Ebola Exposure Daily Symptom Monitoring Log

Region:
Los Angeles County
Source:
Los Angeles County Public Health Acute Communicable Disease Control Program (LACDPH ACDC)
Resource Updated:
Nov. 05, 2014
LACDPH Ebola Exposure Daily Symptom Monitoring Log

About this Resource

Printable PDF form to log contacts under Ebola Virus Disease surveillance.

Audience

Hospital staff caring for patients under investigation or patients with confirmed Ebola virus disease (EVD).

Key Takeaways

  • Los Angeles Department of Public Health (LACDPH) log to monitor contacts under Ebola Virus Disease (EVD) surveillance.
  • This log is intended to be utilized to monitor EVD contacts temperature and symptoms twice a day.
  • Completed Ebola Exposure Daily Symptom Monitoring logs must be faxed to Acute Communicable Disease Control (ACDC) (Fax:213-202-5999).