This section describes the conditions that Washington's health care facilities must notify public health authorities of on a statewide basis. The board finds that the conditions in Table HF-1 of this section are notifiable for the prevention and control of communicable and noninfectious diseases and conditions.

(1) Health care facilities shall notify public health authorities of cases that occur in their facilities of the conditions identified in Table HF-1 of this section following the requirements in WAC 246-101-305, 246-101-310, 246-101-315, and 246-101-320. This is not intended to require health care facilities to confirm the absence of conditions listed in Table HF-1 in facility patients.

(2) Health care facilities may choose to assume the notification for their health care providers for conditions designated in Table HF-1 of this section.

(3) Health care facilities may not assume the reporting requirements of laboratories that are components of the health care facility.

(4) Local health officers may require additional conditions to be notifiable within the local health officer's jurisdiction.

Table HF-1 (Conditions Notifiable by Health Care Facilities)

Notifiable Condition	Time Frame for Notification	Notifiable to Local Health Department	Notifiable to State Department of Health
Acquired Immunodeficiency Syndrome (AIDS)	Within 3 business days		√
Animal Bites (when human exposure to rabies is suspected)	Immediately	√
Anthrax	Immediately	√
Arboviral Disease (acute disease only including, but not limited to, West Nile virus, eastern and western equine encephalitis, dengue, St. Louis encephalitis, La Crosse encephalitis, Japanese encephalitis, and Powassan)	Within 3 business days	√
Asthma, occupational	Monthly		√
Birth Defects - Abdominal Wall Defects (inclusive of gastroschisis and omphalocele)	Monthly		√
Birth Defects - Autism Spectrum Disorders	Monthly		√
Birth Defects - Cerebral Palsy	Monthly		√
Birth Defects - Down Syndrome	Monthly		√
Birth Defects - Alcohol Related Birth Defects	Monthly		√
Birth Defects - Hypospadias	Monthly		√
Birth Defects - Limb reductions	Monthly		√
Birth Defects - Neural Tube Defects (inclusive of anencephaly and spina bifida)	Monthly		√
Birth Defects - Oral Clefts (inclusive of cleft lip with/without cleft palate)	Monthly		√
Botulism (foodborne, infant, and wound)	Immediately	√
Brucellosis (Brucella species)	Within 24 hours	√
Burkholderia mallei (Glanders) and pseudomallei (Melioidosis)	Immediately	√
Cancer (See chapter 246-430 WAC)	Monthly		√
Chancroid	Within 3 business days	√
Chlamydia trachomatis infection	Within 3 business days	√
Cholera	Immediately	√
Cryptosporidiosis	Within 3 business days	√
Cyclosporiasis	Within 3 business days	√
Diphtheria	Immediately	√
Disease of suspected bioterrorism origin	Immediately	√
Domoic acid poisoning	Immediately	√
E. coli - Refer to "Shiga toxin-producing E. coli"	Immediately	√
Emerging condition with outbreak potential	Immediately	√
Giardiasis	Within 3 business days	√
Gonorrhea	Within 3 business days	√
Granuloma inguinale	Within 3 business days	√
Gunshot wounds (nonfatal)	Monthly		√
Haemophilus influenzae (invasive disease, children under age 5)	Immediately	√
Hantavirus pulmonary syndrome	Within 24 hours	√
Hepatitis A (acute infection)	Within 24 hours	√
Hepatitis B (acute infection)	Within 24 hours	√
Hepatitis B surface antigen + pregnant women	Within 3 business days	√
Hepatitis B (chronic infection) - Initial diagnosis, and previously unreported prevalent cases	Monthly	√
Hepatitis C - Acute infection	Within 3 business days	√
Hepatitis C - Chronic infection	Monthly	√
Hepatitis D (acute and chronic infection)	Within 3 business days	√
Hepatitis E (acute infection)	Within 24 hours	√
Human immunodeficiency virus (HIV) infection	Within 3 business days	√
Influenza, novel or unsubtypable strain	Immediately	√
Influenza-associated death (laboratory confirmed)	Within 3 business days	√
Legionellosis	Within 24 hours	√
Leptospirosis	Within 24 hours	√
Listeriosis	Within 24 hours	√
Lyme Disease	Within 3 business days	√
Lymphogranuloma venereum	Within 3 business days	√
Malaria	Within 3 business days	√
Measles (rubeola) - Acute disease only	Immediately	√
Meningococcal disease (invasive)	Immediately	√
Monkeypox	Immediately	√
Mumps (acute disease only)	Within 24 hours	√
Outbreak of suspected foodborne origin	Immediately	√
Outbreak of suspected waterborne origin	Immediately	√
Paralytic shellfish poisoning	Immediately	√
Pertussis	Within 24 hours	√
Pesticide poisoning (hospitalized, fatal, or cluster)	Immediately		√
Plague	Immediately	√
Poliomyelitis	Immediately	√
Prion disease	Within 3 business days	√
Psittacosis	Within 24 hours	√
Q Fever	Within 24 hours	√
Rabies (Confirmed Human or Animal)	Immediately	√
Rabies, suspected human exposure (suspected human rabies exposures due to a bite from or other exposure to an animal that is suspected of being infected with rabies)	Immediately	√
Relapsing fever (borreliosis)	Within 24 hours	√
Rubella, acute disease only (including congenital rubella syndrome)	Immediately	√
Salmonellosis	Within 24 hours	√
SARS	Immediately	√
Serious adverse reactions to immunizations	Within 3 business days	√
Shiga toxin-producing E. coli infections (enterohemorrhagic E. coli including, but not limited to, E. coli O157:H7)	Immediately	√
Shigellosis	Within 24 hours	√
Smallpox	Immediately	√
Syphilis	Within 3 business days	√
Tetanus	Within 3 business days	√
Trichinosis	Within 3 business days	√
Tuberculosis	Immediately	√
Tularemia	Immediately	√
Vaccinia transmission	Immediately	√
Vancomycin-resistant Staphylococcus aureus (not to include vancomycin-intermediate)	Within 24 hours	√
Varicella-associated death	Within 3 business days	√
Vibriosis	Within 24 hours	√
Viral hemorrhagic fever	Immediately	√
Yellow fever	Immediately	√
Yersiniosis	Within 24 hours	√
Other rare diseases of public health significance	Within 24 hours	√
Unexplained critical illness or death	Within 24 hours	√

(√) Indicates which agency should receive case and suspected case reports.

PDFWAC 246-101-301

Notifiable conditions and health care facilities.