Wash. Admin. Code § 246-101-101 - Notifiable conditions-Health care providers and health care facilities

(1) For the purposes of this section:

(a) "Local health jurisdiction" means where the patient resides, or, in the event the patient's residence cannot be determined, the local health jurisdiction in which the patient received treatment.

(b) "Unexplained critical illness or death" means a severe illness or death with infectious hallmarks, but no known etiology, in a previously healthy person one to forty-nine years of age excluding those with chronic medical conditions such as malignancy, diabetes, AIDS, or cirrhosis.

(2) The conditions identified in Table HC-1 are notifiable to public health authorities under this table and this chapter.

Table HC-1 (Conditions Notifiable by Health Care Providers and Health Care Facilities)

Notifiable Condition (Agent)	Laboratory Confirmation Required Before Submitting Case Report	Time Frame for Notification from Identification of a Case	Who Must Be Notified	Who Must Report: Health Care Providers (Providers) or Health Care Facilities (Facilities)
Acquired immunodeficiency syndrome (AIDS)	Within 3 business days	DOH (for facilities) and LHJ (for providers)	Both
Amebic meningitis	Immediately	LHJ	Both
Anaplasmosis	Within 3 business days	LHJ	Both
Anthrax (Bacillus anthracis and confirmed Bacillus cereus biovar anthracis only - Do not report all Bacillus cereus )	Yes	Immediately	LHJ	Both
Arboviral disease (acute disease only) including, but not limited to: Chikungunya Dengue Eastern and western equine encephalitis Japanese encephalitis La Crosse encephalitis Powassan virus infection St. Louis encephalitis West Nile virus infection Zika virus infection See also "Yellow fever"	Within 3 business days	LHJ	Both
Asthma, occupational	Within 30 days	Washington state department of labor and industries (L&I)	Both
Babesiosis	Within 3 business days	LHJ	Both
Baylisascariasis	Within 24 hours	LHJ	Both
Birth defects - Abdominal wall defects (inclusive of gastroschisis and omphalocele)	Within 30 days	DOH	facilities
Birth defects - Autism spectrum disorders	Within 30 days	DOH	Both
Birth defects - Cerebral palsy	Within 30 days	DOH	Both
Birth defects - Down syndrome	Within 30 days	DOH	facilities
Birth defects - Alcohol related birth defects	Within 30 days	DOH	Both
Birth defects - Hypospadias	Within 30 days	DOH	facilities
Birth defects - Limb reductions	Within 30 days	DOH	facilities
Birth defects - Neural tube defects (inclusive of anencephaly and spina bifida)	Within 30 days	DOH	facilities
Birth defects - Oral clefts (inclusive of cleft lip with/without cleft palate)	Within 30 days	DOH	facilities
Blood lead level RST results (See WAC 246-101-200)	Providers and facilities performing blood lead level RST shall report as a laboratory and comply with the requirements of WAC 246-101-201 through 246-101-230.
Botulism, foodborne, infant, and wound	Immediately	LHJ	Both
Brucellosis	Within 24 hours	LHJ	Both
Campylobacteriosis	Within 3 business days	LHJ	Both
Cancer (See chapter 246-102 WAC)
Candida auris infection or colonization	Within 24 hours	LHJ	Both
Carbapenem-resistant Enterobacteria-ceae infections limited to: Klebsiella species E. coli Enterobacter species	Yes	Within 3 business days	LHJ	Both
Chagas disease	Within 3 business days	LHJ	Both
Chancroid	Within 3 business days	LHJ	Both
Chlamydia trachomatis infection	Yes	Within 3 business days	LHJ	Both
Cholera (Vibrio cholerae O1 or O139)	Yes	Immediately	LHJ	Both
Coccidioidomycosis	Within 3 business days	LHJ	Both
Coronavirus infection (severe communicable) SARS-associated coronavirus MERS-associated coronavirus Novel coronavirus (COVID-19)	Yes	Immediately	LHJ	Both
Coronavirus infection (severe communicable) Novel coronavirus (COVID-19) RST results (See WAC 246-101-200)	Providers and facilities performing Novel coronavirus (COVID-19) RST shall report as a laboratory and comply with the requirements of WAC 246-101-201 through 246-101-230.
Cryptococcus gattii or undifferentiated Cryptococcus species (i.e., Cryptococcus not identified as C. neoformans )	Yes	Within 3 business days	LHJ	Both
Cryptosporidiosis	Within 3 business days	LHJ	Both
Cyclosporiasis	Within 3 business days	LHJ	Both
Cysticercosis	Within 3 business days	LHJ	Both
Diphtheria	Immediately	LHJ	Both
Domoic acid poisoning	Immediately	LHJ	Both
E. coli (See "Shiga toxin-producing E. coli" )
Echinococcosis	Within 3 business days	LHJ	Both
Ehrlichiosis	Within 3 business days	LHJ	Both
Giardiasis	Within 3 business days	LHJ	Both
Glanders (Burkholderia mallei)	Yes	Immediately	LHJ	Both
Gonorrhea	Within 3 business days	LHJ	Both
Granuloma inguinale	Within 3 business days	LHJ	Both
Gunshot wounds (nonfatal)	Within 30 days	DOH	facilities
Haemophilus influenzae (invasive disease, children under 5 years of age)	Yes	Immediately	LHJ	Both
Hantaviral infection	Within 24 hours	LHJ	Both
