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 the table below (Table HC-1) are notifiable for the prevention and control of communicable and noninfectious diseases and conditions in Washington. Principal health care providers shall notify public health authorities of these conditions as individual case reports using procedures described throughout this chapter. Other health care providers in attendance shall notify public health authorities of the following notifiable conditions, unless the condition notification has already been made. Local health officers may require additional conditions to be notifiable within the local health officer's jurisdiction.

     WAC 246-101-105, 246-101-110, 246-101-115, and 246-101-120 also include requirements for how notifications shall be made, when they shall be made, the content of these notifications, and how information regarding notifiable conditions cases must be handled and may be disclosed.


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 work days √  
Animal Bites Immediately √  
Arboviral Disease Within 3 work 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) Immediately √  
Campylobacteriosis Within 3 work days √  
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 √  
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 √  
Herpes simplex, neonatal and genital (initial infection only) 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   √
Pesticide poisoning (all other) Within 3 work days   √
Plague Immediately √     
Poliomyelitis Immediately √  
Psittacosis Within 3 work days √  
Q Fever Within 3 work days √  
Rabies (Confirmed Human or Animal) Immediately √  
Rabies (Including 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, § 246-101-101, 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.]