{"id":4334,"date":"2021-07-06T16:18:15","date_gmt":"2021-07-06T20:18:15","guid":{"rendered":"https:\/\/outbreaktools.ca\/?page_id=4334"},"modified":"2021-10-12T13:26:40","modified_gmt":"2021-10-12T17:26:40","slug":"2-2","status":"publish","type":"page","link":"https:\/\/outbreaktools.ca\/fr\/case-study-overview\/module-3-weight-of-evidence-2\/focused-questionnaires\/2-2\/","title":{"rendered":"Questionnaire cibl\u00e9 sur Salmonella Newport"},"content":{"rendered":"

T\u00e9l\u00e9charger le format de rechange<\/a>
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No d\u2019identification national\u00a0:<\/strong><\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

\u00a0<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n
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\u00a0Num\u00e9ro d\u2019identification du cas\u00a0: <\/strong><\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

\u00a0<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

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Section\u00a01. Renseignements sur le cas\u00a0:<\/strong><\/p>\n<\/td>\n<\/tr>\n

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Cas interrog\u00e9 par\u00a0:<\/p>\n<\/td>\n

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Date de l\u2019entrevue\u00a0: j____\/ m____\/ a______<\/p>\n<\/td>\n<\/tr>\n

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Unit\u00e9 ou autorit\u00e9 sanitaire\u00a0:<\/p>\n<\/td>\n

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Date du signalement \u00e0 l\u2019unit\u00e9 ou \u00e0 l\u2019autorit\u00e9 sanitaire\u00a0: j____\/m____\/a______<\/p>\n<\/td>\n<\/tr>\n

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Province\/territoire\u00a0:<\/p>\n<\/td>\n

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 <\/p>\n<\/td>\n<\/tr>\n

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Le r\u00e9pondant \u00e9tait\u00a0: o Cas o Parent o Conjoint o SoignantAidant o Autre, pr\u00e9cisez\u00a0: ______________________________<\/p>\n<\/td>\n<\/tr>\n

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\u00c2ge\u00a0: _______\u00a0<\/p>\n<\/td>\n

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Sexe\u00a0:\u00a0 o M o F\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

 <\/p>\n\n\n\n
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Num\u00e9ro d\u2019identification du laboratoire provincial\u00a0:<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

\u00a0<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

Section\u00a02. Renseignements cliniques\u00a0:<\/strong><\/p>\n<\/td>\n<\/tr>\n<\/thead>\n

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\u00c0 remplir par l\u2019intervieweur<\/strong><\/p>\n<\/td>\n

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S\u00e9rotype\u00a0:<\/p>\n<\/td>\n

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Code de grappe du SGE\u00a0:<\/p>\n<\/td>\n<\/tr>\n

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Type(s) d\u2019\u00e9chantillon positif\u00a0:<\/p>\n

o Selles oSang oUrine oAutre, pr\u00e9cisez\u00a0: ______________\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n<\/td>\n

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\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0Date du premier pr\u00e9l\u00e8vement positif\u00a0: j_____\/m______\/a______<\/p>\n<\/td>\n<\/tr>\n

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Date de l\u2019apparition des premiers sympt\u00f4mes\u00a0: j_______\/m_______\/a______<\/p>\n

Personne asymptomatique\u00a0:\u00a0\u00a0 o O\u00a0\u00a0 o N\u00a0\u00a0 o NSP<\/p>\n<\/td>\n

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Date du d\u00e9but de la diarrh\u00e9e\u00a0: j_______\/m_______\/a______<\/p>\n

 <\/p>\n<\/td>\n<\/tr>\n

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Admis(e)* \u00e0 l\u2019h\u00f4pital en raison de la maladie?\u00a0 o O\u00a0\u00a0 o N\u00a0\u00a0 o NSP<\/p>\n

*Ne pas compter les personnes qui se pr\u00e9sentent \u00e0 l\u2019urgence ou \u00e0 la consultation externe<\/p>\n<\/td>\n

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Date d\u2019admission\u00a0: j______\/m______\/a______<\/p>\n

Date de sortie\u00a0: j______\/m______\/a______ oToujours hospitalis\u00e9(e)<\/p>\n<\/td>\n<\/tr>\n

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\u00c0 remplir par l\u2019intervieweur<\/strong><\/p>\n<\/td>\n

