* 個資使用聲明:本平台個人資訊僅供承辦單位使用。

【學務處衛生保健組】銘傳大學-大專校院居家隔離、檢疫、自主健康管理、14日內有出國旅遊史、發燒調查表【Campus Health Services Section of Student Affairs Division】MCU Questionnaire for Students in Home Isolation, Home Quarantine, Self-Management of Health, with Overseas Travel History within past 14 Days, o

嚴重特殊傳染性肺炎疫情持續擴大,學校為瞭解目前居家隔離、檢疫、自主健康管理、14日內有出國旅遊史、發燒之學生確切人數,避免防疫缺口。請同學配合中央流行疫情指揮中心及教育部之政策,為降低傳染風險敬請協助問卷填答,共同維護校園健康。請同學正確填寫並將本調查表回傳,俾利衛保組依同學狀況提供健康關懷與專業諮詢服務,若有相關疑問或防疫諮詢或協助,請聯繫臺北衛保組、桃園醫務室(02-28824564分機2224.3172)

衛教提醒: 1、肥皂勤洗手。2、咳嗽戴口罩。3、避免出入人多場所,如需出入時務必配戴口罩。4、如有身體不適、發燒、呼吸急促(上呼吸道不適)請儘速就醫,生病時請遵守不上班、不上課原則,請於居家隔離自我照護,並請通知學務處衛保組進行關懷。5、教室上課保持室內空氣流通,降低病毒傳播機會。6、平時增加健康蔬果攝取提升抵抗力。若有相關疑問或防疫諮詢或協助,請聯繫台北衛保組、桃園醫務室(02-28824564 分機2224、3172)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        學務處衛保組關心您

個資聲明:本表所蒐集之個人資訊,將作為本校防疫業務聯絡,及衛生單位防疫之用。請據實填報,以利防疫,如有隱匿病情導致疫情擴散,將可能遭相關法規(傳染病防治法)追蹤刑責。

Since COVID-19 disease continues to expand, the university must have a clear understand of the actual number of students in home isolation, home quarantine, self-management of health, with overseas travel history within past 14 days, or having a fever. All students are to please follow the policies of Central Epidemic Command Center and Ministry of Education to complete this questionnaire with accurate information which can help Campus Health Services Section to follow different situations of students to provide related health care and professional consultation, lower infection risk on campus and maintain campus health. If you have any related questions or need any assistance for disease prevention, please contact responsible staff of Campus Health Services Section on Taipei Campus or Taoyuan Campus Health Services through +886-2-2882-4564 Ext. 2224 or Ext. 3172.

Health Care Reminders:

  1. Wash your hands frequently with soap.
  2. Wear surgical mask if you have a cough.
  3. Reduce your time in public places or crowded areas. If necessary to be there, please wear a surgical mask.
  4. If you feel sick, have fever or shortness of breath (upper respiratory tract illness), please see a doctor quickly; take leave from school and/or work; quarantine yourself stay at home and inform the Campus Health Services Section of Student Affairs Division.
  5. Maintain a flow of fresh air indoors to lower the risk of contagion in classrooms or offices.
  6. Increase daily vegetable and fruit consumption to improve immunity.

If you have any questions, please contact responsible staff of Campus Health Services Section on Taipei Campus or Taoyuan Campus Health Services through +886-2-2882-4564 Ext. 2224 or Ext. 3172.

Personal Information Collection and Usage Disclaimer:

The personal information collected on this form is used for epidemic prevention liaison between the university and public hygiene entities. Please answer questions candidly to help with epidemic prevention. If any hidden case causes the epidemic to spread, you may be punished under relevant laws and regulations (Communicable Disease Control Act).

 

日期 Date: 
03/18/2020 to 04/30/2020
During the period of home isolation, home quarantine or self-management of health, please note any dates of having fever and your temperature if you discovered fever during daily temperature checks. (According to the information of Central Epidemic Command Center, the standard for having fever is ear temperature of 38˚C or forehead temperature of 37.5˚C)
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