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State the process from local, to state, to federal notification?

State the process from local, to state, to federal notification?

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Ans) state health departments deal with notifiable disease "special threats"- Reported immediately by telephone.

Oral briefings, written reports, accurate media representation-

- Why: to promote good PH relations, disseminate info
When: beginning and end of the investigation and whenever information for prevention and control comes to light
How: use scientifically objective language
Where: the appropriate venue is dictated by the audience; can also present at conferences
Who: audience may vary but should include local, state, and federal authorities.

The "why, when, how, where, and who'' of outbreak reporting: Written reports:
Why: to document the investigation, to prevent future occurrences, and to add to the public health information base
When: at the conclusion of the investigation
How: use standard scientific reporting format with introduction, methods, results, discussion,
(± recommendations)
Where: internal documents should be filed with the local health department and all supporting agencies, peer-reviewed journal
Who: audiences may vary but might include epidemiologists and researchers.

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