Long-Term Care-Related

The Hawaii Department of Health (HDOH) requires all institutions experiencing any suspected influenza (flu), influenza-like illness (ILI), and suspect norovirus outbreaks to report this information immediately. ILI would be symptoms are cough or sore throat accompanying a fever or history of fever.

Some people may feel tired, muscle aches, headaches, and chills. Symptoms can last up to a week, sometimes more, especially in people who are immunocompromised. Norovirus symptoms include acute onset of vomiting and/or diarrhea, nausea, and stomach cramps. Some people may have a mild fever, chills, headache, muscle aches, and a general sense of tiredness. The illness usually begins suddenly, and the infected person may become dehydrated. The illness is usually short in duration, only lasting only about 2 to 3 days.

Long Term Care Facilities

Long-term care facilities (LTCFs) are required to report flu-like and suspect norovirus activity to the HDOH when three (3) or more cases of ILI or suspect norovirus are detected on a single unit during a period of 48 to 72 hours. A unit is defined as anyway that the facility divides their building, be it rooms, floors, or wards.

In order to report influenza like or suspect norovirus activity to HDOH, please call (808) 586-4586. Also, please download and fill out the following forms for the type of outbreak you are experiencing to the best of your ability and fax it to (808) 586-4595. If email is preferred, please ask the HDOH staff you spoke with on the phone to give you directions on password protecting your documents.

Long Term Care Facility Flu/ILI Outbreak Form

Long Term Care Facility Flu/ILI Line List Excel Sheet

Long Term Care Facility Noro Outbreak Form

Long Term Care Facility Noro Line List Excel Sheet

If you are not sure if the ILI activity or suspect norovirus outbreaks in your facility needs to be reported, please contact the Disease Investigation Branch at (808) 586-4586. ILI activity and suspect norovirus outbreaks in healthcare facilities are immediately reportable, so please do not hesitate to call. HDOH personnel will assist you in determining how to proceed with your particular situation.

During the outbreak, HDOH personnel will be able to assist you in preventing further spread of infection in your facility. Testing kits are available from your partner clinical laboratories to test for influenza, other respiratory viruses, and norovirus at the State Laboratories Division of HDOH.

Once the specimens have been tested, we will know if your facility has a confirmed outbreak. HDOH personnel provides you with materials you may need to encourage proper infection control, workplace restriction, and other spread prevention practices. Our goal is to prevent further spread of the current outbreak and prevent other outbreaks from happening.

To report an illness, please contact the Department of Health at these numbers:

Oahu (Disease Reporting Line): (808) 586-4586
Maui District Health Office: (808) 984-8213
Kauai District Health Office: (808) 241-3563
Hawaii Health Office: (808) 933-0912
After hours (Physician’s Exchange): (808) 600-3625 or Toll Free 1-800-360-2575


Last Reviewed: April 2018