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 care giver)

• 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  AI in Humans – Investigation Form
• Provide with AI 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 AI Fact sheet and AI (“Bird flu”) Advice for people under surveillance fact sheet
• 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].