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Babesiosis Case Report Form

A screen shot of the babesiosis case report form.

At its 2010 Annual Meeting, the Council of State and Territorial Epidemiologists (CSTE) recommended that babesiosis be added to the list of nationally notifiable conditions and that states and territories conduct surveillance using the national case definition. On January 1, 2011, babesiosis became a nationally notifiable condition.

For cases of babesiosis that have been identified and reported through the National Notifiable Diseases Surveillance System, states are also encouraged to submit additional information using OMB-approved CDC Case Report Forms (CRFs). The Babesiosis CRF [PDF, 2 pages, 650 KB] includes variables that routine electronic reporting does not, such as risk factors for infection, clinical manifestations, and laboratory results. If a state-specific form is already used to collect such information, the supplemental details may be submitted to CDC in lieu of a CRF.

For more information regarding babesiosis surveillance or assistance in completing the form, please call the Parasitic Diseases Branch at 404-718-4745 or email parasites@cdc.gov. Completed forms (or other supplemental information) may be submitted to CDC in any of the following ways:

Print and mail to:

CDC, Parasitic Diseases Branch
Attn: Babesiosis Surveillance
1600 Clifton Road NE
Mailstop A06
Atlanta, GA 30333

Fax to:

CDC, Parasitic Diseases Branch
Attn: Babesiosis Surveillance
404-718-4816

Form: Babesiosis Case Report Form [PDF, 2 pages, 650 KB]

More on: Babesiosis

More on: Council of State and Territorial Epidemiologists

More on: List of Nationally Notifiable Conditions, June 2010

More on: Mortality and Morbidity Weekly Report, CDC

 
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