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The reporting guidance is designed to help physicians and other health care professionals determine what types of clinical cases should be reported to the surveillance system. The surveillance case definition, decision logic scheme for case classification, and case classification criteria list (Box 4) are designed to assist surveillance staff members in classifying cases consistently over time and across states. These guidelines are not intended as the sole criteria for establishing clinical diagnoses; additional clinical, exposure, and laboratory data might be needed to establish a diagnosis of WRA..
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