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WAC 246-101-101

Agency filings affecting this section

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. 11-02-065, § 246-101-101, filed 1/4/11, effective 2/4/11. Statutory Authority: RCW 43.20.050, 70.24.125. 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. 00-23-120, § 246-101-101, filed 11/22/00, effective 12/23/00.]