**Immediately Notifiable Conditions

These conditions are immediately notifiable by phone to Spokane Regional Health District, Communicable Disease Reporting Line (24/7) 509.324.1449

Disease Name When to Report
Reporting Forms Provider Fact Sheets
Acute Flaccid Myelitis (AFM) ** Immediate Communicable Disease Report Form Acute Flaccid Myelitis (AFM) Fact Sheet
Anaplasmosis 24 Hours
Communicable Disease Report Form Rare Disease of Public Health Significance
Animal Bites ** Immediate - when human exposure is suspected
Medical Provider Animal Bite Report Form none
Anthrax ** Immediate Communicable Disease Report Form Anthrax Fact Sheet
Arboviral Disease Within 3 Days Communicable Disease Report Form Arboviral Disease Fact Sheet
Asthma, Occupational Monthly 1-888-66-SHARP
Report occupational asthma to Labor and Industries none
Babesiosis 24 Hours
Communicable Disease Report Form Rare Disease of Public Health Significance
Birth Defects Monthly 360-236-3533
n/a none
Botulism ** Immediate - foodborne, wound & infant
Communicable Disease Report Form Botulism Fact Sheet
Brucellosis 24 Hours
Communicable Disease Report Form Brucellosis Fact Sheet
Burkholderia Infection (Melioidosis or Glanders) ** Immediate Communicable Disease Report Form Rare Disease of Public Health Significance
Campylobacteriosis Within 3 Days Communicable Disease Report Form Campylobacteriosis Patient Handout
Carbapenem-resistant Enterobacteriaceae (CRE) 24 Hours
Communicable Disease Report Form Carbapenem-resistant Enterobacteriaceae (CRE) Fact Sheet
Chagas Disease 24 Hours
Communicable Disease Report Form Rare Disease of Public Health Significance
Chancroid Within 3 Days STD Case Report Form
Chancroid Fact Sheet
Chlamydia
Within 3 Days STD Case Report Form Chlamydia Fact Sheet
Cholera ** Immediate Communicable Disease Report Form Cholera Fact Sheet
Coccidioidomycosis 24 Hours
Communicable Disease Report Form Coccidioidomycosis Fact Sheet
Creutzfeldt-Jakob disease (CJD) Within 3 Days
Communicable Disease Report Form none
Cryptococcus gattii 24 Hours
Communicable Disease Report Form Cryptococcus gattii Fact Sheet
Cryptosporidiosis Within 3 Days Communicable Disease Report Form Cryptosporidiosis Fact Sheet
Cyclosporiasis Within 3 Days Communicable Disease Report Form Cyclosporiasis Fact Sheet
Diphtheria ** Immediate Communicable Disease Report Form Diphtheria Fact Sheet
Ebola Virus Disease ** Immediate
Communicable Disease Report Form Ebola Virus Disease Fact Sheet
Ehrlichiosis 24 Hours
Communicable Disease Report Form Rare Disease of Public Health Significance
Enterohemorrhagic E. coli ** Immediate Communicable Disease Report Form
Shiga toxin-producing E.coli ("STEC")
Enterovirus D68 (EV-D68) Communicable Disease Report Form Enterovirus D68 (EV-D68) Fact Sheet
Foodborne Disease Outbreaks ** Immediate Gastroenteritis Daily Report Form / Acute Gastroenteritis / Norovirus Case Report Worksheet Foodborne Disease Outbreaks Fact Sheet
Giardiasis Communicable Disease Report Form Giardiasis Patient Handout
Glanders (Burkholderia Infection) ** Immediate Communicable Disease Report Form Rare Disease of Public Health Significance
Gonorrhea Within 3 Days STD Case Report Form Gonorrhea Fact Sheet &
Gonorrhea Fact Sheet
Granuloma Inguinale
Within 3 Days STD Case Report Form Granuloma Inguinale Fact Sheet
Gunshot 24 Hours
Washington State Firearm Injury Reporting System none
Haemophilus Influenzae ** Immediate Communicable Disease Report Form Haemophilus Influenzae Fact Sheet
Hantavirus Pulmonary Syndrome 24 Hours Communicable Disease Report Form Hantavirus Pulmonary Syndrome Fact Sheet
Hemolytic Uremic Syndrome (HUS) Communicable Disease Report Form Shiga toxin-producing E.coli ("STEC")
Hepatitis A, acute
24 Hours Communicable Disease Report Form Hepatitis A Patient Handout
Hepatitis B, acute
24 Hours Communicable Disease Report Form Hepatitis B Fact Sheet

