PDFWAC 246-101-101

Notifiable conditions and the health care provider.

This section describes the conditions that Washington's health care providers must notify public health authorities of on a statewide basis. The board finds that the conditions in Table HC-1 of this section are notifiable for the prevention and control of communicable and noninfectious diseases and conditions in Washington.
(1) Principal health care providers shall notify public health authorities of the conditions identified in Table HC-1 of this section as individual case reports following the requirements in WAC 246-101-105, 246-101-110, 246-101-115, and 246-101-120.
(2) Other health care providers in attendance, other than the principal health care provider, shall notify public health authorities of the conditions identified in Table HC-1 of this section unless the condition notification has already been made.
(3) Local health officers may require additional conditions to be notifiable within the local health officer's jurisdiction.
Table HC-1 (Conditions Notifiable by Health Care Providers)
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 - Autism Spectrum Disorders
Monthly
 
√
Birth Defects - Cerebral Palsy
Monthly
 
√
Birth Defects - Alcohol Related Birth Defects
Monthly
 
√
Botulism (foodborne, infant, and wound)
Immediately
√
 
Brucellosis (Brucella species)
Within 24 hours
√
 
Burkholderia mallei (Glanders) and pseudomallei (Melioidosis)
Immediately
√
 
Campylobacteriosis
Within 3 business days
√
 
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
√
 
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
√
 
Herpes simplex, neonatal and genital (initial infection only)
Within 3 business days
√
 
Human immunodeficiency virus (HIV) infection
Within 3 business days
√
 
Influenza, novel or unsubtypable strain
Immediately
√
 
Influenza-associated death (lab 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
√
 
Outbreaks of suspected foodborne origin
Immediately
√
 
Outbreaks of suspected waterborne origin
Immediately
√
 
Paralytic shellfish poisoning
Immediately
√
 
Pertussis
Within 24 hours
√
 
Pesticide poisoning (hospitalized, fatal, or cluster)
Immediately
 
√
Pesticide poisoning (all other)
Within 3 business days
 
√
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 (including congenital rubella syndrome) (acute disease only)
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.
[Statutory Authority: RCW 43.20.050. WSR 11-02-065, § 246-101-101, filed 1/4/11, effective 2/4/11. Statutory Authority: RCW 43.20.050, 70.24.125. WSR 05-03-055, § 246-101-101, filed 1/11/05, effective 2/11/05. Statutory Authority: RCW 43.20.050, 70.24.125 and 70.28.010. WSR 00-23-120, § 246-101-101, filed 11/22/00, effective 12/23/00.]