WAC 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. 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.]