Hepatitis B, perinatal Within 3 Days Communicable Disease Report Form Refer to Hepatitis B
Hepatitis B, chronic

Hepatitis C, chronic
Monthly Communicable Disease Report Form Refer to Hepatitis B or C
Hepatitis C, acute
Within 3 Days Communicable Disease Report Form Hepatitis C, acute Fact Sheet
Hepatitis D & E, acute (formerly "Unspecified")
Within 3 Days (D)

24 Hours (E)
Communicable Disease Report Form Hepatitis D & E Fact Sheet
Herpes (initial Genital & neonatal infections only)
Within 3 Days STD Case Report Form Herpes, Genital Fact Sheet
HIV/AIDS Within 3 Days
HIV/AIDS Case Report Form /
Substantial Exposure to Bloodborne Pathogens
HIV/AIDS Fact Sheet
Influenza (suspect case of novel or avian)


Influenza-associated death


Influenza (outbreaks in congregate living settings)
** Immediate



Within 3 Days


24 Hours
Communicable Disease Report Form


Communicable Disease Report Form


Influenza Outbreak Report Form
Influenza Fact Sheet





Influenza Fact Sheet
Lead, Child Blood Communicable Disease Report Form none
Legionellosis 24 Hours Communicable Disease Report Form Legionellosis Fact Sheet
Leptospirosis 24 Hours Communicable Disease Report Form Leptospirosis Fact Sheet
Listeriosis
24 Hours Communicable Disease Report Form
Listeriosis Fact Sheet
Lyme Disease Within 3 Days Communicable Disease Report Form
Lyme Disease Fact Sheet
Lymphogranuloma Venereum
Within 3 Days STD Case Report Form Lymphogranuloma Venereum Fact Sheet
Malaria Within 3 Days Communicable Disease Report Form Malaria Fact Sheet
Measles ** Immediate Measles Testing Guidance/Form Measles Fact Sheet
Melioidosis (Burkholderia Infection) ** Immediate Communicable Disease Report Form Rare Disease of Public Health Significance
Meningococcal Disease ** Immediate Communicable Disease Report Form Meningococcal Disease Fact Sheet
Middle East Respiratory Syndrome Coronavirus (MERS-CoV) Communicable Disease Report Form Middle East Respiratory Syndrome Coronavirus (MERS-CoV) Fact Sheet
Monkeypox ** Immediate Communicable Disease Report Form Rare Disease of Public Health Significance
Mumps 24 Hours Mumps Suspect Case Report Form Mumps Fact Sheet
Neurologic Syndrome Communicable Disease Report Form none
Other Conditions Communicable Disease Report Form none
Outbreak Reporting
(See also: Foodborne Outbreaks and Waterborne Outbreaks)
** Immediate Influenza Outbreak Report Form /
Gastroenteritis Daily Report Form/ Acute Gastroenteritis / Norovirus Case Report Worksheet
Outbreak Reporting Fact Sheet

