Animal Encounter Report Form SG-58 REV. 10/12 FOR HEALTHCARE PROVIDER/FACILITY ATTENDING TO ANIMAL BITE PATIENT PAGE 1 Note to Providers: Complete as much information as possible on page 1 of this form . Fax this report to the local health department immediately. …
Y=Yes N=No U=Unknown NA=Not applicable Division of Infectious Disease Epidemiology rev 10-12-12 Animal Encounter Report Form SG-58 REV. 10/12 FOR HEALTHCARE PROVIDER/FACILITY ATTENDING TO ANIMALBITE PATIENT PAGE 1 Note to Providers: Complete as much information as possible on page 1 of this form .Fax this report to the local health, Animal Encounter Report Form SG-58 REV. 10/12 FOR HEALTHCARE PROVIDER/FACILITY ATTENDING TO ANIMAL BITE PATIENT PAGE 1 Note to Providers: Complete as much information as possible on page 1 of this form . Fax this report to the local health department immediately.
• West Virginia Code 19-20a Vaccination of Dogs and Cats •64 CSR 7 Reportable Diseases Law •Section 5 Animal Exposures. 8/5/2020 4 Forms •SG-58 Animal Encounter Form •SG-59 Notice of Quarantine •Laboratory Submission Form . 8/5/2020 5 What is.
ANIMAL ENCOUNTER REPORT. SG-58 West Virginia Department of Health & Human Resources. Rev 1/07Department of Health FAX PHONE. ANIMAL ENCOUNTER REPORT. COMPLETE AS MUCH INFORMATION AS POSSIBLE. FAX THIS REPORT OF THE BITE, SCRATCH, OR CONTACT WITH SALIVA, SPINAL FLUID, OR BRAIN TISSUE TO THE HEALTH DEPARTMENT IMMEDIATELY.
Encounters aren’t just enjoyable for humans, they’re a form of animal enrichment which is a vital part of animal welfare, as it stimulates an animal ’s senses and curiosity. ***Reservations may be made via phone at 304-243-4100 or online via the ‘Learn More’ links below.
EW-79A: Registration Form for Potable Water Hauler; EW-79C: Quarterly Log for Potable Water Hauler . Rabies . SG-58: Animal Encounter Report. SG-58: Animal Encounter Report (MS Word) Rabies Pamphlet (3-fold page layout) WV Dog and Cat Rabies Vaccination Law..
The virus is usually passed to humans through the bite of a rabid animal. Occasionally, rabies can be transmitted if the saliva of an infected animal gets into a fresh scratch, break in the skin, or contact with mucous membranes (eyes, mouth, nose). In West Virginia, most cases of rabies occur in wild animals, such as raccoons and skunks.
of incidence, include raccoon, skunk, bat, fox, cat, and dog. In West Virginia, raccoons represent the major wildlife reservoir of rabies virus with spillover into other wildlife and domestic animals. Each year cats are found positive for rabies in West Virginia and,.
Lyme disease is a bacterial infection caused by bites from Ixodes scapularis (also known as deer ticks or black-legged ticks). It is the most common tickborne disease in the United States and West Virginia . Symptoms generally begin 3 to 30 days after the tick bite and include fever, headache, chills, and rash (erythema migrans).
