1. (1) For the purposes of this section:

   1. (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.
   2. (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. (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 infectionSee 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 levelRST 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 Enterobacteriaceae 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) infectionRST 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 246-101-201 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

[Statutory Authority: RCW 43.20.050, 70.28.032, 70.104.055, 43.70.545, and 70.24.130. WSR 21-11-040 and 22-01-175, § 246-101-101, filed 5/12/21 and 12/17/21, effective 1/1/23. Statutory Authority: RCW 43.20.050. WSR 11-02-065, § 246-101-101, filed 1/4/11, effective 2/4/11. Statutory Authority: RCW 43.20.050, 70.24.125. WSR 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. WSR 00-23-120, § 246-101-101, filed 11/22/00, effective 12/23/00.]