The preproposal statement of inquiry identified potential changes to add notification and specimen submission requirements for new conditions and conditions currently identified as "other rare diseases of public health significance." Since the filing, department of health and board staff finalized a thorough review of the chapter and determined that consideration of additional amendments is appropriate, including adding notification and specimen submission requirements for additional conditions, improving reporting requirements for veterinarians and the department of agriculture, updating statutory references in the rules, updating references to the 2006 Security and Confidentiality Guidelines developed by the Centers for Disease Control and Prevention to the most recent publication, and amending definitions in chapter 246-100 WAC, Communicable and certain other diseases, to ensure consistency of terms between chapters 246-100 and 246-101 WAC.