The “Michigan School Building Weekly Report of Communicable Disease to Local Health Department” form is required by law to be completed and submitted to LMAS every week school is in session.
We ask that the report be faxed or emailed to LMAS on Monday mornings or late Friday afternoons, identifying suspected or confirmed cases of communicable diseases of your school population. This information allows LMAS to monitor flu-like illness, gastrointestinal illness and strep throat, which normally occur every year, and also helps us to recognize higher than normal disease levels, which could indicate possible outbreaks. Individual reports of serious communicable diseases like pertussis or mumps allow LMAS to alert those who may have been exposed to the disease, recommend vaccination and treatment as needed and provide information to the public.
Guidelines for form completion:
Section1: Please identify the week ending date, the school/preschool name, the district name, and the current enrollment for the school.
Section 2: We do not need specific names on this report. Instead, please just list the confirmed or suspected disease and the number of persons affected. (Should we have questions, we will call you).
Section 3: List the number of persons with suspected or confirmed cases of flu or flu-like illness, and/or head lice.
Section 4: Should there be no suspected or confirmed cases to report that week, please indicate by completing this section.
Section 5: Must be completed each week and must include a contact name, phone number, and the date submitted.
Fax a copy of the form to the appropriate fax number, shown on the right or you can email a copy of the form using the buttons on the right.
Certain serious communicable diseases including pertussis, mumps, meningitis and measles, and any unusual disease occurrences, outbreaks, or closures due to disease should be reported immediately to LMAS.
To assist the LMAS Health Department in monitoring public health within our schools, we request that you submit a weekly report identifying suspected or confirmed cases of communicable diseases affecting your school population. Please fax or email this information to LMAS on Monday mornings or late Friday afternoons.
The data you provide allows us to track common illnesses such as flu-like symptoms, gastrointestinal issues, and strep throat, which tend to occur annually. This also helps us identify when disease levels exceed typical patterns, which may suggest the onset of an outbreak. Timely reports on serious communicable diseases, such as pertussis or mumps, enable LMAS to notify those who may have been exposed, advise on vaccination and treatment when appropriate, and provide essential public health information.
Report Completion Guidelines:
Section 1:
Please include the following information:
- Week ending date
- School or preschool name
- District name
- Current enrollment figures
Section 2:
In this section, list any confirmed or suspected diseases and the number of individuals affected. No names are required here; simply provide the disease type and case count. If we need further information, we will contact you directly.
Section 3:
Please provide the number of individuals with suspected or confirmed cases of flu or flu-like illness, and/or head lice.
Section 4:
If there are no suspected or confirmed cases to report for the week, please complete this section to indicate that.
Section 5:
This section must be filled out each week and includes:
- Contact name
- Phone number
- Date of submission
Submission Instructions:
Once completed, please fax the form to the appropriate number listed on the right, or you can email the completed form by clicking the buttons below:
- Email Luce County Reports
- Email Mackinac County Reports
- Email Alger County Reports
- Email Schoolcraft County Reports
Immediate Reporting of Serious Diseases:
Serious communicable diseases such as pertussis (whooping cough), mumps, meningitis, and measles, as well as any unusual disease occurrences, outbreaks, or closures due to disease, should be reported to LMAS immediately.
Your cooperation in submitting these reports is crucial in helping us maintain the health and safety of our communities. Thank you for your attention to these important public health matters.
Fax the completed form to the attention of the clerk in your county or use the buttons below to email the form.
Luce – Sandy
(906) 293-5724
Mackinac – Tracci
(906) 643-0239
Alger – Babette
(906) 387-2224
Schoolcraft – Becky
(906) 341-5230
