Social Media linksWEBSITE OF THE STATE OF SOUTH DAKOTA DEPARTMENT OF HEALTH
Joan Adam, Interim Secretary of Health
South Dakota Confidential Disease Report
South Dakota Department of Health
Office of Disease Prevention
SDCL 34-22-12 and ARSD 44:20     Reportable Disease List
Weekly Report of Influenza Rapid Antigen Testing
Person Reporting   Report Date: 3/19/2024
*First Name: *Last Name: Suffix:
*Phone: Ext: Email:  
Reporting Facility
*Facility Name:
  If your facility name is not in the list above, please spell out the name (no abbreviations) in the text box below before submitting this form.
  Other Facility Name: 
Address
Zip:  
City: State: Phone:
Rapid Antigen Testing Data
*Name(s) of Rapid Test used:
*Total specimens tested:
  *Specimens positive for influenza A: 
  *Specimens positive for influenza B: 
*Week Ending: 
  *From Date: 
  *To Date: 
       
Comments:         
This aggregate report is intended to fulfill disease notification requirements for weekly influenza rapid antigen reports only. It does not fulfill individual case reporting requirements for laboratory confirmed cases (DFA, PCR, or culture), influenza hospitalizations, or influenza deaths. If you are using Aleri I or Xpert Flu Rapid molecular influenza tests, these are considered confirmatory tests and positive results need to be reported individually via https://apps.sd.gov/PH93Morbidity/secure/index.aspx .