The Health Department is closed Monday, Jan. 21, to observe Dr. Martin Luther King, Jr. Day. 
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Report Notifiable Conditions

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Disease reporting tools for healthcare providers.

We rely on healthcare providers to report notifiable conditions and unusual findings that may be of public health concern. This is how our Epidemiologists and Public Health Consultants identify and respond to potential disease outbreaks.

To report a notifiable condition:

Report Forms and Information

Reporting requirements

Report notifiable conditions as shown below. Immediately report a suspected institutional outbreak of any illness (for example, gastrointestinal illness or flu-like symptoms in a nursing home). Print this list.

Report immediately—Evenings/weekends call (253) 798-6410.

Animal bites (suspected human rabies exposure)

Haemophilus influenzae (invasive disease) (children under 5 years old)
Rabies (confirmed human or animal) (suspected human exposure)


Hemolytic uremic syndrome
Rubella (include congenital rubella syndrome) (acute)

Botulism (foodborne, wound, infant)

Influenza (novel or unsubtypable strain)

SARS (severe acute respiratory syndrome)
Burkholderia mallei (glanders) and pseudomallei (melioidosis)

Measles (rubeola)

Shiga toxin-producing E. coli infection (including but not limited to E. coli 0157:H7) (including post-diarrheal hemolytic uremic syndrome)


Meningococcal disease (invasive)
Diphtheria Monkeypox
Disease of suspected bioterrorism origin Outbreaks (suspected food or waterborne origin) Tularemia
Domoic acid poisoning Paralytic shellfish poisoning Vaccinia transmission
E. coli (Shiga toxin-producing infections including but not limited to E. coli 0157:H7) Plague Viral hemorrhagic fever
Emerging conditions with outbreak potential Poliomyelitis
Yellow fever
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, Zika)

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.

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