• Chester County Health Department Respiratory Illness Reporting Form

  • Please complete this form

    • At the start of a respiratory outbreak
    • During the outbreak, on a weekly basis, to report COVID, influenza and RSV numbers   

    For COVID outbreak: Defined as 1 COVID case in the facility

    For influenza outbreak: Defined as 2 cases of influenza in the facility, at least one case which is laboratory confirmed

    For RSV: We are not tracking outbreaks, but rather RSV co-infections during a COVID or influenza outbreak

    Once you submit this form at the start of an outbreak, the Chester County Health Department will reach out to you. 

    Submit new case counts weekly during the outbreak. If the facility has no new cases in the 7 (for influenza) or 14 (for COVID) days since the last case, please fill out the corresponding field and make a note of it in the Notes section of this form. 

    The outbreak is considered closed if it has been 14 days since the last COVID case or 7 days since the last influenza case (symptom onset date or test date). 

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