Question post text
1 COMMUNICABLE DISEASE (INFECTIONS, MALARIA, TUBERCULOSIS, HIV)
2 MATERNAL AND PERINATAL CONDITIONS (PREGNANCY)
3 NUTRITIONAL DEFICIENCIES
4 ACUTE CONDITIONS (DIARRHOEA, FEVER, FLU, HEADACHES, COUGH, OTHER)
5 INJURY (not work related, see 8 below)
6 SURGERY
7 SLEEP PROBLEMS
8 OCCUPATION/WORK RELATED CONDITION/INJURY
9 CHRONIC PAIN IN YOUR JOINTS/ARTHRITIS (JOINTS, BACK, NECK)
10 DIABETES OR RELATED COMPLICATIONS
11 PROBLEMS WITH YOUR HEART INCLUDING UNEXPLAINED PAIN IN CHEST
12 PROBLEMS WITH YOUR MOUTH, TEETH OR SWALLOWING
13 PROBLEMS WITH YOUR BREATHING
14 HIGH BLOOD PRESSURE / HYPERTENSION
15 STROKE/SUDDEN PARALYSIS OF ONE SIDE OF BODY
16 GENERALIZED PAIN (STOMACH, MUSCLE OR OTHER NONSPECIFIC PAIN)
17 DEPRESSION OR ANXIETY
18 CANCER
87 OTHER, SPECIFY: