Influenza (flu) is a contagious illness caused by influenza viruses. Flu primarily affects the respiratory tract (e.g., nose, throat, chest, and lungs). The resources found in these web pages provide information for health professionals and the general public to help reduce the spread of flu in Iowa. The best way to reduce the risk of flu and its possible serious consequences is to get vaccinated for flu every year. See the Iowa HHS influenza vaccine page for more information.
Individual cases of influenza are not reportable in Iowa although the Iowa Department of Health and Human Services (Iowa HHS) does require that cases of novel influenza and influenza outbreaks be reported. As most cases of flu are not reported, Iowa HHS relies on voluntary reporting from laboratories, schools, vital records, hospitals, care facilities, and outpatient health clinics to monitor influenza activity in Iowa. Please contact Andy Weigel at [email protected] to find out more about becoming a surveillance site. The Iowa HHS influenza program summarizes all flu data along with some other viral respiratory illnesses in regular surveillance reports.
Respiratory webinar slides for the 2025-26 influenza season (4.74 MB) .pdf
Respiratory Reports
Sign up to receive the weekly respiratory virus surveillance report. This email is sent out before the report is posted online, so if you need immediate access to the latest report be sure to subscribe.
Current Issue
Respiratory Virus Report - Weeks 22–25, 2026
List items for Respiratory Virus Reports
Respiratory Virus Report - Week 20, 2026
Respiratory Virus Report - Week 19, 2026
Respiratory Virus Report - Week 18, 2026
Respiratory Virus Report - Week 17, 2026
Respiratory Virus Report - Week 16, 2026
Respiratory Virus Report - Week 15, 2026
Respiratory Virus Report - Week 14, 2026
Respiratory Virus Report - Week 13, 2026
Respiratory Virus Report - Week 12, 2026
Respiratory Virus Report - Week 11, 2026
Respiratory Virus Report - Week 10, 2026
Respiratory Virus Report - Week 9, 2026
Respiratory Virus Report - Week 8, 2026
Respiratory Virus Report - Week 7, 2026
Respiratory Virus Report - Week 6, 2026
Respiratory Virus Report - Week 5, 2026
Respiratory Virus Report - Week 4, 2026
Respiratory Virus Report - Week 3, 2026
Respiratory Virus Report - Week 2, 2026
Respiratory Virus Report - Week 1, 2026
Respiratory Virus Report - Week 53, 2025
Respiratory Virus Report - Week 52, 2025
Respiratory Virus Report - Week 51, 2025
Respiratory Virus Report - Week 50, 2025
Respiratory Virus Report - Week 49, 2025
Respiratory Virus Report - Week 48, 2025
Respiratory Virus Report - Week 47, 2025
Respiratory Virus Report - Week 46, 2025
Respiratory Virus Report - Week 45, 2025
Respiratory Virus Report - Week 44, 2025
Respiratory Virus Report - Week 43, 2025
Respiratory Virus Report - Week 42, 2025
Respiratory Virus Report - Week 41, 2025
Respiratory Virus Report - Week 40, 2025
Respiratory Virus Report - Weeks 36-39, 2025
Respiratory Virus Report - Weeks 32-35, 2025
Respiratory Virus Report - Weeks 27-31, 2025
Respiratory Virus Report - Weeks 23-26, 2025
Respiratory Virus Report - Week 20, 2025
Respiratory Virus Report - Week 19, 2025
Respiratory Virus Report - Week 18, 2025
Respiratory Virus Report - Week 17, 2025
Respiratory Virus Report - Week 16, 2025
Respiratory Virus Report - Week 15, 2025
Respiratory Virus Report - Week 14, 2025
Respiratory Virus Report - Week 13, 2025
Respiratory Virus Report - Week 12, 2025
Respiratory Virus Report - Week 11, 2025
Respiratory Virus Report - Week 9, 2025
Respiratory Virus Report - Week 8, 2025
Respiratory Virus Report - Week 7, 2025
Respiratory Virus Report - Week 5, 2025
Respiratory Virus Report - Week 4, 2025
Respiratory Virus Report - Week 3, 2025
Respiratory Virus Report - Week 2, 2025
Respiratory Virus Report - Week 1, 2025
Respiratory Virus Report - Week 51, 2024
Respiratory Virus Report - Week 46, 2024
Respiratory Virus Report - Week 45, 2024
Respiratory Virus Report - Week 42, 2024
Respiratory Virus Report - Week 40, 2024
Respiratory Virus Report - Week 39, 2024
Respiratory Virus Report - Week 38, 2024
Respiratory Virus Report - Week 37, 2024
Respiratory Virus Report - Week 36, 2024
Respiratory Virus Report - Week 33, 2024
Respiratory Virus Report - Week 32, 2024
Respiratory Virus Report - Week 31, 2024
Respiratory Virus Report - Week 29, 2024
Respiratory Virus Report - Week 28, 2024
Respiratory Virus Report - Week 27, 2024
Respiratory Virus Report - Week 26, 2024
Respiratory Virus Report - Week 23, 2024
Respiratory Virus Report - Week 21, 2024
Respiratory Virus Report - Week 20, 2024
Respiratory Virus Report - Week 19, 2024
Respiratory Virus Report - Week 18, 2024
Respiratory Virus Report - Week 17, 2024
Respiratory Virus Report - Week 16, 2024
Respiratory Virus Report - Week 15, 2024
Respiratory Virus Report - Week 14, 2024
Respiratory Virus Report - Week 13, 2024
Respiratory Virus Report - Week 12, 2024
Respiratory Virus Report - Week 11, 2024
Respiratory Virus Report - Week 10, 2024
Respiratory Virus Report - Week 9, 2024
Respiratory Virus Report - Week 8, 2024
Respiratory Virus Report - Week 7, 2024
Respiratory Virus Report - Week 6, 2024
Respiratory Virus Report - Week 5, 2024
Respiratory Virus Report - Week 4, 2024
Respiratory Virus Report - Week 3, 2024
Prior flu reports are available on Iowa Publications Online.