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D\u00e9c\u00e8s du cas?\u00a0\u00a0\u00a0\u00a0 o O\u00a0\u00a0\u00a0 o N\u00a0:\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Date du d\u00e9c\u00e8s\u00a0: j______\/m______\/a______<\/p>\n

\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Dans l\u2019affirmative, l\u2019infection \u00e0 Salmonella<\/em> \u00e9tait-elle la cause sous-jacente ou contributive du d\u00e9c\u00e8s?\u00a0\u00a0\u00a0\u00a0 o O\u00a0\u00a0 o N\u00a0\u00a0 o NSP<\/p>\n

\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Dans l\u2019affirmative, l\u2019identification de la bact\u00e9rie comme cause de mortalit\u00e9 est-elle fond\u00e9e sur le certificat de d\u00e9c\u00e8s?\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 o O\u00a0\u00a0 o N\u00a0\u00a0 o NSP<\/p>\n<\/td>\n<\/tr>\n

\u00a0<\/td>\n\u00a0<\/td>\n\u00a0<\/td>\n\u00a0<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

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Section\u00a03\u00a0: Renseignements sur les voyages<\/strong><\/p>\n<\/td>\n<\/tr>\n

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Dans les 7 jours<\/strong> pr\u00e9c\u00e9dant la date d\u2019apparition des sympt\u00f4mes, c\u2019est-\u00e0-dire de ____\/m______\/a_______ \u00e0 ____\/m_____\/a_____, avez-vous (ou le cas a-t-il) voyag\u00e9 au Canada ou \u00e0 l\u2019\u00e9tranger?\u00a0\u00a0<\/p>\n

\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 o O\u00a0\u00a0 o N\u00a0\u00a0 o NSP<\/p>\n<\/td>\n<\/tr>\n

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\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Si oui\u00a0: o Dans la province ou le territoire oAutres provinces ou territoires o\u00c0 l\u2019\u00e9tranger<\/p>\n<\/td>\n<\/tr>\n

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\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Pr\u00e9ciser la ou les destinations (pays, ville, centre de vill\u00e9giature)\u00a0:<\/p>\n<\/td>\n<\/tr>\n

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\u00a0D\u00e9part\u00a0: j____\/m____\/a______ Retour\u00a0: j____\/m_____\/a_______<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

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Section\u00a04\u00a0: Expositions alimentaires<\/strong><\/p>\n<\/td>\n<\/tr>\n

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DIRECTIVES \u00c0 LIRE AU CAS<\/p>\n

Je m\u2019int\u00e9resse aux aliments que vous avez consomm\u00e9s au cours des 7 jours<\/strong> pr\u00e9c\u00e9dant la date du d\u00e9but de votre maladie, c\u2019est-\u00e0-dire de ____\/m_____\/a______ \u00e0 ____\/m____\/a_____.\u00a0 Pour chaque aliment, veuillez me dire, au meilleur de votre connaissance, si vous AVEZ CONSOMM\u00c9 l\u2019aliment, si vous n\u2019\u00eates pas certain(e) mais que vous avez PROBABLEMENT consomm\u00e9 l\u2019aliment, ou si vous N\u2019AVEZ PAS CONSOMM\u00c9 l\u2019aliment. Veuillez inclure les aliments consomm\u00e9s seuls ou dans une salade, un sandwich ou un plat.<\/p>\n

 <\/p>\n

DIRECTIVES \u00c0 L\u2019INTENTION DE L\u2019INTERVIEWEUR\u00a0:<\/p>\n

Pour chaque aliment que le cas a consomm\u00e9, posez les questions suivantes concernant la marque et le lieu d\u2019achat. Veuillez choisir une r\u00e9ponse pour chaque question ou indiquer si la question n\u2019a pas \u00e9t\u00e9 pos\u00e9e.<\/p>\n

Oui \u2013 indique que le cas a consomm\u00e9<\/strong> l\u2019aliment\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 NSP \u2013 indique que le cas ne sait pas<\/strong> s\u2019il a consomm\u00e9 l\u2019aliment<\/p>\n

Prob. \u2013 indique que le cas a probablement<\/strong> consomm\u00e9 l\u2019aliment\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Non \u2013 indique que le cas n\u2019a pas consomm\u00e9<\/strong> l\u2019aliment.<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

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\u00a0<\/strong><\/p>\n<\/td>\n

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Oui<\/strong><\/p>\n<\/td>\n

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Prob.<\/strong><\/p>\n<\/td>\n

