Acknowledgements

Annex 6.1. Caribbean Epidemiology Centre Quarterly STI Reporting Form

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• INFANTS

Annex 6.1. Caribbean Epidemiology Centre Quarterly STI Reporting Form NAME OF COUNTRY: YEAR …….…………………..……….. Quarter REPORTING PERIOD: 1 2 3 4 DATE OF REPORTING: UNIT/ PROGRAMME: STI prevalence rate in populations concluded during this period among specific groups: Total number of STI cases reported during this period: Study group: Blood donors Pregnant women MSM FCSW Name of STI1: % % % % Others (indicate) : Name: %: SYNDROMES AETIOLOGIES Sex AGE GROUPS Age &/or Sex2 unknown TOTAL 10 - 14 15 –19 20 - 24 25 - 49 50+ Urethral discharge (Males only) Gonorrhoea M Chlamydia M Non-Specific Urethritis (NSU) M Unknown M Genital ulcer (Males & females) Syphilis M F LGV M F HSV M F Chancroid M F Unknown M F Vaginal discharge (Females only) Gonorrhoea F Chlamydia F Trichomonas F Bacterial Vaginosis F Others F Unknown F No syndrome, but laboratory test positive (Males & females) (serology positive) Syphilis M F HSV M F Chlamydia M F Other M F TOTAL INFANTS TOTAL Ophthalmia Neonatorum Gonorrhoea Chlamydia Other Unknown Congenital Syphilis Directory: sites -> default -> files -> content content -> Central area committee meeting content -> Released by LimeSurvey on 12/4/15 Partners Healthcare to upgrade on 2/1/2016 LimeSurvey 06+ (Build 151205) Full Release Notes content -> Review of human rights and social inclusion issues content -> Announcements content -> Manchester community college supplemental job description flsa: Exempt eeo-6 code: 2-20 (Faculty) SOC code: 25-1000 classification content -> Society of Women Engineering Bi-weekly Newsletter content -> Information on Deanship with technology of quick response symbol (QR) content -> Government Standard on Information & Communication Technology odg/ 14 Security content -> Byod connection Guide content -> Guide to australia’s counter-terrorism laws Download 1.91 Mb. Share with your friends: