Thabo Mofutsanyana District IDSR
Notifiable Medical Conditions
Section A:IDSR Weekly Reporting Form
Date of report
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Day
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Month
Year
Date
Starting Date of Epidemiological week
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Day
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Month
Year
Date
Ending Date of Epidemiological week
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Day
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Month
Year
Date
Epidemiological Week Number
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eg Week 6
Responsible officer
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Submitted by
Health facility (HF)
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Please Select
Dihlabeng Regional Hospital
Phekolong District Hospital
Bakenpark Clinic
Bethlehem Clinic
Busamed Private hospital
Bethlehem State mortuary
Blue Gum Bush Clinic
Bohlokong Clinic
Boiketlo Clinic
Boitumelo Clinic
Bolata Clinic
Bophelong Clinic
Borwa Clinic
Clocolan Clinic
Dinkweng Clinic
Elizabeth Ross District Hospital
EMS Dihlabeng
EMS Ficksburg
EMS Harrismith
EMS Ladybrand
EMS Nketoana
EMS Phumelela
EMS Phuthaditjhaba
EMS Senekal
EMS Warden
Eva Mota Clinic
Excelsior Clinic
Fateng Tse Ntsho Clinic
Harrismith Clinic
Hoogland Medici clinic private hospital
Hlohlolwane Clinic
Hobhouse Clinic
Ikaheng Clinic
Intabazwe Clinic
Itemoheng District Hospital
Itumeleng Clinic
John Daniel Newberry District Hospital
Khosatsana Masetjhaba Clinic
Kokelong Clinic
Kopanong Clinic
Ladybrand Clinic
Leratswana Clinic
Leseding Clinic
Lindley Clinic
Ma-haig Clinic
Makeneng Clinic
Makhalaneng Clinic
Makoane Clinic
Malesoana Clinic
Mamello CHC
Manyatseng Clinic
Marakong Clinic
Masebabatso Clinic
Matsieng Clinic
Mauersnek Clinic
Memel Clinic
Meqheleng Clinic
Mofumahadi Manapo Mopeli Regional Hospital
Monontsha Clinic
Mphatlalatsane Clinic
Mphohadi Clinic
Namahali Clinic
Nketoana District Hospital
Nothnagel Clinic
Nthabiseng Clinic
OR Tambo Clinic
Paballong Clinic
Paul Roux Clinic
Petsana Clinic
Phomolong Clinic
Phumelela District Hospital
Phuthaditjhaba Clinic
Phuthaditjhaba state mortuary
Phuthuloha District Hospital
Qholaqhwe Clinic
Rearabetswe Clinic
Reitumetse Clinic
Reitz Clinic
Relebohile Clinic
Riverside Clinic
Sekamotho Mota Clinic
Senekal Clinic
Senorita Ntlabathi District Hospital
Soetwater Clinic
State mortuary
State mortuary
Tebang Clinic
Thaba Bosiu Clinic
Thaba Phatswa Clinic
Thabang Clinic
Thebe District Hospital
Thusa Bophelo Clinic
Tina Moloi Clinic
Tseki Clinic
Tshiame B Clinic
Tshirela Clinic
Tweespruit Clinic
Vrede Clinic
Zamani Clinic
Sub District
*
Please Select
Dihlabeng
Maluti A Phofung
Mantsopa
Nketoana
Phumelela
Setsoto
District
*
Please Select
Thabo Mofutsanyana
2. Section B: Notifiable Medical Conditions: Category 1
1. Acute Flaccid Paralysis
2. Acute Rheumatic fever
3. Anthrax
4. Botulism
5. Cholera
6. Congenital Rubella syndrome
7. Diphtheria
8. Enteric Fever (typhoid or paratyphoid fever)
9. Food-born disease
10. Hemolytic uremic syndrome (HUS)
11. Listeriosis
12. Malaria
13. Measles
14. Meningococcal disease
15. Monkey pox (Mpox)
16. Pertussis
17. Plague
18. Poliomyelitis
19. Rabies (Human)
20. Respiratory disease caused by novel respiratory pathogen
21. Rift Valley Fever (human)
22. Rubella
23. Smallpox
24. Viral hemorrhagic fever diseases
25. Yellow Fever
3. Section C: Notifiable Medical Conditions: Category 2
26. Agricultural or stock remedy poisoning
27. Bilharzia (schistosomiasis)
28. Brucellosis
29. Congenital syphilis
30. Covid19
31. Hemohpilus influenza type B
32. Hepatitis A
33. Hepatitis B
34. Hepatitis C
35. Hepatitis E
36. Lead poisoning
37. Legionellosis
38. Leprosy
39. Maternal death(pregnancy, childbirth and peuperium)
40. Mercury poisoning
41. Soil Transmitted Helminths (STH)
42. Tetanus
43. Tuberculosis: Pulmonary
44. Tuberculosis: Extra-Pulmonary
45. Tuberculosis: Multi drug-resistant (MDR-TB)
43. Tuberculosis: Extensively drug-resistant (XDR-TB)
4. Section D: Medical Conditions: Category 3
47. Gonorrhoea
48. Endemic arboviral diseases
49. Non-endemic arboviral diseases
50. Non-thyphoidal Salmonellosis
51. Shiga toxin-producing E.coli
52. Shigellosis (shigella spp.)
5. Section E: Epidemic prone
53. Bacterial Meningitis
54. Middle East Respiratory syndrome (MERS)
55. Servere Acute Respiratory Infection (SARI)
56. Influenza Like Illness (ILI)
6. Section F: Targeted for elimination or eradication
57. Mumps
58. Lymphatic filariasis
7. Section G: Other diseases/conditions of public health importance
59. Adverse events following immunization (AEFIs)
60. Animal bites
61. Diabetes Mellitus (new cases)
62. Diarrhoea with dehydration (< 5 years)
63. Epilepsy
64. Healthcare associated Infections or multi drug resistant organisms
65. HIV/AIDS (new cases)
66. Hypertension (new cases)
67. Injuries (road traffic accidents)
68. Moderate acute malnutrition(
69. Servere acute malnutrition (5
70. Neonatal deaths
71. Non-neonatal tetanus
72. Perinatal deaths
73. Scabies
74. Snake bites
75. STIs
76. Stillbirths
8. Section H: Diseases or events of international concern
77. SARS
78. Events of Public Health
9. Section I: Outbreak/Rumor/Event-Based surveillance
1. Have you observed an unusual number of cases and deaths this week? If YES, whih disease/syndrome
2. Have you observed an unusual disease/syndrome in the area this week? If YES, whih disease/syndrome
3. Is there any rumor of suapwxrws outbreak (cases or deaths) in the community? If YES, describe actions taken to verify, investigate, contain/control the observed situation
Submit
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