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【法规名称】 
【法规编号】 44066  什么是编号?
【正  文】

第5页 CAP 141B PREVENTION OF THE SPREAD OF INFECTIOUS DISEASES REGULATIONS

[接上页]

  "Please arrange for examination of contacts to be done by the Government Chest Service."
  
  Further Remarks:
  
  FORM 2
  
  QUARANTINE AND PREVENTION OF DISEASE ORDINANCE
  
  (Cap 141)
  
  Notification of Infectious Diseases other than Tuberculosis
  
  Particulars of Infected Person
  
  Name in English:
  
  Name in Chinese:
  
  Age/Sex:
  
  I.D. Card/
  
  Passport No.:
  
  Address:
  
  Telephone Number:
  
  Place of Work/School Attended:
  
  Telephone Number:
  
  Hospital(s) attended:
  
  Hospital/A & E Number:Disease (3) below Suspected/Confirmed on _______/_________/_______.
  
  Acute Poliomyelitis
  
  Legionnaires' Disease
  
  Rubella
  
  Amoebic Dysentery
  
  Leprosy
  
  Scarlet Fever
  
  Bacillary Dysentery
  
  Malaria
  
  Severe Acute Respiratory Syndrome
  
  Chickenpox
  
  Measles
  
  Tetanus
  
  Cholera
  
  Meningococcal Infections
  
  Typhoid Fever
  
  Dengue Fever
  
  Mumps
  
  Typhus
  
  Diphtheria
  
  Paratyphoid Fever
  
  Viral Hepatitis
  
  Food Poisoning
  
  Plague
  
  Whooping Cough
  
  Influenza A (H5)
  
  Rabies
  
  Yellow Fever
  
  Japanese encephalitis
  
  Relapsing Fever
  
  Notified under the Prevention of the Spread of Infectious Diseases Regulations by
  
  Dr. _____________________________________
  
  on _________/_____________/_________
  
  (Full Name in BLOCK Letters)
  
  (Date)
  
  Telephone Number: ____________________
  
  _________________________________________
  
  (Signature)
  
  Remarks:
  
  (L.N. 81 of 1994; L.N. 347 of 1998; L.N. 80 of 2003; L.N. 15 of 2004; L.N. 138 of 2004)
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