List items for IISN
See below for information about how to report and respond to illness outbreaks in specific populations.
Iowa HHS works with Iowa schools, local public health and the Iowa Department of Education to track and respond to reports of influenza (flu) and other illness in schools. This page offers guidance to K-12 students, staff, and parents to help detect and reduce the spread of flu in schools.
School reporting and surveillance systems
Daily student absence due to illness of 10% or greater
Schools are asked to report absenteeism when 10% or more of the total enrollment is absent on any given day due to illness.
Weekly school illness absence reporting
Sentinel schools that participate in Iowa influenza surveillance report absences due to illness each week via an online tool. For more information about school influenza surveillance, please contact Andy Weigel at [email protected] or 515-322-1937.
Resources
Iowa HHS works with healthcare providers and laboratories to monitor influenza and other respiratory virus activity among persons visiting health care settings. Iowa relies on healthcare providers voluntarily reporting outpatient, inpatient, and laboratory trends in viral respiratory activity. This includes weekly totals of outpatient visits, hospitalizations, and testing for respiratory viruses. Health care providers can also help by reporting unusual patterns in respiratory illness, such as potential outbreaks, increased severity of illness, and suspected novel influenza. This section contains links for healthcare providers to help them in their efforts to detect and reduce influenza illness. For information specific to a long-term care setting, see the Respiratory Outbreaks in Long-term Care Facilities section.
Antiviral Recommendations
Specimen Collection, Testing and Reporting
- State Hygienic Laboratory Testing (including influenza surveillance)
Seasonal Flu Resources
- Seasonal Influenza Information for Health Professionals (CDC)
- Clinical Guidance for Influenza Vaccination (CDC)
- Influenza Infection Control in Health Care Facilities (CDC)
- Vaccination Information Statement (VIS) for Influenza Vaccines (CDC)
- Iowa Vaccines for Children Program
- Influenza Resource Center (CDC)
Other Resources
Defining Long-Term Care Facilities
Long-term care facilities are defined as institutions that provide healthcare to people who are unable to manage independently in the community. This includes nursing homes, inpatient units and other residential facilities that provide chronic care management or shorter-term rehabilitative services.
Respiratory illnesses can be introduced and spread in a long-term care facility by residents, health care workers, and visitors. Preventing transmission of influenza within long-term care facilities requires multiple strategies including vaccination, testing, infection control, and use of antiviral medications for prevention and treatment. Many other respiratory viruses have similar symptoms, methods of transmission and control measures. See the links below for information about influenza and other respiratory viruses in health care facilities.
Reporting Respiratory Illness Outbreaks
Outbreaks are required to be reported even if single cases are not.
While respiratory virus infections are detected year-round (like COVID-19), some respiratory viruses are found more frequently October through April (like influenza and RSV).
While most individual cases are not reportable, in Iowa all respiratory virus outbreaks are required to be reported to the Iowa Department of Health and Human Services (Iowa HHS) by Iowa Administrative Code [641] Chapter 1
If your facility is experiencing a situation resulting in any severe illness and/or deaths call the 24/7 hotline (1-800-362-2736) to report immediately instead of using the online report.
The following criteria should be used to determine when to report a potential respiratory outbreak to Iowa HHS:
Influenza:
- One laboratory-confirmed influenza positive resident along with other residents having respiratory illness symptoms in a unit within a 72-hour period.
COVID-19:
- Three or more COVID-19 positive residents occurring within a 14-day period.
Other respiratory viruses:
- One laboratory-confirmed positive resident along with other residents having respiratory illness symptoms in a unit within a 72-hours period.
Report respiratory outbreaks in Iowa long-term care facilities using the Iowa HHS Respiratory Outbreak Reporting Survey.
Resources
- Infection Control in Health Care Facilities (CDC)
- Guidance for Influenza Outbreak Management in Long-Term Care and Post-Acute Facilities (CDC)
- Influenza Antiviral Medications: Summary for Clinicians (CDC)
- Infectious Disease Society of America: 2018 Update on Diagnosis, Treatment, Chemoprophylaxis, and Institutional Outbreak Management of Seasonal Influenza
- Guidelines for Isolation Precautions (CDC)
- Infection Control Guidance: SARS-CoV-2 (CDC)
- COVID-19 Treatments and Medications (CDC)
- RSV in Older Adults
Influenza (Flu) General Information
- Global Influenza Program (WHO)
- Flu (Influenza) (National Foundation of Infectious Diseases)
- Seasonal Influenza (CDC)