incident report patient with cholera

by Krystina Schmeler 8 min read

Cholera and Other Vibrio Illness Surveillance Report

31 hours ago PATIENT'S NAME: I. DEMOGRAPHIC AND ISOLATE INFORMATION CHOLERA AND OTHER VIBRIO ILLNESS SURVEILLANCE REPORT ADDRESS: PHYSICIAN'S NAME: TEL.: REPORTING HEALTH DEPARTMENT City: State Epi No.: State Lab Isolate ID:(38-49) FDA No.: 2. Date of birth: 3. Age: 4. Sex: (80) 5. Ethnicity: (81) 7. Occupation: 8. >> Go To The Portal


Complete the Wisconsin Electronic Disease Surveillance System (WEDSS) disease incident investigation report, including appropriate, disease-specific tabs. 2. Complete a Centers for Disease Control and Prevention (CDC

Centers for Disease Control and Prevention

The Centers for Disease Control and Prevention is the leading national public health institute of the United States. The CDC is a United States federal agency under the Department of Health and Human Services and is headquartered in Atlanta, Georgia.

) Cholera and Other Vibrio Illness Surveillance (COVIS) report and upload a copy in the WEDSS incident filing cabinet.

Full Answer

What is the local capacity to detect cholera outbreaks?

Local capacity to detect (diagnose) and monitor (collect, compile, and analyse data) cholera occurrence, is central to an effective surveillance system and to planning control measures. Countries affected by cholera are encouraged to strengthen disease surveillance and national preparedness to rapidly detect and respond to outbreaks.

Is notification of all cases of cholera mandatory?

Under the International Health Regulations, notification of all cases of cholera is no longer mandatory. However, public health events involving cholera must always be assessed against the criteria provided in the regulations to determine whether there is a need for official notification.

What are the nursing interventions on a patient diagnosed with cholera?

The nursing interventions on a patient diagnosed with cholera are: Monitor intake and output. Note number, character, and amount of stools; estimate insensible fluid losses like diaphoresis; measure urine specific gravity and observe for oliguria.

What are the risk factors for cholera transmission?

Cholera transmission is closely linked to inadequate access to clean water and sanitation facilities. Typical at-risk areas include peri-urban slums, and camps for internally displaced persons or refugees, where minimum requirements of clean water and sanitation are not been met.

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How do I report cholera?

How to report Cholera. Call 651-201-5414 or 877-676-5414 immediately to report Cholera. Cholera must be reported immediately by phone 24 hours a day, seven days a week.

Does cholera need to be reported?

Cholera and Other Vibrio Illness Surveillance System (COVIS) All confirmed cases of Vibrio infection should be reported to the CDC using the Cholera and Other Vibrio Illness Surveillance Report Form [PDF – 4 pages] and the seafood investigation form [PDF – 2 pages] if applicable.

How would you treat a patient who has cholera?

Oral or intravenous hydration is the primary treatment for cholera. In conjunction with hydration, treatment with antibiotics is recommended for severely ill patients. It is also recommended for patients who have severe or some dehydration and continue to pass a large volume of stool during rehydration treatment.

What is the priority management for cholera?

Medical Management Rehydration is the first priority in the treatment of cholera. Rehydration is accomplished in 2 phases: rehydration and maintenance.

What are the prevention and control of cholera?

Prevention of cholera is dependent on access to safe water, adequate sanitation, and basic hygiene needs.

Is cholera a public health issue?

Cholera remains a global threat to public health and is an indicator of inequity and lack of social development. Researchers have estimated that every year, there are 1.3 to 4.0 million cases of cholera, and 21 000 to 143 000 deaths worldwide due to the infection.

What are the complications of cholera?

ComplicationsLow blood sugar (hypoglycemia). Dangerously low levels of blood sugar (glucose) — the body's main energy source — can occur when people become too ill to eat. ... Low potassium levels. People with cholera lose large quantities of minerals, including potassium, in their stools. ... Kidney failure.

