1. Louisiana Region 7 Hospital EMTrack H1N1 Surveillance May 3 – May 11, 2009

2. “Add Public Health Patient” page 2

3. “Screening Questions” =“Yes” or “No” No Need 3

4. Hospitals Submitting Cases

5. Cases Entered by Date

6. Symptoms FEVERCOUGH

7. Symptoms Muscle/Joint PainsRunny Nose

8. Symptoms Sore ThroatShortness of Breath

9. Other Screening Factors Contact with Ill PersonContact with H1N1

10. Other Screening Factors

11. Positive Influenza TestPositive for Influenza “A”

12. Other Screening Factors Positive for Influenza “B” Positive: Could Not Differentiate

13. Other Screening Factors Specimen sent to State labPatient Admitted to Hospital

14. Other Screening Factors Taking AntiviralsPrevious Flu Vaccination

15. Questions: Your hospital’s EMSystem site-coordinator Knox Andress – Office (318) 813-3311 – wandr1@lsuhsc.edu wandr1@lsuhsc.edu OR EMSystem’s 24/7 Help. – Email: help@emsystem.com Phone: (414) 721-9700, x3help@emsystem.com 15