Case Definition Population Reporter Timeliness Active/Passive Fever (> 100F) AND (cough and/or sore throat) in the absence of a known cause other than influenza Fever (> 100F) AND (cough and/or sore throat) in the absence of a known cause other than influenza Fever cases in the absence of a known cause other than influenza University A students Clinicians Daily Passive Data Collection Methods Manual University A students Nurses Daily Passive Manual ED Patients aged 17-24 years Clinicians Daily Passive Electronic Student self-reported influenza-likeillness via emails and phone calls Student self-reported influenza-likeillness, temperature taken by the head athletic trainer Student self-reported influenza-likeillness University A students University A students Deans Weekly Passive Manual Athletic Trainers Weekly Passive Manual University A students Resident Assistants Daily Passive Manual Pre-packaged meals, masks and thermometers picked up in student resident halls Employee self-reported influenza-likeillness via phone calls University A students Resident Hall Offices Staff Weekly Passive Manual University A Facilities Office and Dining Services employees Timekeeper Daily Passive Manual Retrospective Employee Absenteeism “Unscheduled leave” taken by non-union employees and “sick leave” taken by employees from the union. Human Resources Staff Bi-weekly/ Monthly Passive Electronic SHS: Clinic visits + telephone consultations Emergency Department visits Fever (> 100F) AND (cough and/or sore throat) in the absence of a known cause other than influenza University A employees (excluding faculty and employees from Facilities Office and Dining Services) University B students Clinicians Daily Passive Manual ED Patients aged 17-24 years Clinicians Daily Passive Electronic Surveillance System SHC - Clinic Visit + off-hour log SHC - Hotline University A Emergency Department Visits Deans’ Reports Athletic Trainers’ Reports Resident Assistants’ Reports Supply Distribution University B Real-time Employee Absenteeism Chief complaint of “flu” or “fever” or discharge diagnosis of “influenza” or “viral syndrome”. External Data ACHA Fever (> 100F) AND (cough and/or sore throat) in the absence of a known cause other than influenza ILINet ILI (fever (> 100F) AND (cough and/or sore throat) in the absence of a known cause other than influenza Influenza related web queries Google Flu Trends Students at participating universities and colleges General public Clinicians Weekly Passive Electronic Clinicians Weekly Passive Electronic General public Google searching engine Daily Passive Electronic