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Non<\/strong><\/p>\n<\/td>\n

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NSP<\/strong><\/p>\n<\/td>\n

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IMPORTANT. Veuillez donner le plus de d\u00e9tails possible<\/em><\/strong><\/p>\n

Type\/Vari\u00e9t\u00e9\/Marque<\/strong><\/p>\n<\/td>\n

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Lieu d\u2019achat ou de consommation\u00a0:<\/strong><\/p>\n

Pr\u00e9cisez le nom de l\u2019\u00e9picerie ou du restaurant<\/em><\/p>\n<\/td>\n<\/tr>\n<\/thead>\n

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Bleuets<\/p>\n<\/td>\n

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oO<\/p>\n<\/td>\n

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oP<\/p>\n<\/td>\n

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oN<\/p>\n<\/td>\n

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oNSP<\/p>\n<\/td>\n

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Si Oui ou Probablement, veuillez fournir les d\u00e9tails \u00e0 la section\u00a05<\/p>\n<\/td>\n

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 <\/p>\n<\/td>\n<\/tr>\n

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Amandes<\/p>\n<\/td>\n

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oO<\/p>\n<\/td>\n

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oP<\/p>\n<\/td>\n

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oN<\/p>\n<\/td>\n

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oNSP<\/p>\n<\/td>\n

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Si Oui ou Probablement, veuillez fournir les d\u00e9tails \u00e0 la section\u00a05<\/p>\n<\/td>\n

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 <\/p>\n<\/td>\n<\/tr>\n

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Noix de Grenoble<\/p>\n<\/td>\n

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oO<\/p>\n<\/td>\n

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oP<\/p>\n<\/td>\n

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oN<\/p>\n<\/td>\n

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oNSP<\/p>\n<\/td>\n

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Si Oui ou Probablement, veuillez fournir les d\u00e9tails \u00e0 la section\u00a05<\/p>\n<\/td>\n

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 <\/p>\n<\/td>\n<\/tr>\n

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Autres noix, y compris celles dans un m\u00e9lange de noix (p. ex. arachides, noisettes, noix de pecan, pistaches, pignons de pin, noix macadamia ou m\u00e9lange montagnard)<\/p>\n

Si oui, pr\u00e9cisez\u00a0: ____________________<\/em><\/p>\n<\/td>\n

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oO<\/p>\n<\/td>\n

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oP<\/p>\n<\/td>\n

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oN<\/p>\n<\/td>\n

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oNSP<\/p>\n<\/td>\n

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 <\/p>\n<\/td>\n

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 <\/p>\n<\/td>\n<\/tr>\n

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Graines de s\u00e9same<\/p>\n<\/td>\n

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oO<\/p>\n<\/td>\n

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oP<\/p>\n<\/td>\n

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oN<\/p>\n<\/td>\n

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oNSP<\/p>\n<\/td>\n

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Si Oui ou Probablement, veuillez fournir les d\u00e9tails \u00e0 la section\u00a05<\/p>\n<\/td>\n

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 <\/p>\n<\/td>\n<\/tr>\n

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Graines de chia<\/p>\n<\/td>\n

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oO<\/p>\n<\/td>\n

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oP<\/p>\n<\/td>\n

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oN<\/p>\n<\/td>\n

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oNSP<\/p>\n<\/td>\n

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Si Oui ou Probablement, veuillez fournir les d\u00e9tails \u00e0 la section\u00a05<\/p>\n<\/td>\n

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 <\/p>\n<\/td>\n<\/tr>\n

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Graines de lin<\/p>\n<\/td>\n

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oO<\/p>\n<\/td>\n

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oP<\/p>\n<\/td>\n

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oN<\/p>\n<\/td>\n

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oNSP<\/p>\n<\/td>\n

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Si Oui ou Probablement, veuillez fournir les d\u00e9tails \u00e0 la section\u00a05<\/p>\n<\/td>\n

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 <\/p>\n<\/td>\n<\/tr>\n

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Autres graines (p. ex. chanvre)<\/p>\n

Si oui, pr\u00e9cisez\u00a0: ____________________<\/em><\/p>\n<\/td>\n

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oO<\/p>\n<\/td>\n

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oP<\/p>\n<\/td>\n

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oN<\/p>\n<\/td>\n

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oNSP<\/p>\n<\/td>\n

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 <\/p>\n<\/td>\n

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 <\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

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Section\u00a05\u00a0: Sources possibles<\/strong><\/p>\n

