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N.C. Department of Environment, Health, and Natural Resources Page 1 of Z <br />Division of General Services FY 191 <br />CONTRACT ADDENDUM <br />Immunization Division of Epidemiology 91 -5226 -068 <br />Office, Section, or Branch Contract Number <br />Orange County Health Dept. H <br />Contractor Activity <br />The contractor agrees to perform the following activities: <br />1. Establish a county wide Active and Passive influenza Surveillance <br />System. The Active Influenza Surveillance System will include <br />contacting at least 5 private physicians, 1 hospital, 1 school, 1 <br />large employer, and each skilled care nursing home operating <br />within the county at least once each week from November 13, 1990 <br />through March 26, 1991 to determine the number of influenza like <br />illnesses seen during the previous week at each facility. <br />Results of this active surveillance will be telephoned to the <br />Regional HCFA Influenza Consultant. <br />2. Recruit health care providers including physicians, hospitals and <br />skilled care nursing homes to submit nasopharyngeal cultures and <br />acute and convalescent serologies from patients presenting with <br />an influenza like disease. A minimum of 10 nasopharyngeal <br />cultures per week from December 15, 1990 through February 28, <br />1991 will be submitted. <br />3. Cultures and serologic specimens will be collected from <br />participating providers, appropriately packaged and shipped via <br />state courier by county health department personnel at least once <br />each week. <br />4. Report to the State HCFA Influenza Vaccine Demonstration <br />Coordinator all suspected influenza outbreaks in institutional <br />settings such as hospitals or nursing homes and assist in the <br />Epidemiologic Investigation of observed influenza outbreaks. <br />5. Recruit physicians, hospitals, nursing homes, home health <br />agencies, and other appropriate health care providers to <br />administer influenza vaccine for this Project. Register, assign <br />provider identification numbers, provide billing information, <br />distribute influenza vaccine and obtain vaccine usage reports <br />from physicians and other health care providers participating in <br />this demonstration. <br />Reviewed by <br />DEHNR 3300 (Revised 2/90) Dare <br />General Services Division (Review 1/95) <br />