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Malaria Case Surveillance Report Form | Sharing Information

Clinical Information

Disease
Incubation period, uncomplicated malaria, severe malaria...

Diagnosis
Presumptive treatment, antigen detection, serology...

Treatment of Malaria (guidelines for physicians)
Including treatment table

Prevention

Malaria Prevention
How to prevent infection and disease caused by malaria parasites

Preventing Malaria in Travelers

Malaria Control in Endemic Countries
How to reduce the impact of malaria on a population

Training and Resources

Health Information Toolkit for Use During Outbreaks of Locally Transmitted Malaria

Interactive Training

DPDx
Laboratory identification of parasites of public health concern

References and Resources

Malaria Case Surveillance Report Form

CDC provides a Malaria Case Surveillance Report FormAdobe Acrobat Reader (119 KB/2 pages) with DirectionsAdobe Acrobat Reader(66 KB/2 pages). Print and mail the completed form to the address at the top of the surveillance form or fax it to CDC, Malaria Branch, at 770-488-4206.

Malaria is a reportable disease in the United States and its territories. Health-care providers should report all cases of laboratory-confirmed malaria occurring in the United States and its territories to their local or state health department. Reports are transmitted to CDC through the National Malaria Surveillance System (NMSS). Surveillance forms may be sent to CDC's Malaria Branch either by mail (at the address at the top of the form) or by fax (at 770-488-4206).

To report an adverse event to an antimalarial drug

If your patient has experienced an adverse event while taking an antimalarial drug, you can report that side effect to MedWatch, the FDA Safety Information and Adverse Event Reporting Program. Reporting an event is voluntary. However, your participation is encouraged in order to keep safe and effective drugs and devices available on the market.

To submit your voluntary report, do one of the following:

  • Complete the voluntary form 3500 online at www.accessdata.fda.gov/scripts/medwatch/ *
  • Call 1-800-FDA-1088 to report by telephone
  • Download a copy of the form and either fax it to 1-800-FDA-0178 or mail it using the postage-paid addressed form.
For more information visit www.fda.gov/medwatch/report/hcp.htm *

Sharing Information

If you wish to share your clinical or public health experience, or contribute cases studies or quizzes, please contact us at: nciddpdmalaria@cdc.gov.

 

* Note: These sites are not CDC sites and will be opened in a new browser window. CDC is not responsible for the content of Web pages found at these links. Links to nonfederal organizations are provided solely as a service to our users. These links do not indicate an endorsement of these organizations by CDC.




 

Page last modified : April 23, 2005
Content source: Division of Parasitic Diseases
National Center for Zoonotic, Vector-Borne, and Enteric Diseases (ZVED)

 

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Contact Info

Health Care Professionals
Health care providers needing assistance with diagnosis or management of suspected cases of malaria should call the CDC Malaria Hotline: 770-488-7788 (M-F, 8am-4:30pm, eastern time). Emergency consultation after hours, call: 770-488-7100 and request to speak with a CDC Malaria Branch clinician.

By email
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Fighting Malaria: CDC's Historic Commitment
Learn about malaria history…
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