Checklist For Persons Under Monitoring (PUM) : Eastern Visayas
Checklist For Persons Under Monitoring (PUM) : Eastern Visayas
Checklist For Persons Under Monitoring (PUM) : Eastern Visayas
Department of Health
EASTERN VISAYAS
Center for Health Development
History of travel to other countries / areas Date returned to Date Returned Flight No.
(please specify including duration of stay): Philippines: to specific
province: Seat No.
Name of vessel:
Accommodation:
Symptoms
Day Date No Fever equal to Sore Throat Cough Runny Nose Shortness of Diarrhea
Symptom or more than Breath
s 38 C
Yes No Yes No Yes No Yes No Yes No Yes No
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
Any household contact with clinical symptoms within 14 days of exposure contact with the primary case should be considered a symptomatic and so a possible suspect
If you develop any of the symptoms listed during the observation period, please inform any of the contact below