What is Swimmer's Itch?
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Report a Case of Swimmer's Itch
Reporter's Information
First & Last Name
Email Address
How certain are you that the infected individual has swimmer's itch:
[Select Level of Certainty ]
Absolutely certain
Very certain
Somewhat certain
Not entirely sure
Infected Individual's Information
Gender of infected individual:
[Select Gender ]
Male
Female
Age of infected individual:
[Select Age ]
0-9
10-19
20-29
30-39
40-49
50-59
60+
Date individual contracted swimmer's itch
[Month ]
January
February
March
April
May
June
July
August
September
October
November
December
[Day ]
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Time of day when individual was in water:
[Select Time ]
before 9 a.m.
9 a.m. to noon
noon to 3 p.m.
3 to 6 p.m.
after 6 p.m.
Total minutes spent in shallow (i.e., <2 feet) water:
[Select Number ]
1-10
11-30
31-60
60+
Number of papules (i.e., "itchy spots")
[Select Number ]
1-10
11-99
100+
Site Information
Type of body of water where swimmer's itch was contracted:
[Select Type ]
Lake
River
Ocean
Other
Name of body of water:
Nearest city:
Region:
[Select State/Region]
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Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
Washington D.C.
West Virginia
Wisconsin
Wyoming
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Alberta
British Columbia
Quebec
Ontario
Manitoba
New Brunswick
Newfoundland
Nova Scotia
Northwest Territories
Nunavut
Prince Edward Island
Saskatchewan
Yukon
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Mexico
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Europe
Asia
South America
Central America
Africa
Australia
County (if known):
Questions or Comments
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Reported Cases of Swimmer's Itch