| Notifiable Condition | Time Frame for Notification | Notifiable to Local Health Department | Notifiable to Department of Health | Specimen Submission to Department of Health (Type & Timing) | |
| Arboviruses (West Nile virus, eastern and western equine encephalitis, dengue, St. Louis encephalitis, La Crosse encephalitis, Japanese encephalitis, Powassan, California serogroup, Chikungunya) |
2 business days | √ | On request | ||
| Acute: IgM positivity PCR positivity Viral isolation |
|||||
| Bacillus anthracis (Anthrax) | Immediately | √ | Culture (2 business days) | ||
| Blood Lead Level | Elevated Levels
– 2 business
days Nonelevated Levels – Monthly |
√ | |||
| Bordetella pertussis (Pertussis) | Within 24 hours | √ | Culture, when available (2 business days) | ||
| Borrelia burgdorferi (Lyme disease) | 2 business days | √ | On request | ||
| Borrelia hermsii or recurrentis (Relapsing fever, tick- or louse-borne) | Within 24 hours | √ | On request | ||
| Brucella species (Brucellosis) | Within 24 hours | √ | Cultures (2 business days) | ||
| Burkholderia mallei and pseudomallei | Immediately | √ | Culture (2 business days); additional specimens when available | ||
| Campylobacter species (Campylobacteriosis) | 2 business days | √ | On request | ||
| CD4 + (T4) lymphocyte counts and/or CD4 + (T4) (patients aged thirteen or older) | Monthly | Only when the local health department is designated by the Department of Health | √ (Except King County) | ||
| Chlamydophila psittaci (Psittacosis) | Within 24 hours | √ | On request | ||
| Chlamydia trachomatis | 2 business days | √ | |||
| Clostridium botulinum (Botulism) | Immediately | √ | Serum and/or stool; any other specimens available (i.e., foods submitted for suspected foodborne case; debrided tissue submitted for suspected wound botulism) (2 business days) | ||
| Corynebacterium diphtheriae (Diphtheria) | Immediately | √ | Culture (2 business days) | ||
| Coxiella burnetii (Q fever) | Within 24 hours | √ | Culture (2 business days) | ||
| Cryptococcus non v. neoformans | N/A | N/A | Culture (2 business days) or other specimens upon request | ||
| Cryptosporidium (Cryptosporidiosis) | 2 business days | √ | On request | ||
| Cyclospora cayetanensis (Cyclosporiasis) | 2 business days | √ | Specimen (2 business days) | ||
| E. coli – Refer to "Shiga toxin-producing E. coli" | Immediately | √ | |||
| Francisella tularensis (Tularemia) | Immediately | √ | Culture or other appropriate clinical material (2 business days) | ||
| Giardia lamblia (Giardiasis) | 2 business days | √ | On request | ||
| Haemophilus influenzae (children < 5 years of age) | Immediately | √ | Culture, from sterile sites only, when type is unknown (2 business days) | ||
| Hantavirus | Within 24 hours | √ | On request | ||
| Hepatitis A virus
(acute) by IgM
positivity (Hepatocellular enzyme levels to accompany report) |
Within 24 hours | √ | On request | ||
| Hepatitis B virus (acute) by IgM positivity | Within 24 hours | √ | On request | ||
| Hepatitis B virus | Monthly | √ | |||
| – HBsAg (Surface antigen) | |||||
| – HBeAg (E antigen) | |||||
| – HBV DNA | |||||
| Hepatitis C virus | Monthly | √ | |||
| Hepatitis D virus | 2 business days | √ | On request | ||
| Hepatitis E virus | Within 24 hours | √ | On request | ||
| Human immunodeficiency virus (HIV) infection (for example, positive Western Blot assays, P24 antigen or viral culture tests) | 2 business days | Only when the local health department is designated by the Department of Health | √ (Except King County) | ||
| Human immunodeficiency virus (HIV) infection (ll viral load detection test results - detectable and undetectable) | Monthly | Only when the local health department is designated by the Department of Health | √ (Except King County) | ||
| Influenza virus, novel or unsubtypable strain | Immediately | √ | Isolate or clinical specimen (2 business days) | ||
| Legionella species (Legionellosis) | Within 24 hours | √ | Culture (2 business days) | ||
| Leptospira species (Leptospirosis) | Within 24 hours | √ | On request | ||
| Listeria
monocytogenes (Listeriosis) |
Within 24 hours | √ | Culture (2 business days) | ||
| Measles virus (rubeola) Acute: IgM positivity PCR positivity |
Immediately | √ | Isolate or clinical specimen associated with positive result (2 business days) | ||
| Mumps virus Acute: IgM positivity PCR positivity |
Within 24 hours | √ | Isolate or clinical specimen associated with positive result (2 business days) | ||
| Mycobacterium tuberculosis (Tuberculosis) | 2 business days | √ | Culture (2 business days) | ||
| Mycobacterium tuberculosis (Tuberculosis) (Antibiotic sensitivity for first isolates) | 2 business days | √ | |||
| Neisseria gonorrhoeae (Gonorrhea) | 2 business days | √ | |||
| Neisseria meningitidis (Meningococcal disease) | Immediately | √ | Culture (from sterile sites only) (2 business days) | ||
| Plasmodium species (Malaria) | 2 business days | √ | On request | ||
| Poliovirus Acute: IgM positivity PCR positivity |
Immediately | √ | Isolate or clinical specimen associated with positive result (2 business days) | ||
| Rabies virus (human or animal) | Immediately | √ (Pathology Report Only) | Clinical specimen associated with positive result (2 business days) | ||
| Salmonella species (Salmonellosis) | Within 24 hours | √ | Culture (2 business days) | ||
| SARS-associated coronavirus | Immediately | √ | Isolate or clinical specimen associated with positive result (2 business days) | ||
| Shiga toxin-producing E. coli (enterohemorrhagic E. coli including, but not limited to, E. coli O157:H7) | Immediately | √ | Culture (2 business days) or specimen if no culture is available | ||
| Shigella species (Shigellosis) | Within 24 hours | √ | Culture (2 business days) | ||
| Treponema pallidum (Syphilis) | 2 business days | √ | Serum (2 business days) | ||
| Trichinella species | 2 business days | √ | On request | ||
| Vancomycin-resistant Staphylococcus aureus | Within 24 hours | √ | Culture (2 business days) | ||
| Variola virus (smallpox) | Immediately | √ | Isolate or clinical specimen associated with positive result (2 business days) | ||
| Vibrio cholerae O1 or O139 (Cholera) | Immediately | √ | Culture (2 business days) | ||
| Vibrio species (Vibriosis) | Within 24 hours | √ | Culture (2 business days) | ||
| Viral hemorrhagic fever: Arenaviruses Bunyaviruses Filoviruses Flaviviruses |
Immediately | √ | Isolate or clinical specimen associated with positive result (2 business days) | ||
| Yellow fever virus | Immediately | √ | Serum (2 business days) | ||
| Yersinia enterocolitica or pseudotuberculosis | Within 24 hours | √ | On request | ||
| Yersinia pestis (Plague) | Immediately | √ | Culture or other appropriate clinical material (2 business days) | ||
| (√) Indicates which agency should receive case and suspected case reports. |