\u00c0 l\u2019intervieweur\u00a0: remplissez uniquement cette section si le cas a d\u00e9clar\u00e9 avoir mang\u00e9 des bleuets, des amandes, des noix de Grenoble, des graines de s\u00e9same, des graines de chia ou des graines de lin.<\/strong><\/p>\n

IMPORTANT. Veuillez donner le plus de d\u00e9tails possible quant au type, \u00e0 la vari\u00e9t\u00e9, \u00e0 la marque et aux dates<\/strong><\/p>\n<\/td>\n<\/tr>\n

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Baies <\/strong><\/p>\n<\/td>\n<\/tr>\n

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Aliment<\/strong><\/p>\n<\/td>\n

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Description de la marque ou de l\u2019emballage<\/strong><\/p>\n<\/td>\n

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Information sur l\u2019achat<\/strong><\/p>\n<\/td>\n

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\u00c9chantillons<\/strong><\/p>\n<\/td>\n<\/tr>\n

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Article\u00a01\u00a0:<\/p>\n

\uf06f Bleuets<\/p>\n

 <\/p>\n<\/td>\n

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Marque\u00a0:<\/p>\n

Produit\u00a0:<\/p>\n

Description (frais\/congel\u00e9s)\u00a0:<\/p>\n

Emballage\u00a0: \uf06fEn vrac \uf06fCoque en plastique \uf06fBo\u00eete en carton \uf06fAutre\u00a0:<\/p>\n

Description\u00a0:<\/p>\n

Taille\u00a0:<\/p>\n

Date \u00ab\u00a0Meilleur avant\u00a0\u00bb\/code de lot\u00a0:<\/p>\n<\/td>\n

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Magasin\u00a0:<\/p>\n

 <\/p>\n

Adresse\u00a0:<\/p>\n

 <\/p>\n

Date d\u2019achat\u00a0:<\/p>\n

 <\/p>\n

Des re\u00e7us ou des relev\u00e9s d\u2019achat sont-ils disponibles?<\/p>\n

\uf06f O\u00a0\u00a0 \uf06f N\u00a0\u00a0 \uf06f NSP<\/p>\n<\/td>\n

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Des restes sont-ils disponibles pour l\u2019\u00e9chantillonnage?<\/p>\n

\uf06f O \u00a0\u00a0\uf06f N\u00a0\u00a0 \uf06f NSP<\/p>\n

Des \u00e9chantillons ont-ils d\u00e9j\u00e0 \u00e9t\u00e9 pr\u00e9lev\u00e9s?<\/p>\n

\uf06f O\u00a0\u00a0 \uf06f N\u00a0\u00a0 \uf06f NSP<\/p>\n

Si non\u00a0: Pouvons-nous pr\u00e9lever des \u00e9chantillons?<\/p>\n

\uf06f O\u00a0\u00a0\u00a0 \uf06f N\u00a0:<\/p>\n

 <\/p>\n<\/td>\n<\/tr>\n

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Article\u00a02\u00a0:<\/p>\n

\uf06f Bleuets<\/p>\n

 <\/p>\n<\/td>\n

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Marque\u00a0:<\/p>\n

Produit\u00a0:<\/p>\n

Description (frais\/congel\u00e9s)\u00a0:<\/p>\n

Emballage\u00a0: \uf06fEn vrac \uf06fCoque en plastique \uf06fBo\u00eete en carton \uf06fAutre\u00a0:<\/p>\n

Description\u00a0:<\/p>\n

Taille\u00a0:<\/p>\n

Date \u00ab\u00a0Meilleur avant\u00a0\u00bb\/code de lot\u00a0:<\/p>\n<\/td>\n

\n

Magasin\u00a0:<\/p>\n

 <\/p>\n

Adresse\u00a0:<\/p>\n

 <\/p>\n

Date d\u2019achat\u00a0:<\/p>\n

 <\/p>\n

Des re\u00e7us ou des relev\u00e9s d\u2019achat sont-ils disponibles?<\/p>\n

\uf06f O\u00a0\u00a0 \uf06f N\u00a0\u00a0 \uf06f NSP<\/p>\n<\/td>\n

\n

Des restes sont-ils disponibles pour l\u2019\u00e9chantillonnage?<\/p>\n

\uf06f O\u00a0\u00a0 \uf06f N\u00a0\u00a0 \uf06f NSP<\/p>\n

Des \u00e9chantillons ont-ils d\u00e9j\u00e0 \u00e9t\u00e9 pr\u00e9lev\u00e9s?<\/p>\n

