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  • Weekly Report: Virological Results of Stool Specimen Testing For AFP Cases From National Polio Laboratory

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    This weekly report from a national polio laboratory summarizes virological testing results of stool specimens from acute flaccid paralysis cases. It provides results for multiple cases, listing case ID numbers, dates samples were received and tested, test results including negative, poliovirus type 1, 2 or 3, or non-polio enterovirus. Test results are sent to state and national public health authorities, with the report signed and dated by the reporting laboratory.

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    This weekly report from a national polio laboratory summarizes virological testing results of stool specimens from acute flaccid paralysis cases. It provides results for multiple cases, listing case ID numbers, dates samples were received and tested, test results including negative, poliovirus type 1, 2 or 3, or non-polio enterovirus. Test results are sent to state and national public health authorities, with the report signed and dated by the reporting laboratory.

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    1 views2 pages

    Weekly Report: Virological Results of Stool Specimen Testing For AFP Cases From National Polio Laboratory

    Uploaded by

    Adrishya
    This weekly report from a national polio laboratory summarizes virological testing results of stool specimens from acute flaccid paralysis cases. It provides results for multiple cases, listing case ID numbers, dates samples were received and tested, test results including negative, poliovirus type 1, 2 or 3, or non-polio enterovirus. Test results are sent to state and national public health authorities, with the report signed and dated by the reporting laboratory.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as XLS, PDF, TXT or read online from Scribd
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    Download as xls, pdf, or txt
    of 2

    Weekly Report

    Form AFP-L001

    Virological Results of Stool Specimen Testing for AFP Cases from National Polio Laboratory
    Laboratory : ____________________________________

    Week No. : ________

    Report Date : ______/______/______

    Beginning :_____/_____/_____

    Reported by : ___________________________________ (Name)

    Ending : _____/_____/_____

    Case ID Number
    (EPID Number)

    Stool

    Date Stool
    Received

    Condition
    (Good/Poor)

    Result (Please tick all that apply)


    Neg
    P1
    P2
    P3
    NPEV

    Date Sent
    for ITD

    First
    Second
    First
    Second
    First
    Second
    First
    Second
    First
    Second
    First
    Second
    First
    Second
    First
    Second
    First
    Second
    To,
    1. State EPI Officer
    ________________________________
    ________________________________
    ________________________________
    ________________________________

    2. National Polio Surveillance Unit


    Ministry of Health & Family Welfare
    106 "D" Wing, Nirman Bhawan
    Maulana Azad Road, New Delhi - 110 011
    Fax : 011- 3792369

    ________________
    Signature

    Page_____of_____

    boratory

    ____/_____/_____

    _/_____/_____
    ITD Result
    (Wild/Vaccine)

    ____________
    Signature

    Page_____of_____

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