School-Related

Influenza-like Illness (ILI) / Influenza (FLU)

Influenza-like Illness (ILI) /         Influenza (FLU) When to report Report to Action by the School
ILI symptoms include cough or sore throat accompanying a fever or history of fever. Although this would be the minimum criteria for ILI, children can also experience gastrointestinal symptoms like nausea, diarrhea, and vomiting, when infected with the flu.

 

Schools are required to report flu like activity to the HDOH when:

  • Absentee rate exceeds 10% for entire school; OR
  • Absentee rate exceeds 20% of one grade or class.

 

To report influenza like activity to HDOH, please call (808) 586-4586.

 

 

Download and fill out the following forms to the best of your ability:

School ILI Outbreak Form

School ILI Line List Excel Sheet

Fax it to (808) 586-4595 or email it to DOH.Flu.Surveillance@doh.hawaii.gov

If emailing, please password protect the Excel file and send the password in a separate email for confidentiality and privacy purposes.

If you are not sure if the ILI activity in your school needs to be reported, please contact the Disease Reporting Line at (808) 586-4586. ILI activity in schools is 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 school. We will send you free kits to swab your students for influenza and other respiratory virus testing. You may be able to work closely with your public health nurse or Disease Investigation Branch personnel to collect specimens for testing at the Hawaii State Laboratories Division.

Once the specimens have been tested, we will know if your school has an influenza outbreak or an outbreak of another respiratory virus. In the event of a confirmed respiratory virus (including influenza) outbreak, HDOH personnel will provide you with materials you may need to encourage students to stay at home and practice good hygiene. This will prevent the outbreak from spreading further.

 

Gastrointestinal (GI) or suspected norovirus outbreaks

Gastrointestinal (GI) or suspected norovirus outbreaks When to report Report to Action by the School
A Gastrointestinal Illness (GI) is an illness with symptoms of vomiting, diarrhea (≥3 stools in 24 hours), and/or abdominal pain. Illness is confirmed when an individual has a positive culture for a bacteria or virus in stool.

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 duration of the illness is usually about 1 to 3 days.

Report GI outbreaks and suspected Norovirus outbreaks to HDOH.

A GI outbreak is determined to be occurring in a school when either of these two conditions are met:

  • Two or more cases of GI illness occurring within 24 hours among students or staff who share an exposure or are in close contact AND who do not live in the same household; OR
  • There is a doubling in the number of students absent because of vomiting and/or diarrhea episodes over that of normal for a particular time of year (per the school).
To report GI or Norovirus activity to HDOH, please call (808) 586-4586. Download and fill out the following forms to the best of your ability:

School GI Outbreak Form

School GI Line List Excel Sheet

Fax it to (808) 586-4595.

If you are not sure if the GI activity in your school needs to be reported, please contact the Disease Reporting Line at (808) 586-4586. 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 school, by providing reference to cleaning recommendations and materials you may need to encourage students to stay at home and practice good hygiene. This will prevent the outbreak from spreading further.

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: May 2019