\uf06f O\u00a0\u00a0 \uf06f N\u00a0\u00a0 \uf06f NSP<\/p>\n

Si non\u00a0: Pouvons-nous pr\u00e9lever des \u00e9chantillons?<\/p>\n

\uf06f O\u00a0\u00a0\u00a0 \uf06f N\u00a0:<\/p>\n

 <\/p>\n<\/td>\n<\/tr>\n

\n

Noix <\/strong><\/p>\n<\/td>\n<\/tr>\n

\n

Article<\/strong><\/p>\n<\/td>\n

\n

Description de la marque ou de l\u2019emballage<\/strong><\/p>\n<\/td>\n

\n

Information sur l\u2019achat<\/strong><\/p>\n<\/td>\n

\n

\u00c9chantillons<\/strong><\/p>\n<\/td>\n<\/tr>\n

\n

Article\u00a01\u00a0:<\/p>\n

\uf06f Amandes<\/p>\n

\uf06f Noix de Grenoble<\/p>\n

 <\/p>\n<\/td>\n

\n

Marque\u00a0:<\/p>\n

Produit\u00a0:<\/p>\n

Description (crues\/r\u00f4ties\/enti\u00e8re\/tranch\u00e9es)\u00a0:<\/p>\n

Emballage\u00a0: \uf06fEn vrac \uf06fCoque en plastique \uf06fSachet \uf06fAutre\u00a0:<\/p>\n

Description\u00a0:<\/p>\n

Taille\u00a0:<\/p>\n

Date \u00ab\u00a0Meilleur avant\u00a0\u00bb\/code de lot\u00a0:<\/p>\n<\/td>\n

\n

Magasin\u00a0:<\/p>\n

 <\/p>\n

Adresse\u00a0:<\/p>\n

 <\/p>\n

Date d\u2019achat\u00a0:<\/p>\n

 <\/p>\n

Des re\u00e7us ou des relev\u00e9s d\u2019achat sont-ils disponibles?<\/p>\n

\uf06f O\u00a0\u00a0 \uf06f N\u00a0\u00a0 \uf06f NSP<\/p>\n<\/td>\n

\n

Des restes sont-ils disponibles pour l\u2019\u00e9chantillonnage?<\/p>\n

\uf06f O\u00a0\u00a0 \uf06f N\u00a0\u00a0 \uf06f NSP<\/p>\n

Des \u00e9chantillons ont-ils d\u00e9j\u00e0 \u00e9t\u00e9 pr\u00e9lev\u00e9s?<\/p>\n

\uf06f O\u00a0\u00a0 \uf06f N\u00a0\u00a0 \uf06f NSP<\/p>\n

Si non\u00a0: Pouvons-nous pr\u00e9lever des \u00e9chantillons?<\/p>\n

\uf06f O\u00a0\u00a0 \u00a0\uf06f N\u00a0:<\/p>\n<\/td>\n<\/tr>\n

\n

Article\u00a02\u00a0:<\/p>\n

\uf06f Amandes<\/p>\n

\uf06f Noix de Grenoble<\/p>\n

 <\/p>\n<\/td>\n

\n

Marque\u00a0:<\/p>\n

Produit\u00a0:<\/p>\n

Description (crues\/r\u00f4ties\/enti\u00e8re\/tranch\u00e9es)\u00a0:<\/p>\n

Emballage\u00a0: \uf06fEn vrac \uf06fCoque en plastique \uf06fSachet \uf06fAutre\u00a0:<\/p>\n

Description\u00a0:<\/p>\n

Taille\u00a0:<\/p>\n

Date \u00ab\u00a0Meilleur avant\u00a0\u00bb\/code de lot\u00a0:<\/p>\n<\/td>\n

\n

Magasin\u00a0:<\/p>\n

 <\/p>\n

Adresse\u00a0:<\/p>\n

 <\/p>\n

Date d\u2019achat\u00a0:<\/p>\n

 <\/p>\n

Des re\u00e7us ou des relev\u00e9s d\u2019achat sont-ils disponibles?<\/p>\n

\uf06f O\u00a0\u00a0 \uf06f N\u00a0\u00a0 \uf06f NSP<\/p>\n<\/td>\n

\n

Des restes sont-ils disponibles pour l\u2019\u00e9chantillonnage?<\/p>\n

\uf06f O\u00a0\u00a0 \uf06f N\u00a0\u00a0 \uf06f NSP<\/p>\n

Des \u00e9chantillons ont-ils d\u00e9j\u00e0 \u00e9t\u00e9 pr\u00e9lev\u00e9s?<\/p>\n