What is the diagnosis of cholera?

Isolation and identification of Vibrio cholerae serogroup O1 or O139 by culture of a stool specimen remains the gold standard for the laboratory diagnosis of cholera. Cary Blair media is ideal for transport, and the selective thiosulfate–citrate–bile salts agar (TCBS) is ideal for isolation and identification.

What is the main cause of cholera?

Cholera is an acute diarrheal illness caused by infection of the intestine with Vibrio cholerae bacteria. People can get sick when they swallow food or water contaminated with cholera bacteria. The infection is often mild or without symptoms, but can sometimes be severe and life-threatening.

Is cholera a pandemic?

Cholera Today Unlike previous pandemics, which all originated in India, the seventh and current cholera pandemic began in Indonesia in 1961. It spread across Asia and the Middle East, reaching Africa in 1971. In 1990, more than 90 percent of all cholera cases reported to WHO were from the African continent.

Is cholera a communicable disease?

Cholera is highly contagious. Cholera can be transferred person to person by infected fecal matter entering a mouth or by water or food contaminated with Vibrio cholerae bacteria. The organisms can survive well in salty waters and can contaminate humans and other organisms that contact or swim in the water.

Is cholera endemic or epidemic?

Cholera is endemic in approximately 50 countries, primarily in Africa and South and Southeast Asia, and can emerge in dramatic epidemics, although most cases go unreported.

Is cholera still around today?

Is cholera still around? Sadly, yes. Each year, 1.3 million to 4 million people around the world suffer from cholera and 21,000 to 143,000 people die of the disease, according to the World Health Organization (WHO).

What is cholera outbreak?

In a country where cholera does not regularly occur, an outbreak is defined by the occurrence of at least 1 confirmed case of cholera with evidence of local transmission in an area where there is not usually cholera. Cholera transmission is closely linked to inadequate access to clean water and sanitation facilities.

How many cholera deaths were reported in 2019?

Uninfected dead bodies have never been reported as the source of epidemics. The number of cholera cases reported to WHO has continued to be high over the last few years. During 2019, 923 037 cases, 1911 deaths were notified from 31 countries (3).

How many people die from cholera annually?

Researchers have estimated that each year there are 1.3 to 4.0 million cases of cholera, and 21 000 to 143 000 deaths worldwide due to cholera (1) Most of those infected will have no or mild symptoms and can be successfully treated with oral rehydration solution.

When should OCV be used?

Based on the available evidence, the August 2017 WHO Position Paper on Vaccines against Cholera states that: OCV should be used in areas with endemic cholera, in humanitarian crises with high risk of cholera, and during cholera outbreaks; always in conjunction with other cholera prevention and control strategies;

How long does it take for cholera to show symptoms?

Symptoms. Cholera is an extremely virulent disease that can cause severe acute watery diarrhoea. It takes between 12 hours and 5 days for a person to show symptoms after ingesting contaminated food or water (2). Cholera affects both children and adults and can kill within hours if untreated.

What is the cause of cholera?

Cholera is an acute diarrhoeal infection caused by ingestion of food or water contaminated with the bacterium Vibrio cholerae. Cholera remains a global threat to public health and an indicator of inequity and lack of social development. Researchers have estimated that every year, there are roughly 1.3 to 4.0 million cases, ...

What are the consequences of a humanitarian crisis?

The consequences of a humanitarian crisis – such as disruption of water and sanitation systems, or the displacement of populations to inadequate and overcrowded camps – can increase the risk of cholera transmission, should the bacteria be present or introduced.

What is cholera study guide?

This study guide will enable you to learn more about cholera, its risk factors, clinical manifestation, treatment, nursing diagnosis, nursing interventions, and nursing management. Cholera which continues to be a threat to public health, usually affects individuals who has travel to or live in places with poor sanitation and lack ...

What is the first priority in the treatment of cholera?

Rehydration is the first priority in the treatment of cholera. Rehydration is accomplished in 2 phases: rehydration and maintenance.

