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 case 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 andy.weigel@hhs.iowa.gov to find out more about becoming a surveillance site. The Iowa HHS influenza program summarizes all of this flu data in regular surveillance reports.
Respiratory Reports
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Respiratory Virus Report - Week 9, 2025
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Respiratory Virus Report - Week 5, 2025
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Respiratory Virus Report - Week 3, 2025
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Respiratory Virus Report - Week 1, 2025
Respiratory Virus Report - Week 51, 2024
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Respiratory Virus Report - Week 27, 2024
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Respiratory Virus Report - Week 23, 2024
Respiratory Virus Report - Week 21, 2024
Respiratory Virus Report - Week 20, 2024
Respiratory Virus Report - Week 19, 2024
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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
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 andy.weigel@idph.iowa.gov 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
Seasonal Flu Resources
- Seasonal Influenza Information for Health Professionals (CDC)
- Seasonal Influenza Vaccination Resources for Health Professionals (CDC)
- Influenza Infection Control in Health Care Facilities (CDC)
- Vaccination Information Statement (VIS) for Influenza Vaccines
- Iowa Vaccines for Children Program
Patient Education
Other Resources
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 outbreak definitions should be used to determine if your facility is experiencing a reportable respiratory virus outbreak:
- 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)
- Interim Infection Prevention and Control Recommendations for Healthcare Personnel During the COVID-19 Pandemic
- COVID-19 Treatments and Medications (CDC)
- RSV in Older Adults
Influenza (Flu) General Information
- Webinar: 2023-2024 Influenza Season
- Global Influenza Program (WHO)
- National Influenza Vaccination Week Information (CDC)
- Seasonal Influenza (CDC)
- Influenza Information in Spanish (CDC)
Other Types of Non-Seasonal Influenza