Hepatitis A (acute infection)	Yes	Within 24 hours	LHJ	Both
Hepatitis B (acute infection)	Yes	Within 24 hours	LHJ	Both
Hepatitis B, report pregnancy in hepatitis B virus infected patients (including carriers)	Yes	Within 3 business days	LHJ	Both
Hepatitis B (chronic infection) - Initial diagnosis, and previously unreported prevalent cases	Yes	Within 3 business days	LHJ	Both
Hepatitis B (perinatal) - Initial diagnosis, and previously unreported cases	Yes	Within 3 business days	LHJ	Both
Hepatitis C (acute infection)	Yes	Within 24 hours	LHJ	Both
Hepatitis C (acute infection) RST results (See WAC 246-101-200)	Providers and facilities performing hepatitis C (acute infection) RST shall report as a laboratory and comply with the requirements of WAC 246-101-201 through 246-101-230.
Hepatitis C (chronic infection)	Yes	Within 3 business days	LHJ	Both
Hepatitis C (perinatal) - Initial diagnosis, and previously unreported cases	Yes	Within 24 hours	LHJ	Both
Hepatitis C (chronic infection) RST results (See WAC 246-101-200)	Providers and facilities performing hepatitis C (chronic infection) RST shall report as a laboratory and comply with the requirements of WAC 246-101-201 through 246-101-230.
Hepatitis D (acute and chronic infection)	Yes	Within 24 hours	LHJ	Both
Hepatitis E (acute infection)	Yes	Within 24 hours	LHJ	Both
Herpes simplex, neonatal and genital (initial infection only)	Within 3 business days	LHJ	Providers
Histoplasmosis	Within 3 business days	LHJ	Both
Human immunodeficiency virus (HIV) infection	Within 3 business days	LHJ	Both
Human immunodeficiency virus (HIV) infection RST results (See WAC 246-101-200)	Providers and facilities performing HIV infection RST shall report as a laboratory and comply with the requirements of WAC 246101-201 through 246-101-230.
Human prion disease	Within 3 business days	LHJ	Both
Hypersensitivity pneumonitis, occupational	Within 30 days	L&I	Both
Influenza, novel or unsubtypable strain	Immediately	LHJ	Both
Influenza-associated death (laboratory confirmed)	Yes	Within 3 business days	LHJ	Both
Legionellosis	Within 24 hours	LHJ	Both
Leptospirosis	Within 24 hours	LHJ	Both
Listeriosis	Within 24 hours	LHJ	Both
Lyme disease	Within 3 business days	LHJ	Both
Lymphogranuloma venereum	Within 3 business days	LHJ	Both
Malaria	Within 3 business days	LHJ	Both
Measles (rubeola) - Acute disease only	Immediately	LHJ	Both
Melioidosis (Burkholderia pseudomallei )	Yes	Immediately	LHJ	Both
Meningococcal disease, invasive	Immediately	LHJ	Both
Monkeypox	Immediately	LHJ	Both
Mumps, acute disease only	Within 24 hours	LHJ	Both
Outbreaks and suspected outbreaks	Immediately	LHJ	Both
Paralytic shellfish poisoning	Immediately	LHJ	Both
Pertussis	Within 24 hours	LHJ	Both
Pesticide poisoning (hospitalized, fatal, or cluster)	Immediately	DOH	Both
Pesticide poisoning (all other)	Within 3 business days	DOH	Both
Plague	Immediately	LHJ	Both
Poliomyelitis	Immediately	LHJ	Both
Pregnancy in patient with hepatitis B virus	See "Hepatitis B, report pregnancy in hepatitis B virus infected patients (including carriers)"
Psittacosis	Within 24 hours	LHJ	Both
Q fever	Within 24 hours	LHJ	Both
Rabies (suspect or laboratory confirmed human cases and laboratory confirmed animal cases)	Yes for animal cases	Immediately	LHJ	Both
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	LHJ	Both
Relapsing fever (borreliosis)	Within 3 business days	LHJ	Both
Rickettsia infection	Within 3 business days	LHJ	Both
Rubella, acute disease only (including congenital rubella syndrome)	Immediately	LHJ	Both
Salmonellosis	Within 24 hours	LHJ	Both
Serious adverse reactions to immunizations	Within 3 business days	LHJ	Both
Shiga toxin-producing E. coli (STEC) infections/enterohemorrhagic E. coli infections	Yes	Immediately	LHJ	Both
Shigellosis	Within 24 hours	LHJ	Both
Silicosis	Within 30 days	L&I	Both
Smallpox	Immediately	LHJ	Both
Syphilis	Within 3 business days	LHJ	Both
Taeniasis	Within 3 business days	LHJ	Both
Tetanus	Within 3 business days	LHJ	Both
Tick paralysis	Within 3 business days	LHJ	Both
Trichinosis	Within 3 business days	LHJ	Both
Tuberculosis disease (confirmed or highly suspicious, i.e., initiation of empiric treatment)	Within 24 hours	LHJ	Both
Tularemia	Immediately	LHJ	Both
Typhus	Within 3 business days	LHJ	Both
Vaccinia transmission	Immediately	LHJ	Both
Vancomycin-resistant Staphylococcus aureus (not to include vancomycin-intermediate)	Yes	Within 24 hours	LHJ	Both
Varicella-associated death	Within 3 business days	LHJ	Both
Vibriosis (Vibrio species not including Vibrio cholerae O1 or O139) See Cholera (Vibrio cholerae O1 or O139)	Yes	Within 24 hours	LHJ	Both
Viral hemorrhagic fever	Immediately	LHJ	Both
Yellow fever	Immediately	LHJ	Both
Yersiniosis	Within 24 hours	LHJ	Both
Unexplained critical illness or death	Within 24 hours	LHJ	Both

Notes

Wash. Admin. Code § 246-101-101

Amended by WSR 21-11-040, Filed 5/12/2021, effective 1/31/2022