VACCINE-PREVENTABLE DISEASE SECTION
School Reporting of Vaccine-Preventable Diseases
Disease
What to report
How and when to report
Elementary schools 1. Complete the Influenza-like Illness Report
only:
Form - Minnesota Schools on School Health
Personnel Influenza Information
Report when three
(www.health.state.mn.us/divs/idepc/diseases
or more students
/flu/school/index.html).
from the same
classroom are absent 2. Fax to: 651-201-5501
or sent home with ILI
Influenza–like
illness
(ILI)
All schools:
Report when the
number of students
absent or sent home
with ILI reaches 5%
of the total school
enrollment
Chickenpox
(varicella)
All suspect or confirmed cases of
chickenpox in students and/or staff.
Shingles
(zoster)
Suspect or confirmed cases of shingles in
students.
Pertussis (whooping All suspected and confirmed cases in
cough)
students and staff
and other vaccinepreventable diseases
including:
Measles
Mumps
Rubella
Diphtheria
Tetanus
Polio
Viral hepatitis
Chickenpox and shingles report forms can also be mailed to:
1. Complete the Chickenpox and Shingles Report
Form for Minnesota Schools
(www.health.state.mn.us/divs/idepc/diseases/
varicella/school/schoolreporting.html).
2. Fax to: 651-201-4820*
Note: If you suspect the beginning of an outbreak
of chickenpox, schools should call MDH at 651201-5414 or 1-877-676-5414. Please also notify
your school district office.
By phone at 651-201-5414 or 877-676-5414 (toll
free)
Please notify your school district office.
Minnesota Department of Health
Vaccine-Preventable Disease Surveillance
P.O. Box 64975
St. Paul, MN 55164-0975
More information on reportable diseases and who is required to report them can be found on MDH Infectious Disease
Reporting (www.health.state.mn.us/divs/idepc/dtopics/reportable/index.html).
07/2016