Disease case investigation forms
Find here the WHO case investigation forms and electronic data capture tools.
C
Cholera
Annex 1. Example of data collection form for cholera investigationIn: Interim guidance document on cholera surveillance (Geneva: World Health Organization Global Task Force on Cholera Control (GTFCC) Surveillance Working Group; 2017 p 28-29).
Electronic field data capture tools with case investigation forms: Cholera tool.xlsm. (Brazzaville: WHO Regional Office for Africa;
2018).
D
Diphteria
Annex 2. Example of Diphtheria notification and investigation form.
In: Control of diphtheria, pertussis, tetanus, Haemophilus influenzae type B, and hepatitis B: field guide. (Washington (DC): Pan American Health Organization; 2005)
Electronic field data capture tools with case investigation forms: EWARS in a box: contact haskewc@who.int
E
Ebola virus disease - English
In: Ebola and Marburg virus disease epidemics: preparedness, alert, control and evaluation. (Geneva: World Health Organization; 2014: Annex 5)
Electronic field data capture tools with case investigation forms available: “Go data 2.0” contact: godata website
Ebola virus disease - Français
In: Ebola and Marburg virus disease epidemics: preparedness, alert, control and evaluation. (Geneva: World Health Organization; 2014: Annex 5)
Electronic field data capture tools with case investigation forms available: “Go data 2.0” contact: godata website
L
Lassa Fever
Lassa Fever Nigeria, 29 March 2018. (Geneva: World Health Organization; 2019)
M
MERS-CoV initial interview questionnaire of cases v2
(Geneva: World Health Organization; 2017)
Monkeypox case investigation form
In: National Monkeypox Public Health Guidelines (Abuja: Federal Ministry of Health and Nigeria Centre for Disease Control; 2019).
V
Viral Hepatitis A, Viral Hepatitis E
Template case report form for acute viral hepatitis.
In: Standard operating procedures for enhanced reporting of cases of acute hepatitis (Geneva: World Health Organization; 2018)
Electronic field data capture tools with case investigation forms available: “EWARS in a box” haskewc@who.int
Y
Ready reference card n°3 – Alert form: suspected yellow fever.
In Yellow Fever – Investigation of yellow fever epidemics in Africa. Field Guide (Geneva: World Health Organization; 2008)
Annex 2. Epidemiological investigation form for yellow fever.
In: Control of Yellow Fever: Field Guide. Page 22 (Washington: Pan American Health Organization; 2005).
Z
Zika complication: Guillain Barre
In: WHO toolkit for the care and support of people affected by complications associated with Zika virus (Geneva: World Health Organization; 2017)
Zika complication: microcephalia
In: WHO toolkit for the care and support of people affected by complications associated with Zika virus (Geneva: World Health Organization; 2017)
Zoonotic influenza
In: Protocol to investigate non-seasonal influenza and other emerging acute respiratory diseases (Geneva: World Health Organization; 2018)
If WHO does not have a specific case investigation form, we propose the case investigation forms used in recent outbreaks by partner institutions.