What is a cholera cot?

In areas where cholera is endemic, cholera cots have been used to assess the volume of ongoing stool losses; a cholera cot is a cot covered by a plastic sheet with a hole in the center to allow the stool to collect in a calibrated bucket underneath. Diet.

What is the predominant pathogen in cholera?

Currently, the El Tor biotype of V cholerae O1 is the predominant cholera pathogen; organisms in both the classical and the El Tor biotypes are subdivided into serotypes according to the structure of the O antigen.

What is the gram negative cholerae?

Cholera, caused by the bacteria Vibrio cholerae , is a comma-shaped, gram-negative aerobic or facultatively anaerobic bacillus that varies in size from 1-3 µm in length by 0.5-0.8 µm in diameter.

What is the effect of antacids on cholera?

The use of antacids, histamine receptor blockers, and proton pump inhibitors increases the risk of cholera infection and predisposes patients to more severe disease as a result of reduced gastric acidity. Fluid loss originates in the duodenum and upper jejunum; the ileum is less affected.

How many cases of cholera were there in the US in 2000?

Between January 1, 1995, and December 31, 2000, 61 cases of cholera were reported in 18 states and 2 US territories. In 1990, fewer than 30,000 cases were reported to the WHO. From 2005 to 2008, 178,000-237,000 cases and 4000-6300 deaths were reported annually worldwide.

What Is Patient Incident Report?

Medical events can occur for a variety of reasons. Simply put, the medical system views each incident to be something that poses a threat to the health of patients or medical staff members in some way. “Incident Reporting in Healthcare,” as described in the realm of healthcare, is defined as the process of obtaining incident data and accurately presenting it for action. A newly discovered problem is recognized in order to aid in the identification and correction of the mistakes that occur. An incident report can be filed by a designated staff member (someone who has been granted permission to file reports) or by an employee who has witnessed the incident firsthand. The majority of the time, a nurse or other staff member will file a report within 24 to 48 hours of the incident occurring. It is preferable to capture and document an occurrence as soon as it occurs in order to achieve the best possible outcome.

What is the best way to write a patient incident report?

For example, employing precise and simple language will make the inquiry process more efficient and less time-consuming overall. Additionally, appropriate grammar, spelling, and punctuation should be used. Grammar errors can distort the interpretation of details contained within the report, making it more difficult to conduct an investigation into the incident.

What is a negative incident?

A Negative Occurrence: The effect of a detrimental incident is the injury or illness of a patient or another individual. It is possible for a patient to tumble out of bed and break their arm, or for a nurse to scratch them when she is taking their temperature. Missed the Mark by a Hair: A near miss occurs when there was a possibility for injury to a patient or when another person was on the verge of being harmed, but the situation was rectified before the harm could occur. For example, a patient may be apprehended while attempting to leave the facility early or may trip, but a nurse will grab them before they are injured. An incident with No Harm: A no-harm occurrence occurs when something happens to a patient or to another person, but no observable injury or illness results as a result of the event. For example, a patient may be given a blood transfusion intended for another patient, but no harm is done because the blood is compatible with the other patient.

What is incident reporting?

Incident reporting is usually used as a catch-all word for all-volunteer patient safety event reporting systems, which rely on persons who are directly involved in the events to provide specific information about what happened.

Why is incident reporting important?

The ultimate purpose of incident reporting is to improve the safety of the patient. By promoting higher safety standards and decreasing medical errors, incident reporting helps you create a more stable environment for your patients to flourish in. When your hospital provides high-quality patient care over time, it will eventually develop a positive reputation.

Why do medical incidents go unreported?

When an occurrence results in a person’s harm or property damage, it is necessary to file an incident report. Unfortunately, for every medical error that is recorded, there are about 100 other errors that go undetected. There are a variety of reasons why medical accidents go unreported, but one of the most common is a lack of knowledge on when to file a report.

Why do we need to analyze historical incident reports?

In a similar vein, current employees can analyze historical incident reports to learn from their own or others’ mistakes and prevent further events from happening.