\uf06f O\u00a0\u00a0 \uf06f N\u00a0\u00a0 \uf06f NSP<\/p>\n

Si non\u00a0: Pouvons-nous pr\u00e9lever des \u00e9chantillons?<\/p>\n

\uf06f O\u00a0\u00a0\u00a0 \uf06f N\u00a0:<\/p>\n<\/td>\n<\/tr>\n

\n

Graines<\/strong><\/p>\n<\/td>\n<\/tr>\n

\n

Article<\/strong><\/p>\n<\/td>\n

\n

Description de la marque ou de l\u2019emballage<\/strong><\/p>\n<\/td>\n

\n

Information sur l\u2019achat<\/strong><\/p>\n<\/td>\n

\n

\u00c9chantillons<\/strong><\/p>\n<\/td>\n<\/tr>\n

\n

Article\u00a01\u00a0:<\/p>\n

\uf06f Graines de s\u00e9same<\/p>\n

\uf06f Graines de chia<\/p>\n

\u00a0\uf06f Graines de lin<\/p>\n<\/td>\n

\n

Marque\u00a0:<\/p>\n

Produit\u00a0:<\/p>\n

Description (crues\/r\u00f4ties\/en poudre\/germ\u00e9es)\u00a0:<\/p>\n

Emballage\u00a0: \uf06fEn vrac \uf06fCoque en plastique \uf06fSachet \uf06fAutre\u00a0:<\/p>\n

Description\u00a0:<\/p>\n

Taille\u00a0:<\/p>\n

Date \u00ab\u00a0Meilleur avant\u00a0\u00bb\/code de lot\u00a0:<\/p>\n<\/td>\n

\n

Magasin\u00a0:<\/p>\n

 <\/p>\n

Adresse\u00a0:<\/p>\n

 <\/p>\n

Date d\u2019achat\u00a0:<\/p>\n<\/td>\n

\n

Des restes sont-ils disponibles pour l\u2019\u00e9chantillonnage?<\/p>\n

\uf06f O \u00a0\u00a0\uf06f N\u00a0\u00a0 \uf06f NSP<\/p>\n

Des \u00e9chantillons ont-ils d\u00e9j\u00e0 \u00e9t\u00e9 pr\u00e9lev\u00e9s?<\/p>\n

\uf06f O\u00a0\u00a0 \uf06f N\u00a0\u00a0 \uf06f NSP<\/p>\n

Si non\u00a0: Pouvons-nous pr\u00e9lever des \u00e9chantillons?<\/p>\n

\uf06f O\u00a0\u00a0\u00a0 \uf06f N\u00a0:<\/p>\n

 <\/p>\n<\/td>\n<\/tr>\n

\n

Article\u00a02\u00a0:<\/p>\n

\uf06f Graines de s\u00e9same<\/p>\n

\uf06f Graines de chia<\/p>\n

\u00a0\uf06f Graines de lin<\/p>\n<\/td>\n

\n

Marque\u00a0:<\/p>\n

Produit\u00a0:<\/p>\n

Description (crues\/r\u00f4ties\/en poudre\/germ\u00e9es)\u00a0:<\/p>\n

Emballage\u00a0: \uf06fEn vrac \uf06fCoque en plastique \uf06fSachet \uf06fAutre\u00a0:<\/p>\n

Description\u00a0:<\/p>\n

Taille\u00a0:<\/p>\n

Date \u00ab\u00a0Meilleur avant\u00a0\u00bb\/code de lot\u00a0:<\/p>\n<\/td>\n

\n

Magasin\u00a0:<\/p>\n

 <\/p>\n

Adresse\u00a0:<\/p>\n

 <\/p>\n

Date d\u2019achat\u00a0:<\/p>\n<\/td>\n

\n

Des restes sont-ils disponibles pour l\u2019\u00e9chantillonnage?<\/p>\n

\uf06f O\u00a0\u00a0 \uf06f N\u00a0\u00a0 \uf06f NSP<\/p>\n

Des \u00e9chantillons ont-ils d\u00e9j\u00e0 \u00e9t\u00e9 pr\u00e9lev\u00e9s?<\/p>\n

