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AMENDMENT#18 <br />Rapidly reFort test r€sults betw€€n th€ laboratdry. the publtc ttealth depertrent,healthraE fadilaties, and t:[rc to supF'ort pDblic heafth investigatlons.Teet a sample of oltpatteBts witi'r t!.r orARl for covtD-I9 and other respiratoryviru5€s a6d@mp|ete the foltswtng: <br />- Report seekly percent posfttu€ C6VID-19 outFattent vtsiB by age Eroup. <br />' Determine the rat€ df rf-uaFil outpafient visits and the rate of covrD-tro-confrrmedl!-t pafient'. <br />- Thls alaotvebl€ activity ls simalar to 'sentanef COVTD_tr g Suryeillance, Marctr282A, end tl-tfvet Enhan@ment5 in 2OL9_- tt may includ€, but as not timttedto the followlhg: <br />- Conduct testtng at publrc health laboratorleg <br />- Dscdbe modtf,lcatton of proto€ols and validation of speclmen typeother than IrtF/Op svabs. lncluding vatidatton of different swebtypes and self_swatlbinE for COVTD_ag <br />€ollaiJcrat€ arftf! Energang lnf€etion pr@gf,am and lnfluen.aa Hospitatrzat:on suryeillanceNetsork t@ m6dif,]r exasting Flusuru-htET progf,am for CO\I.ID-!9.Enilance laltrotratory 5urge capaclty plans- <br />E}etermid€ maximum l.t> testing capactty and efratllish priorniaation €rtteria andaonunged€y plans for testlng if maximunt capacity is r€sched. <br />anrJ t <br />r€quaFe testing and shFpptng to hbor.tory <br />de5ignated for test{hg. <br />,iesponse Network (t-RNl or CDC latroratories <br />wltir €nto surepartnefs[aboEtorv istr5 receive a nceupdatedguid prlateappro <br />ar!dritfimsalBo typersample additi6nal tsinf€rmation uired-testing a4qEns€lear guidance conrmuntcatedis clini6ato labs and on tohow obtainphVslclans <br />I atr testing. <br />Data Management <br />'a Ensure data management systems ar€ in place and fteet the n€e.ds of the Jurisdiciion-o lmpl€ment adalvsis, visualrlat!_on, and repqfting fof, sureltlance and otheaavailable data tosupFort und€Btandimg Gf tFle outbreak; t.ensmission. and ampsct of tnteruenluons.6 Ensutre effici€nt and timely data cquectioft. <br />hamFles of al1owahle actlvitie5: <br />Ensure etrifity to f,apidly exehange data rvttlr <br />atfrner relevant pedneE. <br />€ coordlnate data syst€ms for €pidemiologiqal and labor€tory sureillanc€_ <br />andrBpa dfi ers <br />Exhibit A, Staternents of Work <br />Revised as ofNovernber 16,2020 <br />Page 25 of 34 Contract Number CLHI 8249- I 8