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