\uf06f O\u00a0\u00a0 \uf06f N\u00a0\u00a0 \uf06f NSP<\/p>\n

Si non\u00a0: Pouvons-nous pr\u00e9lever des \u00e9chantillons?<\/p>\n

\uf06f O\u00a0\u00a0\u00a0 \uf06f N\u00a0:<\/p>\n

 <\/p>\n<\/td>\n<\/tr>\n

\n

Article\u00a03\u00a0:<\/p>\n

\uf06f Graines de s\u00e9same<\/p>\n

\uf06f Graines de chia<\/p>\n

\u00a0\uf06f Graines de lin<\/p>\n<\/td>\n

\n

Marque\u00a0:<\/p>\n

Produit\u00a0:<\/p>\n

Description (crues\/r\u00f4ties\/en poudre\/germ\u00e9es)\u00a0:<\/p>\n

Emballage\u00a0: \uf06fEn vrac \uf06fCoque en plastique \uf06fSachet \uf06fAutre\u00a0:<\/p>\n

Description\u00a0:<\/p>\n

Taille\u00a0:<\/p>\n

Date \u00ab\u00a0Meilleur avant\u00a0\u00bb\/code de lot\u00a0:<\/p>\n<\/td>\n

\n

Magasin\u00a0:<\/p>\n

 <\/p>\n

Adresse\u00a0:<\/p>\n

 <\/p>\n

Date d\u2019achat\u00a0:<\/p>\n<\/td>\n

\n

Des restes sont-ils disponibles pour l\u2019\u00e9chantillonnage?<\/p>\n

\uf06f O\u00a0\u00a0 \uf06f N\u00a0\u00a0 \uf06f NSP<\/p>\n

Des \u00e9chantillons ont-ils d\u00e9j\u00e0 \u00e9t\u00e9 pr\u00e9lev\u00e9s?<\/p>\n

\uf06f O \u00a0\u00a0\uf06f N\u00a0\u00a0 \uf06f NSP<\/p>\n

Si non\u00a0: Pouvons-nous pr\u00e9lever des \u00e9chantillons?<\/p>\n

\uf06f O\u00a0\u00a0\u00a0 \uf06f N\u00a0:<\/p>\n

 <\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

 <\/p>\n

 <\/p>\n

Commentaires\/Notes\u00a0:<\/p>\n

 <\/p>\n","protected":false},"excerpt":{"rendered":"

T\u00e9l\u00e9charger le format de rechange (Format Word, 115Ko) No d\u2019identification national\u00a0: \u00a0 \u00a0Num\u00e9ro d\u2019identification du cas\u00a0: \u00a0   Section\u00a01. Renseignements sur le cas\u00a0: Cas interrog\u00e9 par\u00a0: Date de l\u2019entrevue\u00a0: j____\/ m____\/ a______ Unit\u00e9 ou autorit\u00e9 sanitaire\u00a0: Date du signalement \u00e0 l\u2019unit\u00e9 ou \u00e0 l\u2019autorit\u00e9 sanitaire\u00a0: j____\/m____\/a______ Province\/territoire\u00a0:   Le r\u00e9pondant \u00e9tait\u00a0: o Cas o Parent […]<\/p>\n","protected":false},"author":33,"featured_media":0,"parent":4117,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-4334","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/outbreaktools.ca\/fr\/wp-json\/wp\/v2\/pages\/4334","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/outbreaktools.ca\/fr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/outbreaktools.ca\/fr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/outbreaktools.ca\/fr\/wp-json\/wp\/v2\/users\/33"}],"replies":[{"embeddable":true,"href":"https:\/\/outbreaktools.ca\/fr\/wp-json\/wp\/v2\/comments?post=4334"}],"version-history":[{"count":4,"href":"https:\/\/outbreaktools.ca\/fr\/wp-json\/wp\/v2\/pages\/4334\/revisions"}],"predecessor-version":[{"id":4789,"href":"https:\/\/outbreaktools.ca\/fr\/wp-json\/wp\/v2\/pages\/4334\/revisions\/4789"}],"up":[{"embeddable":true,"href":"https:\/\/outbreaktools.ca\/fr\/wp-json\/wp\/v2\/pages\/4117"}],"wp:attachment":[{"href":"https:\/\/outbreaktools.ca\/fr\/wp-json\/wp\/v2\/media?parent=4334"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}