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Early Childhood Education and School Toolkits


If an outbreak is identified, immediately report it to the Long Beach Communicable Disease Outbreak Reporting System (CDORS) using this online form.

For COVID-19 outbreaks, please utilize the Shared Portal for Outbreak Tracking (SPOT).

 

How to Use the Long Beach Communicable Disease Outbreak Reporting System (CDORS)

Frequently Asked Questions (FAQ) for Reporting Outbreaks Using CDORS


What is Viral Gastroenteritis?

Gastroenteritis is an infection that causes the inflammation or swelling of the stomach and intestines. Although it is often called the “stomach flu”, it is not related to the flu (a respiratory illness caused by the influenza virus). Gastroenteritis can be caused by viruses, bacteria, or parasites.
 
When gastroenteritis is caused by a virus, it is known as viral gastroenteritis. Some of the more common viruses that cause gastroenteritis include norovirus, rotavirus, astrovirus, and adenovirus.
 
When gastroenteritis is caused by a type of bacterium, it is called bacterial gastroenteritis. The more common bacteria that cause gastroenteritis include E. coli, Salmonella, Shigella, and Campylobacter.

Reporting Viral Gastroenteritis Outbreaks

Any incidence of 2 or more individuals at a childcare center experiencing vomiting or diarrhea within a 5-day period must immediately be reported to the Long Beach Department of Health and Human Services (Health Department). Once reported, the Health Department will conduct an investigation, provide guidance on how best to manage the situation, and determine whether it constitutes an outbreak.

Viral Gastroenteritis Toolkit for Childcare Centers
An outbreak of gastroenteritis is defined as:
  • 3 or more linked individuals experiencing vomiting or diarrhea within a 5-day period.
  • Individuals are considered linked if they have had contact with one another or been exposed to a common source and are not from the same household.
Viral Gastroenteritis Toolkit for Schools 

Controlling Outbreaks of Viral Gastroenteritis in Schools: An outbreak of gastroenteritis is defined as 3 or more individuals experiencing vomiting or diarrhea at the same facility within a 5-day period. Individuals are considered linked if they have had contact with one another or been exposed to a common source (e.g., same classroom, grade level, sports tea, etc.) and are not from the same household.


What is a Respiratory Illness?

Respiratory illnesses are infections of the respiratory (breathing) system, caused by viruses or bacteria with an incubation period of 3 to 15 days.

This toolkit will focus primarily on respiratory syncytial virus (RSV) and influenza (flu). The nonpharmaceutical recommendations in this document can also help schools and childcare centers reduce and respond to the occurrence and spread of other respiratory illnesses, including rhinovirus, enterovirus D68, metapneumovirus, as well as other viruses and bacteria that can cause respiratory illness.

Reporting Respiratory Illness Outbreaks

Any incidence of 2 or more individuals at a childcare center experiencing at least 2 flu-like symptoms from a non-COVID-19 respiratory illness such as respiratory syncytial virus (RSV) or influenza (flu) within a 3-day period must immediately be reported to the Long Beach Department of Health and Human Services (Health Department). These individuals do not need to be from the same classroom, age group, or team. For more information on reporting COVID-19 outbreaks, visit our COVID-19 resource page.

Once reported, the Health Department will conduct an investigation, provide guidance on how best to manage the situation, and determine whether it constitutes an outbreak.

An outbreak of respiratory illness is defined as:

  • 5 or more linked individuals experiencing at least 2 flu-like symptoms (i.e., fever or signs of fever, cough, sore throat, runny or stuffy nose, or muscle aches) within a 3-day period.
  • Individuals are considered linked if they have had contact with one another or been exposed to a common source and are not from the same household.
Respiratory Illness Toolkit for Schools

An outbreak of respiratory illness is defined as:

  • 5 or more linked individuals experiencing at least 2 flu-like symptoms (i.e., fever or signs of fever, cough, sore throat, runny or stuffy nose, or muscle aches) within a 3-day period.
  • Individuals are considered linked if they have had contact with one another or been exposed to a common source (e.g., same classroom, grade level, sports team, etc.) and are not from the same household.

What is Hand Foot Mouth Disease?

Hand, Foot, and Mouth Disease (HFMD) is a common viral illness that usually affects infants and young children but can also occur in adults. The illness is typically characterized by a fever, sores in the mouth, and a rash on the hands and feet. It is generally not serious, but it is very contagious.

Reporting Hand Foot Mouth Disease outbreaks

Any incidence of 2 or more individuals at a childcare center experiencing symptoms of Hand, Foot, and Mouth Disease (HFMD) (i.e., fever, rashes or sores on the hands, feet, or mouth) within a 3-day period must immediately be reported to the Long Beach Department of Health and Human Services (Health Department). These individuals do not need to be from the same classroom, age group, or team.

Hand, Foot, and Mouth Disease Toolkit for Childcare Centers
An outbreak of Hand, Foot, and Mouth Disease is defined as:
  • 5 or more linked individuals experiencing HFMD-like symptoms within a 3-day period.
  • Individuals are considered linked if they have had contact with one another or been exposed to a common source and are not from the same household.
An outbreak of Hand, Foot, and Mouth Disease is defined as:
  • 5 or more linked individuals experiencing HFMD-like symptoms within a 3-day period.
  • Individuals are considered linked if they have had contact with one another or been exposed to a common source and are not from the same household. 

Communicable Disease Surveillance and Control (CSDC) Division

Contact

Tel: (562) 570-4302
LBEpi@longbeach.gov

Office Hours

Monday - Friday
8 a.m to 4:30 p.m.