Pertussis surveillance worksheets have been revised and added as components of Appendix 11. These worksheets are designed to assist with collection of the surveillance data associated with the pertussis HL7 message mapping guide (MMG) for electronic notification to CDC. The 2009 worksheet is presented without annotations, for routine use, and with annotations showing HL7 MMG data element (DE) identifiers that apply for easier mapping into surveillance systems. In addition, the November 2019 worksheets incorporate the additional data elements that are included in the HL7 MMG, one without annotations and one with annotations, again for routine use and for easier mapping into surveillance systems.
List of Appendices
Manual for the Surveillance of Vaccine-Preventable Diseases
Below is a list of appendices for the Manual of Surveillance of Vaccine-Preventable Diseases.
If you wish to be notified by email when an appendix is added or updated, please enter your email address into the “Get Email Updates” box located on this page. Those of you that have already signed up for this service do not need to sign up again.
- Appendix 1: Collection of Specimens for Isolation of C. diphtheriae [2 pages] (Ch. 1)
- Appendix 2: Guidelines for managing a suspected case of diphtheria and for managing close contacts [3 pages] (Ch. 1)
- Appendix 3: CDC Diphtheria Worksheet [3 pages] (Ch. 1)
- Appendix 4: Haemophilus influenzae Surveillance Worksheets (Ch. 2)
- Hflu Worksheet Abbreviated Option (2010) [1 page] Nov 2010
- Hflu Worksheet Abbreviated Option (2010) Annotated [1 page] Nov 2010
- Hflu Worksheet Expanded Option (2010) [3 pages] Nov 2010
- Hflu Worksheet Expanded Option (2010) Annotated [3 pages] Jun 2019
- Hflu Worksheet HL7-MMG version (2019) [5 pages] Jun 2019
- Hflu Worksheet HL7-MMG version (2019) Annotated [5 pages] Feb 2019
- Appendix 5: Haemophilus influenzae type b Vaccine and Extended Information Worksheet (Ch. 2) removed – Haemophilus influenzae type b Worksheet is no longer in use.
- Appendix 6: Hepatitis Data Collection Worksheet [6 pages] (Ch. 3 and 4) Feb 2009
- Appendix 7: Measles Virus Isolation Instructions [2 pages] (Ch. 7) Jan 2009
- Appendix 8: Measles Surveillance Worksheet (Ch. 7)
- Instructions [2 pages] Jan 2009
- Worksheet [2 pages] Jan 2009
- Measles Worksheet – 2009 version annotated [2 pages] Feb 2009
- Measles Worksheet – 2019 version [4 pages] Mar 2019
- Measles Worksheet – 2019 version annotated [4 pages] Mar 2019
- Appendix 9: Meningococcal Disease Surveillance Worksheet (Ch. 8)
- Version 1 (formerly NETSS) [1 page] Apr 2017
- Abbreviated Worksheet Option – 2017 version annotated [1 page] May 2019
- Version 2 (formerly NEDSS) [1 page] Apr 2017
- Expanded Worksheet Option – 2017 version annotated [3 pages] May 2019
- Meningococcal Disease Worksheet – 2019 version [5 pages] May 2019
- Meningococcal Disease Worksheet – 2019 version annotated [5 pages] May 2019
- Appendix 10: Mumps Surveillance Worksheet (Ch. 9)
- Appendix 11: Pertussis Surveillance Worksheet (Ch. 10)
- Appendix 12: Pertussis Death Worksheet (Ch. 10)
- Instructions (Aug 2018)
PDF [11 pages] | Word [21 pages] - Work Sheet (Mar 2019)
PDF [3 pages]| Word [7 pages]
- Instructions (Aug 2018)
- Appendix 13: Streptococcus pneumoniae Surveillance Worksheet (Ch. 11)
- Appendix 14: Suspected Polio Case Worksheet -Investigation of Suspected Case of Poliomyelitis (Ch. 12)
- Worksheet [3 pages] May 2010
- Appendix 15: Collection of Specimens for Typing of Rubella Virus [2 pages] (Ch. 14) Jan 2009
- Appendix 16: Rubella Surveillance Worksheet (Ch. 14)
- Instructions [2 pages] Apr 2018
- Worksheet [2 pages] Feb 2009
- Rubella Worksheet 2009 version annotated [2 pages] Feb 2009
- Rubella Worksheet 2019 version [6 pages] Mar 2019
- Rubella Worksheet 2019 version annotated [5 pages] Mar 2019
- Appendix 17: Congenital Rubella Syndrome Case Report [2 pages] (Ch. 15) Feb 2009
- Appendix 18: Tetanus Surveillance Worksheet (Ch. 16)
- Instructions [2 pages] Feb 2009
- Worksheet [2 pages] Feb 2009
- Appendix 19: Varicella Death Investigation Worksheet (Ch. 17)
- Instructions [2 pages] Nov 2012
- Worksheet [4 pages] Nov 2012
- Appendix 20: Varicella Outbreak Reporting & Surveillance Worksheets (Ch. 17)
- Outbreak Reporting Worksheets –
- Surveillance Worksheets –
- Appendix 21: Updated Guidelines for Evaluating Public Health Surveillance Systems [1 page] (Ch. 18) Jan 2009
- Appendix 22: VAERS Form [1 page] (Ch. 21) Jan 2009
- Appendix 23: CDC Specimen Submission Form (50.34)(Ch. 22) Jan 2013
Link to page describes updated form and protocols in effect Feb 4, 2013. - Appendix 24: Interstate Shipment of Etiologic Agents / Packaging and Shipping of Biomedical Material [4 pages] (Ch. 22) Feb 2009
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