Post on 19-Jul-2020
The laboratory results listed above (preliminary or confirmed) are notifiable to public health authorities in Washington in accordance with WAC 246-101.
Information provided with public health notifications and specimen submissions must include: specimen type; name and telephone number of laboratory; date specimen collected and received; requesting health care provider’s name and phone number; test result; and name of patient. Also required when available in the lab database are: patient sex, date of birth or age, full patient address (zip code at a minimum), and health care provider address.
Per WAC 246-101-201(3), LHJs may request laboratory reporting of additional test results pertinent to an investigation of a notifiable condition.
BACTERIA
Bacillus anthracis (anthrax)
Bordetella pertussis (pertussis)
Borrelia burgdorferi (Lyme disease)
Borrelia hermsii or B. recurrentis (Relapsing fever, tick- or louseborne)
Brucella species (brucellosis)
Burkholderia mallei and B. pseudomallei
Campylobacter species (campylobacteriosis)
Chlamydia (chlamydophila) psittaci (psittacosis)
Chlamydia trachomatis
Clostridium botulinum (botulism)
Corynebacterium diphtheriae (diphtheria)
Coxiella burnetii (Q fever)
E. coli (refer to “Shiga toxin-producing E. coli”)
Francisella tularensis (tularemia)
Haemophilus influenzae (children < 5 years)
Legionella species (legionellosis)
Leptospira species (leptospirosis)
Listeria monocytogenes (listeriosis)
Neisseria gonorrhoeae (gonorrhea)
Neisseria meningitidis (meningococcal disease)
Salmonella species (salmonellosis, typhoid fever)
Shiga toxin-producing E. coli (STEC, including but not limited to E. coli O157:H7)
Shigella species (shigellosis)
Treponema pallidum (syphilis)
Vancomycin-resistant Staphylococcus aureus
Vibrio cholerae O1 or O139 (cholera)
Vibrio species (vibriosis)
Yersinia enterocolitica or Y. pseudotuberculosis
Yersinia pestis (plague)
FUNGI Cryptococcus, non-neoformans
PARASITES
Cryptosporidium (cryptosporidiosis)
Cyclospora cayetanensis (cyclosporiasis)
Giardia lamblia (giardiasis)
Plasmodium species (malaria)
Trichinella species (trichinellosis)
VIRUSES
Arboviruses, acute, by viral isolation or IgM or PCR positivity (West Nile virus, eastern and western equine encephalitis, dengue, St. Louis encephalitis, La Crosse encephalitis, Japanese encephalitis, Powassan, chikungunya, Zika*) *both positive and negative results are requested for Zika
Coronavirus (SARS-associated)
Hantavirus
Hepatitis A virus, acute, by IgM positivity (include hepatocellular enzyme levels in report)
Hepatitis B virus, acute, by IgM positivity
Hepatitis B virus: HBsAg, HBeAg, and HBV DNA
Hepatitis C virus
Hepatitis D virus
Hepatitis E virus
Influenza virus, novel or unsubtypable strain
Measles virus (rubeola), acute, by IgM or PCR positivity
Mumps virus, acute, by IgM or PCR positivity
Poliovirus, acute, by IgM or PCR positivity
Rabies virus (human or animal)
Variola virus (smallpox)
Viral hemorrhagic fever Arenaviruses, bunyaviruses, filoviruses, flaviviruses
Yellow fever virus
Reportable as rare diseases of public health significance*
Coccidioides
Carbapenem-resistant Enterobacteriaceae (CRE), resistant to ≥1 carbapenem, using M100-S25 CLSI breakpoints
Carbapenemase-producing CRE
Notifiable to the Department of Health (DOH)
Blood lead level (elevated)
Blood lead level (non-elevated)
CD4 + (T4) lymphocyte counts and/or CD4 + (T4) (patients aged 13 and older)
Human immunodeficiency virus (HIV) infection (for example, positive Western Blot, p24 antigen, or viral culture tests)
Human immunodeficiency virus (HIV) infection (all viral load detection test results—detectable and undetectable)
Mycobacterium tuberculosis (tuberculosis)
Notifiable to the DOH Lead Program Contact phone: 360-236-4280
Notifiable to the DOH Office of Infectious Disease Contact phone: 360-236-3464
Notifiable to the DOH Tuberculosis Program Fax: 206-364-1060
Antibiotic sensitivity testing (first isolates only)
Immediately notifiable—requires a phone call to reach a live person at the LHJ, 24/7
Notifiable within 24 hours: Requires phone call if reporting after normal business hours
Notifiable within 2 business days
Notifiable on a monthly basis
Specimen/culture submission to the Public Health Laboratories required (upon request for all others)
LEGEND
For more information, see WAC 246-101 or http://www.doh.wa.gov/PublicHealthandHealthcareProviders/NotifiableConditions.aspx DOH 210-002 (Rev. 11/16)
Notifiable Conditions Reporting
Notifiable to the local health jurisdiction (LHJ) of the patient’s residence
Phone numbers by LHJ are listed on the other side of this poster. If unable to reach the LHJ of the patient’s residence, please call: 1-877-539-4344
(If patient residence is unknown, notify the LHJ of the health care provider that ordered the diagnostic test)
LABORATORIES
Icons for reporting timeframes and recipients are explained in the legend.
*The 2011 revision of WAC 246-101-010 states “‘Other rare diseases of public health
significance’ means a disease or condition, of general or international public health
concern, which is occasionally or not ordinarily seen in the state of Washington including,
but not limited to, spotted fever rickettsiosis, babesiosis, tick paralysis, anaplasmosis, and
other tick borne diseases. This also includes public health events of international concern
and communicable diseases that would be of public concern if detected in Washington.”
