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246-101-230  <<  246-101-301 >>   246-101-305

WAC 246-101-301

Agency filings affecting this section

Notifiable conditions and health care facilities.

  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 the table below (Table HF-1) are notifiable for the prevention and control of communicable and noninfectious diseases and conditions. Local health officers may require additional conditions to be notifiable within the local health officer's jurisdiction. Health care facilities are required to notify public health authorities of cases that occur in their facilities. Health care facilities may choose to assume the notification for their health care providers for conditions designated in Table HF-1. Health care facilities may not assume the reporting requirements of laboratories that are components of the health care facility. Local health officers may require additional conditions to be notifiable within the local health officer's jurisdiction.

     WAC 246-101-305, 246-101-310, 246-101-315, and 246-101-320 also include requirements for how notifications shall be made, when they are made, the content of these notifications, and how information regarding notifiable conditions cases must be handled and may be disclosed.


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 work days  
Animal Bites Immediately  
Arboviral Disease Within 3 work 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) Immediately  
Cancer (See chapter 246-430 WAC) Monthly  
Chancroid Within 3 work days  
Chlamydia trachomatis infection Within 3 work days  
Cholera Immediately  
Cryptosporidiosis Within 3 work days  
Cyclosporiasis Within 3 work days  
Diphtheria Immediately  
Disease of suspected bioterrorism origin (including):

• Anthrax

• Smallpox
Immediately  
Disease of suspected foodborne origin (communicable disease clusters only) Immediately  
Disease of suspected waterborne origin (communicable disease clusters only) Immediately  
Enterohemorrhagic E. coli (shiga-like toxin producing infections only) such as E. coli O157:H7 Infection Immediately  
Giardiasis Within 3 work days  
Gonorrhea Within 3 work days  
Granuloma inguinale Within 3 work days  
Gunshot wounds (nonfatal) Monthly  
Haemophilus influenzae (invasive disease, children under age 5) Immediately  
Hantavirus pulmonary syndrome Within 3 work days  
Hemolytic uremic syndrome Immediately  
Hepatitis A (acute infection) Immediately  
Hepatitis B (acute infection) Within 3 work days  
Hepatitis B surface antigen + pregnant women Within 3 work days  
Hepatitis B (chronic) – Initial diagnosis, and previously unreported prevalent cases Monthly  
Hepatitis C – Acute and chronic Monthly  
Hepatitis (infectious), unspecified Within 3 work days  
Human immunodeficiency virus (HIV) infection Within 3 work days  
Legionellosis Within 3 work days  
Leptospirosis Within 3 work days  
Listeriosis Immediately  
Lyme Disease Within 3 work days  
Lymphogranuloma venereum Within 3 work days  
Malaria Within 3 work days  
Measles (rubeola) Immediately  
Meningococcal disease Immediately  
Mumps Within 3 work days  
Paralytic shellfish poisoning Immediately  
Pertussis Immediately  
Pesticide poisoning (hospitalized, fatal, or cluster) Immediately  
Plague Immediately  
Poliomyelitis Immediately  
Psittacosis Within 3 work days  
Q Fever Within 3 work days  
Rabies (Confirmed Human or Animal) Immediately  
Rabies (Use of post-exposure prophylaxis) Within 3 work days  
Relapsing fever (borreliosis) Immediately  
Rubella (including congenital rubella syndrome) Immediately  
Salmonellosis Immediately  
Serious adverse reactions to immunizations Within 3 work days  
Shigellosis Immediately  
Syphilis Within 3 work days  
Tetanus Within 3 work days  
Trichinosis Within 3 work days  
Tuberculosis Immediately  
Tularemia Within 3 work days  
Typhus Immediately  
Vibriosis Within 3 work days  
Yellow fever Immediately  
Yersiniosis Within 3 work days  
Other rare diseases of public health significance Immediately  
Unexplained critical illness or death Immediately  




[Statutory Authority: RCW 43.20.050, 70.24.125. 05-03-055, § 246-101-301, filed 1/11/05, effective 2/11/05. Statutory Authority: RCW 43.20.050, 43.70.545, 70.24.125, 70.28.010 and 70.104.030. 00-23-120, § 246-101-301, filed 11/22/00, effective 12/23/00.]