Public health unit avian influenza checklist

​​​​Patient [NCIMS] ID number: ____________

Contact the patient’s doctor

• Obtain patient’s history.
• Obtain patient’s contact details and permission to contact the patient.
• Confirm results of relevant pathology tests.
• Determine if others were exposed in the clinic.

Contact the patient (or caregiver)

• Identify likely source of infection.
• Confirm onset date and symptoms of the illness.
• Check infection control measures are in place.
• Identify contacts and obtain their contact details.
• Complete  Avian influenza in humans – Investigation form.
• Provide with Avian influenza fact sheet.

Contact laboratory

• Check samples received and obtain any outstanding results.

Confirm case

• Assess information against case definition.
  
• Contact patient’s contacts to:
  
• assess risk of AI (exposure history)
  
• determine current symptoms
• explain symptoms and restrictions
• recommend intervention if needed (anti-influenza medicines)
  
• ​provide with and explain Avian influenza fact sheet and Bird flu (avian influenza): information for people who have been exposed
  
• ensure access to a thermometer.
  

Other issues

• Report details of case and action plan to [CDB CD On Call].
  
• Assess and arrange best method for delivering intervention to contacts.
  
• Consider a media release.
  
• Enter case data onto [NCIMS].