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Daily report: COVID-19 hospitalisations and in-patient care in Vanuatu
All hospitals and health centres with in-patient facilities are requested to complete this form every day until advised. This will improve Vanuatu's reporting of hospitalisations. Please contact
vnsu@vanuatu.gov.vu
for more information of if you have any questions.
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* Indicates required question
Province
*
MALAMPA
PENAMA
SANMA
SHEFA
TORBA
TAFEA
Health centre/hospital name
*
Your answer
Name of person reporting
*
Your answer
Telephone of person reporting
*
Your answer
Date of report
*
MM
/
DD
/
YYYY
Option 1
Clear selection
Number of people currently hospitalised due to their COVID-19 infection (at end of reporting date)
*
This includes all patients, not just new admissions. If no one is currently hospitalised for COVID-19, please state this.
Your answer
Current number of people that are critically ill requiring oxygen
This is only for people currently requiring oxygen - if someone stopped oxygen yesterday, do not report that here.
Your answer
Name and vaccination status of critical cases (for any new cases since yesterday)
Your answer
Name and vaccination status of moderate cases (for any new cases since yesterday)
Your answer
Names of people that were discharged since last report
If no one was discharged, please state this. One of the surveillance team will contact you to obtain additional details for reporting purposes.
Your answer
Were there any COVID-19 related deaths at your facility OR reported to your facility on the day of reporting?
Yes
No
Clear selection
If yes, please provide a short clinical summary
Your answer
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