Local health jurisdiction (LHJ) phone numbers and websites
LHJ Communicable disease
(CD) phone numbers CD after hours Fax Website
Adams 509-488-2031 509-659-1122 509-331-0030 http://www.co.adams.wa.us/departments/health_department/index.php
Asotin 509-243-3344 509-552-0049 509-243-3345 http://www.ac-hd.org/
Benton
Franklin
509-539-0416 509-543-3851 509-460-4377 http://www.bfhd.wa.gov/base/index.php
Chelan
Douglas
509-886-6400 509-886-6499 509-886-6478 http://www.cdhd.wa.gov/
Clallam 360-417-2412 206-517-2384 360-452-4492 http://www.clallam.net/HHS/
Clark 564-397-8182 888-727-6230 564-397-8080 https://www.clark.wa.gov/public-health
Columbia 509-382-2181 509-382-2181 509-382-2942 http://www.columbiaco.com/index.aspx?nid=18
Cowlitz 360-414-5599 360-414-5599 (24/7) 360-425-7531 http://www.co.cowlitz.wa.us/Index.aspx?NID=205
Garfield 509-843-3412 509-843-3494 509-843-1935 http://co.garfield.wa.us/health
Grant
509-766-7960 509-398-2083 (24/7) 509-764-2813
TB: 509-766-6519
http://granthealth.org/
Grays
Harbor
360-500-4044 360-581-1401 360-533-6272 http://www.healthygh.org/
Island 360-221-6626 360-914-0839 360-221-8480
TB: 360-679-7390
https://www.islandcountywa.gov/health/Pages/Home.aspx
Jefferson 360-385-9400 360-385-9400 (24/7) 360-385-3878 http://www.jeffersoncountypublichealth.org/
King Immediately notifiable:
206-296-4774
Other notifiable: 206-296-4782
HIV/AIDS: 206-263-2000
TB: 206-744-4579
800-421-6499 206-296-4803
STD: 206-744-5622
TB: 206-744-4350
http://www.kingcounty.gov/healthservices/health.aspx
Kitsap 360-728-2235 360-728-2235 (24/7) 360-813-1168 http://www.kitsappublichealth.org/
Kittitas 509-962-7515 800-839-1922 509-962-7581 http://www.co.kittitas.wa.us/health/
Klickitat 509-493-1558 509-773-4547 509-493-4025 http://www.klickitatcounty.org/289/Public-Health
Lewis Immediately notifiable:
360-740-1223
Other notifiable:
360-740-1275
Immediately notifiable:
360-740-1223
Other notifiable:
360-740-1275 (24/7)
360-740-1472
TB: 360-740-1438
http://lewiscountywa.gov/publichealth
Lincoln 509-725-1001 509-725-3501 509-725-1014 http://www.co.lincoln.wa.us/Health%20Department/
Mason 360-427-9670 x400 360-427-7761 360-427-7787 http://www.co.mason.wa.us/health/index.php
Northeast
Tri
Ferry: 509-775-3111
Pend Oreille: 509-447-3131
Stevens: 509-684-2262
All: 509-684-2262 509-775-2858
509-447-5644
509-684-9878
http://www.netchd.org/
Okanogan 509-422-7159 509-422-7232 509-422-7152 http://www.okanogancounty.org/ochd/
Pacific 360-875-9343 360-875-9397 360-875-9323 http://pacificcountyhealthdepartment.com/
Pierce Immediately notifiable:
253-798-6410
Other notifiable: 253-798-6534
Immediately notifiable:
253-798-6410
Other: 253-798-6534
253-798-7666 http://www.tpchd.org/
San Juan 360-378-4474 360-410-1676 360-378-7036 http://www.sanjuanco.com/378/Health-Community-Services
Skagit 360-416-1500
TB: 360-416-1536
360-770-8468 360-416-1515 http://www.skagitcounty.net/Departments/Health
Skamania 509-427-3850 509-427-3850 509-427-0188 http://www.skamaniacounty.org/community-health/
Snohomish 425-339-5235 (24/7)
STD/HIV: 425-339-5261
TB: 425-339-5225
425-339-5295 425-339-8706
STD/HIV:
425-339-8707
TB: 425-339-5217
http://www.snohd.org/
Spokane 509-324-1449 509-324-1500 509-324-3623
TB: 509-324-3600
http://www.srhd.org/
Thurston Immediately notifiable:
360-867-2500
Message line: 360-786-5470
360-786-5470
Immediately notifiable: call 911, request Health Officer
360-867-2601 http://www.co.thurston.wa.us/health/
Wahkiakum 360-795-6207, x204 360-795-6207 360-795-6143 http://www.co.wahkiakum.wa.us/depts/health/
Walla Walla 509-524-2661 509-524-2650 509-524-2642 https://www.co.walla-walla.wa.us/government/health_department/
Whatcom Immediately notifiable:
360-778-6100
Message line: 360-778-6150
360-715-2588 360-778-6103
or 360-778-6101
http://www.co.whatcom.wa.us/360/Health-Department
Whitman 509-397-6280 509-397-4341 509-397-6239 http://whitmancounty.org/Page.aspx?pn=Public+Health
Yakima 509-249-6541 509-575-4040, #1 509-249-6628
TB: 509-249-6632
http://www.yakimacounty.us/275/Health-District