Why do we use resolved patient incident reports?

Using resolved patient incident reports to train new staff helps prepare them for real situations that could occur in the facility. Similarly, current staff can review old reports to learn from their own or others’ mistakes and keep more incidents from occurring. Legal evidence.

How long after incident should you report a patient?

Patient incident reports should be completed no more than 24 to 48 hours after the incident occurred. You may even want to file the report by the end of your shift to ensure you remember all the incident’s important details. RELATED: Near Miss Reporting: Why It’s Important.

Why is it important to review patient incidents?

Reviewing incidents helps administrators know what risk factors need to be corrected within their facilities , reducing the chance of similar incidents in the future.

Why is 62 percent of incidents not reportable?

Staff did not consider 62 per cent of incidents as reportable, due to unclear incident reporting requirements. Because of this, the first step to incident management in any healthcare facility is writing strong, clear reporting requirements. Then, staff can submit reports that help correct problems of all types.

What to include in an incident report?

Every facility has different needs, but your incident report form could include: 1 Date, time and location of the incident 2 Name and address of the facility where the incident occurred 3 Names of the patient and any other affected individuals 4 Names and roles of witnesses 5 Incident type and details, written in a chronological format 6 Details and total cost of injury and/or damage 7 Name of doctor who was notified 8 Suggestions for corrective action

How long does it take to file a patient incident report?

Patient incident reports should be completed no more than 24 to 48 hours after the incident occurred.

Why is it important to document an incident?

Even if an incident seems minor or didn’t result in any harm, it is still important to document it. Whether a patient has an allergic reaction to a medication or a visitor trips over an electrical cord, these incidents provide insight into how your facility can provide a better, safer environment.

Who Prepares Incident Reports in Healthcare Facilities?

At QUASR, we believe all staff (and patients, too) should be able to report incidents or potential incidents they have witnessed. But in practice, it is a bit different. Some hospitals have designated persons who are authorized to file the reports. In some other hospitals, the staff usually updates their supervisor about an incident, then can file the report.

When To Write Incident Reports in Hospitals?

When an event results in an injury to a person or damage to property, incident reporting becomes a must. Unfortunately, for every medical error, almost 100 errors remain unreported. There are many reasons for unreported medical incidents, but not knowing when to report is one of the most common ones.

What is an incident in healthcare?

An incident is an unfavourable event that affects patient or staff safety. The typical healthcare incidents are related to physical injuries, medical errors, equipment failure, administration, patient care, or others. In short, anything that endangers a patient’s or staff’s safety is called an incident in the medical system.

Why is incident reporting important?

Improving patient safety is the ultimate goal of incident reporting. From enhancing safety standards to reducing medical errors, incident reporting helps create a sustainable environment for your patients. Eventually, when your hospital offers high-quality patient care, it will build a brand of goodwill.

What are near miss incidents?

#2 Near Miss Incidents 1 A nurse notices the bedrail is not up when the patient is asleep and fixes it 2 A checklist call caught an incorrect medicine dispensation before administration. 3 A patient attempts to leave the facility before discharge, but the security guard stopped him and brought him back to the ward.

How long does it take to file an incident report?

Usually, nurses or other hospital staff file the report within 24 to 48 hours after the incident occurred. The outcomes improve by recording incidents while the memories of the event are still fresh.

Why is patient safety in hospitals in danger?

Patient safety in hospitals is in danger due to human errors and unsafe procedures. Everyone makes mistakes, even good doctors and nurses. However, by recording these mistakes, analysing and following up, we can avoid the future occurrence of mistakes/accidents. To err is human, they say.

What is incident report?

1. An Incident Report Must Be Accurate and Specific. When you write an incident report, you must be specific and accurate about the details, not merely descriptive. For example, instead of writing "the old patient", it is more accurate to describe him as "the 76-year old male patient".

How to organize an incident report?

