Updated 09/2018
Influenza Weekly Surveillance Form for Health Care Providers
Please complete table for the previous week ending Saturday at midnight
Please complete the table below
*
1
Not Differentiated Flu: tested positive for flu, but does not differentiate between A or B
*2 If confirmed influenza results have been subtyped, please include in comments section (ex: 1 positive H3N2)
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 >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 a hospital/health care setting is defined as:
o A sudden increase of cases over the normal background rate
o Three or more healthcare-associated infections of acute febrile respiratory illness (AFRI)
or ILI among patients or healthcare workers on the same unit within 72 hours
o One or more healthcare-associated infections of confirmed influenza
Please send report by fax or email to 972-548-4443 or asouri@co.collin.tx.us by close of business on Mondays. If
you have any questions please contact Aisha Souri at 972-548-5524. Thank you!
