Get the free Influenza-like Illness/Influenza Outbreak Reporting Form

A document used for reporting outbreaks of influenza-like illness including details such as outbreak identification, extent, pathogen identification, symptoms, and control measures taken.

How to fill out influenza-like illnessinfluenza outbreak reporting

How to fill out Influenza-like Illness/Influenza Outbreak Reporting Form

1. Obtain the Influenza-like Illness/Influenza Outbreak Reporting Form from your local health authority.
2. Fill out the date and location of the outbreak at the top of the form.
3. Provide details about the affected individuals, including their age, sex, and contact information.
4. Document the symptoms observed in the individuals (fever, cough, sore throat, etc.).
5. Include any laboratory results if available, along with the method of sample collection.
6. Indicate the number of cases and any hospitalizations related to the outbreak.
7. Describe any control measures implemented in the area.
8. Review the completed form for accuracy and completeness.
9. Submit the form to the designated health authority as instructed.

Who needs Influenza-like Illness/Influenza Outbreak Reporting Form?

1. Healthcare providers who diagnose cases of influenza-like illness.
2. Public health officials investigating outbreaks of influenza.
3. School administrators reporting influenza outbreaks within educational institutions.
4. Facility managers in long-term care or residential homes during an outbreak.

People Also Ask about

Does influenza need to be reported?

Mandatory Influenza Reporting Respiratory Outbreaks - Any time when there is a higher-than-expected number influenza like illnesses should be reported immediately to your health department for investigation.

Should I report flu?

Influenza is a laboratory reportable condition and should be reported within 24 hours of detection by the lab into CDRSS! Influenza (flu) is a contagious respiratory illness caused by influenza.

Is influenza reporting mandatory?

Mandatory reporting by telephone: The provider must make a report by phone. Examples are rubeola (measles) and pertussis (whooping cough). Report of total number of cases. Examples are chickenpox and influenza.

What is the CDC definition of influenza outbreak?

Influenza outbreak: At least one case of laboratory-confirmed influenza in the setting of a cluster (≥2 cases) of influenza-like illness (ILI)* within a 72-hour period; •

Does influenza A need to be reported?

Influenza is a nationally notifiable disease.

Is influenza A reportable disease to the CDC?

Human infection with a novel influenza A virus is a nationally notifiable condition reportable to CDC.

What is an ILI outbreak?

• Influenza-like-illness (ILI) Outbreak definition - Two or more cases of ILI within a 7 day period, with. common link (e. g. same location or same care giver, and evidence of transmission within the unit or site)

Is influenza like illness the same as influenza?

ILI is a medical diagnosis of possible (or not laboratory-confirmed) influenza or other similar illnesses that cause a common set of symptoms.

For pdfFiller’s FAQs

What is Influenza-like Illness/Influenza Outbreak Reporting Form?

The Influenza-like Illness/Influenza Outbreak Reporting Form is a standardized document used to report cases of influenza-like illnesses and outbreaks in order to monitor and respond to the spread of influenza within a community.

Who is required to file Influenza-like Illness/Influenza Outbreak Reporting Form?

Healthcare providers, including hospitals, clinics, and public health departments, are typically required to file the Influenza-like Illness/Influenza Outbreak Reporting Form when they identify cases of influenza-like illnesses or outbreaks.

How to fill out Influenza-like Illness/Influenza Outbreak Reporting Form?

To fill out the Influenza-like Illness/Influenza Outbreak Reporting Form, individuals must provide details such as the number of cases, symptoms observed, demographics of affected individuals, and any laboratory test results along with contact information for follow-up.

What is the purpose of Influenza-like Illness/Influenza Outbreak Reporting Form?

The purpose of the Influenza-like Illness/Influenza Outbreak Reporting Form is to facilitate the timely reporting and tracking of influenza cases and outbreaks to inform public health action and resource allocation.

What information must be reported on Influenza-like Illness/Influenza Outbreak Reporting Form?

The form must report information such as the date of onset, symptoms, age, and location of affected individuals, number of cases, possible sources of infection, and any containment measures taken to control the outbreak.