How a report is organized depends on the complexity of the incident and the type of report being written. Usually, writing in chronological order is the simplest way to organize a report. However, an inspection incident report may be written by enumerating details according to findings. 5. A Good Incident Report Must Be Clear.

Why is it important to write an incident report?

This is important, especially when considering the liabilities of the workers involved and how similar incidents can be avoided. It is, therefore, critical to write an accurate report about the incident for proper documentation. But how can you write a good incident report to cover all the facts? Here are a guide on how to make a good documentation and 3 samples to enlighten you.

What abbreviations should be used in an incident report?

A Good Incident Report Must Only Include Proper Abbreviations. The use of abbreviations may be appropriate in certain cases, such as the use of Dr. Brown and Mr. Green, instead of writing Doctor or Mister.

What should be stated in a report?

State all facts regarding who, what, when, where, how and why something happened without leaving out important details. Another person who reads the report must be able to get answers to his or her questions about the incident from your report. How many details to include may depend on their relevance to the incident and the policies of your department.

Do you have to include your opinion in a report?

If you must include an opinion in your report, it is best to state it with the similar description that appears on some incident report samples: "In my opinion, there were too many people in the overloaded bus. In fact, there were 80 persons inside, when a bus of this size is only allowed to carry 70 individuals."

Do you have to include statements in a report?

If you have to include statements from a witness or other people, you must clarify that you are quoting someone, and the words you used are not your own.

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Symptoms

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Cholera is an extremely virulent disease that can cause severe acute watery diarrhoea. It takes between 12 hours and 5 days for a person to show symptoms after ingesting contaminated food or water (2). Cholera affects both children and adults and can kill within hours if untreated. Most people infected with V. cholera…
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History

  • During the 19th century, cholera spread across the world from its original reservoir in the Ganges delta in India. Six subsequent pandemics killed millions of people across all continents. The current (seventh) pandemic started in South Asia in 1961, reached Africa in 1971 and the Americas in 1991. Cholera is now endemic in many countries.
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Vibrio cholerae Strains

  • There are many serogroups of V. cholerae, but only two – O1 and O139 – cause outbreaks. V. cholerae O1 has caused all recent outbreaks. V. choleraeO139 – first identified in Bangladesh in 1992 – caused outbreaks in the past, but recently has only been identified in sporadic cases. It has never been identified outside Asia. There is no difference in the illness caused by the two se…
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Epidemiology, Risk Factors, and Disease Burden

  • Cholera can be endemic or epidemic. A cholera-endemic area is an area where confirmed cholera cases were detected during the last 3 years with evidence of local transmission (meaning the cases are not imported from elsewhere). A cholera outbreak/epidemic can occur in both endemic countries and in countries where cholera does not regularly occur. In cholera endemic countries …
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Prevention and Control

  • A multifaceted approach is key to control cholera, and to reduce deaths. A combination of surveillance, water, sanitation and hygiene, social mobilisation, treatment, and oral cholera vaccines are used.
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Surveillance

  • Cholera surveillance should be part of an integrated disease surveillance system that includes feedback at the local level and information-sharing at the global level. Cholera cases are detected based on clinical suspicion in patients who present with severe acute watery diarrhoea. The suspicion is then confirmed by identifying V. choleraein stool samples from affected patients. D…
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Water and Sanitation Interventions

  • The long-term solution for cholera control lies in economic development and universal access to safe drinking water and adequate sanitation. Actions targeting environmental conditions include the implementation of adapted long-term sustainableWASH solutions to ensure use of safe water, basic sanitation and good hygiene practices in cholera hotspots. In addition to cholera, such inte…
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Treatment

  • Cholera is an easily treatable disease. The majority of people can be treated successfully through prompt administration of oral rehydration solution (ORS). The WHO/UNICEF ORS standard sachet is dissolved in 1 litre (L) of clean water. Adult patients may require up to 6 L of ORS to treat moderate dehydration on the first day. Severely dehydrated patients are at risk of shock and req…
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Community Engagement

