Hands with a pen, writing on paper

Report Notifiable Conditions

Press Enter to show all options, press Tab go to next option

Disease reporting tools for healthcare providers.

Our Public Health Nurse Consultants and Epidemiologists work with providers to track diseases. Surveillance is an important part of identifying and responding to potential outbreaks. We rely on medical providers to report notifiable conditions and unusual findings that may be of public health concern.

To report a notifiable condition, call the 24-hour reporting line (253) 798-6534 or use the Reportable Disease Fax Form.

Report Forms and Information

Reporting timelines

The following tables provide reporting guidance for notifiable conditions. 

(View printable format)

Suspected institutional outbreaks of any illness should be reported immediately (e.g., flu-like symptoms or gastrointestinal illness in a nursing home).

Report immediately
Animal bites (suspected rabies exposure)
Haemophilus influenzae (invasive disease, children under age 5)
Rabies (suspected human exposure)


Influenza, novel or untypable strain Rubella (including Congenital Rubella Syndrome)
Botulism (foodborne, wound or infant) Measles (rubeola) Severe Acute Respiratory Syndrome (SARS)
Burkholderia mallei (Glanders) and pseudomallei (Melioidosis) Meningococcal disease (invasive) Smallpox


Diphtheria Outbreaks (suspected food or waterborne cases) Tularemia
Disease of suspected bioterrorism origin Paralytic shellfish poisoning Vaccinia transmission
Domoic acid poisoning Plague Viral hemorrhagic fever
E. coli (Shiga toxin producing strains, including 0157:H7; also includes post-diarrheal hemolytic uremic syndrome) Poliomyelitis Yellow Fever
Emerging conditions with outbreak potential Rabies (confirmed human or animal cases)
Report Within 24 hours

Brucellosis (Brucella species)


Hepatitis A, acute


Hepatitis B, acute Q fever

Hantavirus pulmonary syndrome

Relapsing fever (borreliosis)
Other rare diseases of public health significance


Unexplained critical illness or death

Vancomycin-resistant Staph. aureus (VRSA)

Report Within 3 business days
Acquired immunodeficiency syndrome (AIDS)

Granuloma inguinale

Lyme disease

Arboviral diseases

(West Nile virus, Dengue, Eastern and Western equine encephalitis, St. Louis encephalitis, Powassan)

Hepatitis B surface antigen positive pregnant women
Lymphogranuloma venereum (LGV)
Hepatitis C, acute
Chancroid Chlamydia trachomatis infection
Hepatitis D, acute or chronic Prion disease
Herpes simplex Syphilis (including congenital)
Cyclosporiasis HIV infection
Giaridiasis Immunization reactions (severe, adverse) Trichinosis


Influenza-associated death (lab-confirmed) Vericella-associated death
 Report within 7 business days
 Tuberculosis infection, latent (positive TB skin test or interferon-gamma release assay, e.g. QuantiFERON® - TB Gold)
 Report Monthly

 Hepatitis B, chronic (initial diagnosis, previously unreported cases)

 Hepatitis C, chronic (initial diagnosis only)

Report (suspected or confirmed) to Washington State Department of Health


Pesticide poisoning (hospitalized, fatal or cluster)
(800) 222-1222
3 Business Days
Pesticide poisoning (other)
(800) 222-1222

Birth defects (autism spectrum disorders, cerebral palsy, alcohol-related)

(360) 236-3533

Asthma (800) 66-SHARP

Why report communicable diseases?

Reporting benefits the patient by:

  • Preventing re-infection by contacts.
  • Helping to assure compliance with medical therapy.
  • Providing health education and resources to patient and contacts.

Reporting benefits the provider by:

  • Helping to assure patient compliance with prescribed regimens.
  • Assisting providers with education for the patient and contacts.
  • Decreasing repeat visits for managed-care patients.

Reporting benefits the public by:

  • Preventing the spread of disease through case investigation.
  • Providing reliable information for surveillance.
  • Identifying disease trends and emerging conditions.

Free viewers are required for some of the attached documents.
They can be downloaded by clicking on the icons below.

Acrobat Reader Flash Player Windows Media Player Microsoft Silverlight Word Viewer Excel Viewer PowerPoint Viewer