infections (ARIs)
Diarrhoeal disease (AGE)
Conjunctivitis
This form need not be completed for these diseases unless you have some particular concern. These diseases are notified
by institutions on a daily count basis.
The following diseases have separate forms which are available from CCHDC and on the website
Acute flaccid paralysis (AFP)
Vaccine preventable diseases
Tuberculosis
HIV, STD’s
Measles
Food poisoning
These diseases should be informed to CCHDC by telephone as soon as possible. You may report it in this form
under ‘Other emerging diseases’ and specify the name, if you wish, particularly when specific forms are not
available. However, you should complete and send the disease-specific form also.
For further information or inquiries, please contact:
Health Protection Agency
Roshanee Building, Sosun Magu, Male’.
Telephone: +960 3014 496, Hotline: +960 3014 333
Fax: +960 3014 484
Forms and case definition booklet are available on

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