  • Community Engagement means that people and communities are part of the process of developing and implementing programmes. Local culture practices and beliefs are central to promoting actions such as the adoption of protectivehygiene measures such as handwashing with soap, safe preparation and storage of food and safe disposal of the faeces of children.fune…
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Oral Cholera Vaccines

  • Currently there are three WHO pre-qualified oral cholera vaccines (OCV): Dukoral®, Shanchol™, and Euvichol-Plus®. All three vaccines require two doses for full protection. Dukoral® is administered with a buffer solution that, for adults, requires 150 ml of clean water. Dukoral can be given to all individuals over the age of 2 years. There must be a minimum of 7 days, and no mor…
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What Is Cholera?

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Cholera is an acute diarrhoeal disease caused by Vibrio cholerae. 1. Records from Hippocrates (460-377 BCE) and the Indian peninsula describe an illness that might have been cholera. 2. Although not the first description, the discovery of the cholera organism is credited to German bacteriologist Robert Koch, who independently id…
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Pathophysiology

  • Cholera, caused by the bacteria Vibrio cholerae, is a comma-shaped, gram-negative aerobic or facultatively anaerobic bacillus that varies in size from 1-3 µm in length by 0.5-0.8 µm in diameter. 1. Currently, the El Tor biotype of V cholerae O1 is the predominant cholera pathogen; organisms in both the classical and the El Tor biotypes are subdivided into serotypes according to the struc…
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Causes

  • Cholera can be an endemic, epidemic, or a pandemic disease. 1. Environmental factors.Primary infection in humans is incidentally acquired. Risk of primary infection is facilitated by seasonal increases in the number of organisms, possibly associated with changes in water temperature and algal blooms; secondary transmission occurs through fecal-oral spread of the organism thr…
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Statistics and Incidences

  • In the United States, cholera has virtually been eliminated because of improved hygiene and sanitation systems. 1. The frequency of cholera among international travelers returning to the United States has averaged 1 case per 500,000 population, with a range of 0.05-3.7 cases per 100,000 population, depending on the countries visited. 2. Between Jan...
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Clinical Manifestations

  • After a 24- to 48-hour incubation period, symptoms begin with the sudden onset of painless watery diarrhea that may quickly become voluminous and is often followed by vomiting. 1. Diarrhea.Profuse watery diarrhea is a hallmark of cholera; cholera should be suspected when a patient older than 5 years develops severe dehydration from acute, severe, watery diarrhea (usu…
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Assessment and Diagnostic Findings

  • Definitive diagnosis is not a prerequisite for the treatment of patients with cholera. 1. Stool examination.Although observed as a gram-negative organism, the characteristic motility of Vibrio species cannot be identified on a Gram stain, but it is easily seen on direct dark-field examination of the stool. 2. Stool culture.V cholerae is not fastidious in nutritional requirements for growth; h…
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Medical Management

  • Rehydration is the first priority in the treatment of cholera. Rehydration is accomplished in 2 phases: rehydration and maintenance. 1. Rehydration phase.The goal of the rehydration phase is to restore normal hydration status, which should take no more than 4 hours; set the rate of intravenous infusion in severely dehydrated patients at 50-100 mL/kg/hr; Lactated Ringer solutio…
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Practice Quiz: Cholera

  • Nursing practice questions for cholera. For more practice questions, visit our NCLEX practice questions page. 1. A 90-year-old client is confined to the unit for two weeks. He has been receiving antibiotics for more than a week and tells that he is having frequent watery stools. Which action will you take first? A. Place the client on contact precautions B. Educate the client …
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References

  • Sources and references for this cholera study guide: 1. Black, J. M., & Hawks, J. H. (2005). Medical-surgical nursing. Elsevier Saunders,. [Link] 2. Cholera – Vibrio cholerae infection | Cholera | CDC. (2020). Retrieved 1 March 2020, from https://www.cdc.gov/cholera/ 3. Willis, L. (2019). Professional guide to diseases. Lippincott Williams & Wilkins. [Link]
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