Tsunami Disease Surveillance Network
Symptoms Entry               
* Name of Aid Worker    
Name of the Aid Organisation    
Contact Phone Numbers    
Reporting District   
Reporting Block   
Reporting Village/Town   
Location of camp/other locations   
Reporting Date 
Format for Date:DD-MM-YYYY  		  From - -
       To - -
New Cases
Symptoms
No of cases of Diarrhoea  Adults     < 3 days > 3 days
Children     < 3 days > 3 days
No of cases of fever with chills/rigor     < 5 days
No of cases of fever without chills/rigor     > 5 days
No of cases of fever with bleeding from any  part of the body    
Diagnosed cases
No of Diagnosed Cases of Cholera    
No of Diagnosed Cases of Acute Gastro Enteritis    
No of Diagnosed Cases of Malaria    
No of Diagnosed Cases of Typhoid    
No of Diagnosed Cases of Dengue    
No of Diagnosed Cases of Others    
Total no of cases seen for the reporting period    
Old Cases
Symptoms
No of cases of Diarrhoea  Adults     < 3 days > 3 days
Children     < 3 days > 3 days
No of cases of fever with chills/rigor     < 5 days
No of cases of fever without chills/rigor     > 5 days
No of cases of fever with bleeding from any  part of the body    
Diagnosed cases
No of Diagnosed Cases of Cholera    
No of Diagnosed Cases of Acute Gastro Enteritis    
No of Diagnosed Cases of Malaria    
No of Diagnosed Cases of Typhoid    
No of Diagnosed Cases of Dengue    
No of Diagnosed Cases of Others    

DISCLAIMER: The Tsunami Disease Surveillance System is a system put up to possibly help identify early the spread of epidemics following the Asian Tsunami. The system is subject to both under reporting and over reporting as well as various other biases and Webhealthcentre.com does not make any claim, overt or implied as to the accuracy of the system or the validity of the figures displayed herein. Government and Aid Agencies are requested to make their own independant verification of the data posted here before planning appropriate action. This information posted here is only a rough approximation and webhealthcentre.com does not in any manner vouch for the authenticity of the data displayed in this Section. All use of this section is subject to acceptance of this Disclaimer.