Pertussis 24 Hours Communicable Disease Report Form Pertussis Fact Sheet
Pesticide Poisoning ** Immediate - (fatal, hospitalized or cluster)
Within 3 Days - (non-fatal, non-hospitalized or non-cluster) 1-800-222-1222
n/a Pesticide Poisoning Fact Sheet
Plague ** Immediate Communicable Disease Report Form Plague Fact Sheet
Polio ** Immediate Communicable Disease Report Form Polio Fact Sheet
Prion Diseases, Human (CJD) Within 3 Days Communicable Disease Report Form Prion Diseases, Human (CJD) Fact Sheet
Psittacosis 24 Hours Communicable Disease Report Form Psittacosis Fact Sheet
PSP (Paralytic Shellfish Poisoning) Communicable Disease Report Form Shellfish Poisoning, Paralytic or Domoic Acid
Q Fever 24 Hours Communicable Disease Report Form Q Fever Fact Sheet
Rabies, Human ** Immediate Communicable Disease Report Form Human Rabies Fact Sheet
Rabies, Suspected Human Exposure ** Immediate Communicable Disease Report Form / Medical Provider Animal Bite Report Form
Rabies, Suspected Human Exposure Fact Sheet
Rare diseases of public health significance Communicable Disease Report Form Rare Disease Fact Sheet
Rash illness Communicable Disease Report Form none
Relapsing Fever 24 Hours Communicable Disease Report Form Relapsing Fever Fact Sheet
Rubella ** Immediate Communicable Disease Report Form Rubella Fact Sheet
Salmonellosis 24 Hours Communicable Disease Report Form Salmonellosis Fact Sheet
Shellfish Poisoning, Paralytic, Domoic Acid, or Diarrhetic Communicable Disease Report Form Shellfish Poisoning, Paralytic, Domoic Acid, or Diarrhetic Fact Sheet
Shiga toxin-producing E. coli ("STEC") ** Immediate Communicable Disease Report Form Shiga toxin-producing E. coli ("STEC") Fact Sheet
Shigellosis 24 Hours Communicable Disease Report Form Shigellosis Fact Sheet
Spotted Fever Rickettsioses 24 Hours Communicable Disease Report Form Rare Disease of Public Health Significance
Syphilis Within 3 Days STD Case Report Form Syphilis Fact Sheet
Tetanus Within 3 Days Communicable Disease Report Form Tetanus Fact Sheet
Tick Paralysis 24 Hours Communicable Disease Report Form Rare Disease of Public Health Significance
Trichinosis Within 3 Days Communicable Disease Report Form Trichinosis Fact Sheet
Tuberculosis (TB) ** Immediate Tuberculosis Report Form /Communicable Disease Report Form Tuberculosis (TB) Fact Sheet
Tularemia ** Immediate Communicable Disease Report Form Tularemia Fact Sheet
Typhoid fever 24 Hours
Communicable Disease Report Form Typhoid Fever Fact Sheet
Typhus 24 Hours Communicable Disease Report Form Rare Disease of Public Health Significance
Unexplained Critical Illness or Death 24 Hours Communicable Disease Report Form Unexplained Critical Illness or Death Fact Sheet
Vaccinia Transmission ** Immediate n/a Rare Disease of Public Health Significance
Varicella Death Within 3 Days Communicable Disease Report Form Rare Disease of Public Health Significance
Vibriosis 24 Hours Communicable Disease Report Form Vibriosis Fact Sheet
Highly Antibiotic Resistant Organisms Including (VRSA) 24 Hours
Communicable Disease Report Form Rare Disease of Public Health Significance
Waterborne Disease Outbreaks ** Immediate Gastroenteritis Daily Report Form /Acute Gastroenteritis / Norovirus Case Report Worksheet
Waterborne Disease Outbreaks Fact Sheet
West Nile Virus Disease Communicable Disease Report Form
West Nile Virus Disease Fact Sheet
Yellow Fever ** Immediate Communicable Disease Report Form Yellow Fever fact Sheet
Yersiniosis 24 Hours Communicable Disease Report Form Yersiniosis Fact Sheet
Zika Virus Within 3 Days Communicable Disease Report Form
Zika Virus Fact Sheet

Spokane Regional Health District Communicable Disease Epidemiology Duty Officer (509) 869-3133