Updated 09/2018
Influenza Surveillance Form for Schools
Please report the following:
Total Number of Absences for
the Week
Total Absences Due to Influenza-
Like Illness
Were there any school closure due to excessive ILI absences?
No Yes Number of days closed: ______
Level of Activity: Increasing Decreasing Stayed the same Unknown
Comments:
A single case of influenza is not reportable, but Collin County has a process for schools and health care
organizations wanting to report influenza like illness (ILI) and positive lab results for surveillance.
Influenza reporting is voluntary unless it is linked to an outbreak or pediatric death.
Flu activity is defined as:
Influenza-like illness activity (ILI): ILI is defined as fever over 100
0
F and cough and/or sore throat.
And/or,
Lab confirmed case: Flu case confirmed by rapid test, culture, antigen detection, or PCR. And/or,
An outbreak in school or child care settings is defined as:
o A sudden increase of cases or absenteeism over the normal background rate
o Five or more cases of ILI in one week among students or staff in an epidemiologically linked
group (e.g., single class, sports team or after school group)
Please send report by fax or email to 972-548-4443 or asouri@co.collin.tx.us by close of business on Mondays. If
Monday is a holiday, please send report as soon as possible. If you have any questions please contact Aisha Souri at
(972) 548-5524. Thank you!
