Influenza Hospitalization Surveillance

Every week, please enter the number of NEW influenza hospitalizations seen at your facility for the previous week. Influenza hospitalizations are defined as patients with an inpatient status and laboratory-confirmed influenza. Weeks begin on Sunday and end on Saturday. If possible, please submit your reports by Tuesday of the following week. Late reports and back data are also accepted.


Hospital
Ending date for 7 day reporting period: (Period ends Saturday at 11:59pm) 
Number of new influenza hospitalizations
Person Completing Report