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Hawai`i Department of Health - Disease Investigation Branch


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Conditions that Require Notification to Department of Health

  -- What is the Protocol?
     
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  -- Download Necessary Forms Here
     
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  -- Collecting Throat Swabs from Students
     
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  -- Important Phone Numbers

Conditions that Require Notification to Department of Health

Suspected School ILI* Activity: suspected when absentee rate exceeds 10% for entire school OR absentee rate exceeds 20% of one grade or class. An ILI outbreak is confirmed when at least one student has a positive culture or rapid-antigen test for influenza.
 
bullet Long-term Care ILI* Activity: suspected when three (3) or more cases of ILI are detected on a single unit during a period of 48 to 72 hours. An ILI outbreak is confirmed when at least one resident has a positive culture or rapid-antigen test for influenza.
 
   
 
*Influenza-like illness (ILI): a cough and fever (>100° F) or chills. Influenza is confirmed when an individual has a positive culture or rapid-antigen test for influenza and respiratory symptoms.
 

 

What Information Do I Need to Collect?

  It is important that facility health aides and infection control agents complete the following appropriate forms and fax them to Department of Health (808) 586-4595:
  School Influenza-like Illness Activity Form (PDF download)
Long-term Care Influenza-like Illness Activity Form (PDF download)
   

 

How to Collect Specimens for Culture Isolation

  1. Tubes of VTM (viral transport medium) should be kept refrigerated at all times.

2. VTM is relatively stable. Tubes provided can be used throughout the influenza season provided the date of usage does not exceed the expiration date printed on the outside of the tube.

3. Collect throat swabs only on individuals who became ill within the last 72 hours AND meet the following influenza-like illness criteria:
a. Fever > 100ºF, AND
b. Cough, sore throat, or other respiratory symptoms.

4. Throat swab procedure:
a. Remove both swabs from the wrapper.
b. Moisten both swabs with VTM by dipping into the tube.
c. Vigorously swab the posterior pharynx and tonsil area (avoiding tongue)
d. Return the swabs to the same tube of VTM.
e. Break off sticks so that screw cap can be securely replaced.
f. Refrigerate tube immediately.
g. Complete the laboratory form provided.

5. Telephone the Disease Investigation Branch on Oahu at 586-4586; Hawaii 933-0912; Maui 984-8213; and Kauai 241-3563 for pick-up of swabs or to request additional tubes of VTM.

 

Download printable instructions for throat swab (PDF)

 

Contact Information for Reporting to Department of Health

Oahu-Disease Investigation Branch:
(808) 586-4586  
 
Maui District Health Office:
(808) 984-8213 Toll Free: 984-2400
 
Kauai District Health Office:
(808) 241-3563 Toll Free: 274-3141
 
Hawaii District Health Office:
(808) 933-0912 Toll Free: 974-4000
 
After hours (State Hospital Operator):
(808) 566-5049 Toll Free 1-800-360-2575

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