Visual Diagram Storyboard - Exposures

Att4 Visual Diagram Storyboard 20150118.docx

Ebola Transmission Dynamics among Household Contacts in West Africa: a Public Health Response Evaluation in Western Area, Sierra Leone

Visual Diagram Storyboard - Exposures

OMB: 0920-1043

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Attachment 4. Visual Diagram or Story Board of the Case Symptom Time Course and Household Member Exposures



  • Use magnetic, dry erase whiteboard. Affix a drawing of a symptom, event, exposure, protective step, etc. to a magnet and place in appropriate location on grid.

  • First complete the case section, then confirm with the informant. Next complete the household contact section for each household member, keeping information on Case in place.



Case Section

Phase

Incubation

Early

Wet (bleeding, vomiting , or diarrhea)

Death or removal

Ebola Symptom

(none)




Major events


(eg. Prayer day)


(eg. Case removed by ambulance)

Was Case in HH?





Dates (if possible)






HH contact Section

Outside exposures?





In HH?





Specific Exposures





Protective steps









* This is an interview aid to increase information quality. Its use is included in the burden estimates for Attachment 1 and Attachment 3.































File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorCDC
File Modified0000-00-00
File Created2021-01-25

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