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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. 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.]