Attachment 6.
Arboviral Diseases
FORM APPROVED
OMB No. 0920-0636
EXP DATE MM/DD/20YY
Public reporting burden of this collection of information is estimated to average 60 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to CDC/ATSDR Information Collection Review Office, 1600 Clifton Road NE, MS D-74, Atlanta, GA 30333; ATTN: PRA (0920-0636).
Arboviral Diseases
What types of arboviral disease surveillance are currently performed in your jurisdiction? (Check all that apply)
Human disease cases Viremic blood donors Veterinary disease cases
Infection in dead birds Infection in mosquitoes
Infection in sentinel animals
In the last year, have any of the following surveillance activities been decreased or eliminated in your jurisdiction due to decreased West Nile virus (WNV) or arboviral disease funding?
Human disease cases Viremic blood donors Veterinary disease cases
Infection in dead birds Infection in mosquitoes
Infection in sentinel animals
Which of the following types of arboviral surveillance data are useful for collection and reporting at the national level? (Check all that apply)
Human disease cases Viremic blood donors Veterinary disease cases
Infection in dead birds Infection in mosquitoes
Infection in sentinel animals
What types of human WNV testing does your public health laboratory perform? (Check all that apply)
IgM antibodies IgG antibodies Neutralizing antibodies/PRNT
PCR Culture None of the above
What other arboviral testing is performed in your public health laboratory? (Check all that apply)
St Louis encephalitis LaCrosse Eastern equine encephalitis
Western equine encephalitis Powassan
Other_____________________
Does your agency attempt to confirm positive arboviral test results reported from commercial laboratories through additional testing at the public health laboratory?
Yes No
Which of the following ArboNET reports are useful to your jurisdiction? Check all that apply.
CDC website USGS maps Epi-X reports
MMWR reports Other:__________________________
Are the reports generated from ArboNET data adequate for your agency’s needs?
Yes No
If No: Do you have suggestions for improvements to these reports?_________________________
Have you seen the West Nile Virus and Other Arboviral Activity Update which is posted weekly to Epi-X during the transmission season?
Yes No
If Yes: Do you find this report to be useful? Yes No
Do you have suggestions for improvements to this report?_______________________________
What types of prevention and intervention activities are conducted in your jurisdiction? Check all that apply.
Adulticiding
Larviciding
Other mosquito control applications______________________________
Distribution of print materials (posters, brochures, fact sheets)
Distribution of electronic information (web sites)
Media messages (newspaper, radio, television, etc)
| File Type | application/msword |
| File Title | Draft - - State Public Health Laboratory Survey |
| Author | hgk8 |
| Last Modified By | mwl8 |
| File Modified | 2010-09-28 |
| File Created | 2010-09-25 |