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Van Buren County Weekly Communicable Disease Report

Van Buren County Weekly Communicable Disease Report

Schools play an essential role in reporting communicable disease in the community. According to the State of Michigan Public Health Code (Public Act 368, of 1978 as amended), the local Health Department shall be notified of the occurrence of reportable communicable disease.

1BASIC INFORMATION

2SERIOUS COMMUNICABLE DISEASE

3COVID-19

4SUSPECTED FLU

5OTHER DISEASES

Week Ending FRIDAY(Required)

MM slash DD slash YYYY

Submitted by(Required)

Name of person submitting information

First Last

School District & School / Pre-School / Daycare(Required)

Use dropdown to choose (listed as School District / City first, then as building etc... HINT* typing the first letter of the school district (example) "L" will take you directly to the districts beginning with "L".

Email(Required)

Phone(Required)

Serious Communicable Disease

Call the Van Buren County Health Dept. at 269.621.3143 ~ ASAP, within 24 hrs ~ if ANY of the following serious diseases are suspected or confirmed:

Check any / all that apply(Required)

CALL THE HEALTH DEPARTMENT TO REPORT SUSPECTED OR CONFIRMED. Provide the following information: Student Name, DOB, Parent/Guardian Name, Contact Phone Number and Disease Reported.

Measles, Mumps, Rubella (German measles)

Pertussis (Whooping Cough)

Meningitis (viral or bacterial)

Hepatitis

Tuberculosis (TB)

Haemophilus influenzae type B

Varicella (Chicken pox)

Encephalitis

An usual occurrence or outbreak of any disease or infection

NO SERIOUS COMMUNICABLE DISEASE TO REPORT

COVID-19 for the week

Aggregate Number

STAFF: # Tested POSITIVE

COVID-19

Please enter a number greater than or equal to 0.

STAFF: # Quarantined

Please enter a number greater than or equal to 0.

STUDENTS: # Tested POSITIVE

COVID-19

Please enter a number greater than or equal to 0.

STUDENTS: # Quarantined

Please enter a number greater than or equal to 0.

Suspected Flu

Aggregate Number

Gastrointestinal Illness (Stomach Flu)

Any child with vomiting and/or diarrhea for 24 to 48 hours (24 - hr flu, winter vomiting disease or norovirus)

Please enter a number greater than or equal to 0.

Influenza Like Illness (Respiratory Flu)

Any child with fever and any of the following symptoms: sore throat, cough, generalizes aching in the back or limb muscles. VOMITING AND DIARRHEA ALONE IS NOT RESPIRATORY FLU.

Please enter a number greater than or equal to 0.

Unknown Influenza (Flu)

Parent reports "my child has flu" no symptom information available.

Please enter a number greater than or equal to 0.

Other Diseases

Aggregate Number

Check if No Other Disease to Report

NO OTHER DISEASE TO REPORT

Cold / Bronchitis / Pneumonia

Please enter a number greater than or equal to 0.

Fifth Disease

Please enter a number greater than or equal to 0.

Impetigo

Please enter a number greater than or equal to 0.

Lice

Please enter a number greater than or equal to 0.

Mononucleosis

Please enter a number greater than or equal to 0.

Pink Eye

Please enter a number greater than or equal to 0.

Ring Worm

Please enter a number greater than or equal to 0.

Scabies

Please enter a number greater than or equal to 0.

Scarlet Fever

Please enter a number greater than or equal to 0.

Sore Throat (only)

Please enter a number greater than or equal to 0.

Strep Throat (Dr. diagnosed)

Please enter a number greater than or equal to 0.

Other

Please describe

Did School close this week due to excessive absences?(Required)

Yes

No

CAPTCHA

Phone

This field is for validation purposes and should be left unchanged.

Contact Us

(269) 621 - 3143

260 South Street Lawrence, MI 49064

302 S. Front Street Dowagiac, MI 49047

HP@vbcassdhd.org

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Van Buren / Cass District Health Department complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.

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