**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 NameWhen to Report
Reporting FormsProvider Fact Sheets
Acute Flaccid Myelitis (AFM)** ImmediateCommunicable Disease Report FormAcute Flaccid Myelitis (AFM) Fact Sheet
Anaplasmosis24 Hours
Communicable Disease Report FormRare Disease of Public Health Significance
Animal Bites** Immediate - when human exposure is suspected
Medical Provider Animal Bite Report Formnone
Anthrax** ImmediateCommunicable Disease Report FormAnthrax Fact Sheet
Arboviral DiseaseWithin 3 DaysCommunicable Disease Report FormArboviral Disease Fact Sheet
Asthma, OccupationalMonthly 1-888-66-SHARP
Report occupational asthma to Labor and Industriesnone
Babesiosis24 Hours
Communicable Disease Report FormRare Disease of Public Health Significance
Birth DefectsMonthly 360-236-3533
n/anone
Botulism** Immediate - foodborne, wound & infant
Communicable Disease Report FormBotulism Fact Sheet
Brucellosis24 Hours
Communicable Disease Report FormBrucellosis Fact Sheet
Burkholderia Infection (Melioidosis or Glanders)** ImmediateCommunicable Disease Report FormRare Disease of Public Health Significance
CampylobacteriosisWithin 3 DaysCommunicable Disease Report FormCampylobacteriosis Patient Handout
Carbapenem-resistant Enterobacteriaceae (CRE)24 Hours
Communicable Disease Report FormCarbapenem-resistant Enterobacteriaceae (CRE) Fact Sheet
Chagas Disease24 Hours
Communicable Disease Report FormRare Disease of Public Health Significance
ChancroidWithin 3 DaysSTD Case Report Form
Chancroid Fact Sheet
Chlamydia
Within 3 DaysSTD Case Report FormChlamydia Fact Sheet
Cholera** ImmediateCommunicable Disease Report FormCholera Fact Sheet
Coccidioidomycosis24 Hours
Communicable Disease Report FormCoccidioidomycosis Fact Sheet
Creutzfeldt-Jakob disease (CJD)Within 3 Days
Communicable Disease Report Formnone
Cryptococcus gattii24 Hours
Communicable Disease Report FormCryptococcus gattii Fact Sheet
CryptosporidiosisWithin 3 DaysCommunicable Disease Report FormCryptosporidiosis Fact Sheet
CyclosporiasisWithin 3 DaysCommunicable Disease Report FormCyclosporiasis Fact Sheet
Diphtheria** ImmediateCommunicable Disease Report FormDiphtheria Fact Sheet
Ebola Virus Disease** Immediate
Communicable Disease Report FormEbola Virus Disease Fact Sheet
Ehrlichiosis24 Hours
Communicable Disease Report FormRare Disease of Public Health Significance
Enterohemorrhagic E. coli** ImmediateCommunicable Disease Report Form
Shiga toxin-producing E.coli ("STEC")
Enterovirus D68 (EV-D68)Communicable Disease Report FormEnterovirus D68 (EV-D68) Fact Sheet
Foodborne Disease Outbreaks** ImmediateGastroenteritis Daily Report Form / Acute Gastroenteritis / Norovirus Case Report WorksheetFoodborne Disease Outbreaks Fact Sheet
GiardiasisCommunicable Disease Report FormGiardiasis Patient Handout
Glanders (Burkholderia Infection)** ImmediateCommunicable Disease Report FormRare Disease of Public Health Significance
GonorrheaWithin 3 DaysSTD Case Report FormGonorrhea Fact Sheet &
Gonorrhea Fact Sheet
Granuloma Inguinale
Within 3 DaysSTD Case Report FormGranuloma Inguinale Fact Sheet
Gunshot24 Hours
Washington State Firearm Injury Reporting Systemnone
Haemophilus Influenzae** ImmediateCommunicable Disease Report FormHaemophilus Influenzae Fact Sheet
Hantavirus Pulmonary Syndrome24 HoursCommunicable Disease Report FormHantavirus Pulmonary Syndrome Fact Sheet
Hemolytic Uremic Syndrome (HUS)Communicable Disease Report FormShiga toxin-producing E.coli ("STEC")
Hepatitis A, acute
24 HoursCommunicable Disease Report FormHepatitis A Patient Handout
Hepatitis B, acute
24 HoursCommunicable Disease Report FormHepatitis B Fact Sheet

Hepatitis B, perinatalWithin 3 DaysCommunicable Disease Report FormRefer to Hepatitis B
Hepatitis B, chronic

Hepatitis C, chronic
MonthlyCommunicable Disease Report FormRefer to Hepatitis B or C
Hepatitis C, acute
Within 3 DaysCommunicable Disease Report FormHepatitis C, acute Fact Sheet
Hepatitis D & E, acute (formerly "Unspecified")
Within 3 Days (D)

24 Hours (E)
Communicable Disease Report FormHepatitis D & E Fact Sheet
Herpes (initial Genital & neonatal infections only)
Within 3 DaysSTD Case Report FormHerpes, Genital Fact Sheet
HIV/AIDSWithin 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 BloodCommunicable Disease Report Formnone
Legionellosis24 HoursCommunicable Disease Report FormLegionellosis Fact Sheet
Leptospirosis24 HoursCommunicable Disease Report FormLeptospirosis Fact Sheet
Listeriosis
24 HoursCommunicable Disease Report Form
Listeriosis Fact Sheet
Lyme DiseaseWithin 3 DaysCommunicable Disease Report Form
Lyme Disease Fact Sheet
Lymphogranuloma Venereum
Within 3 DaysSTD Case Report FormLymphogranuloma Venereum Fact Sheet
MalariaWithin 3 DaysCommunicable Disease Report FormMalaria Fact Sheet
Measles** ImmediateCommunicable Disease Report FormMeasles Fact Sheet
Melioidosis (Burkholderia Infection)** ImmediateCommunicable Disease Report FormRare Disease of Public Health Significance
Meningococcal Disease** ImmediateCommunicable Disease Report FormMeningococcal Disease Fact Sheet
Middle East Respiratory Syndrome Coronavirus (MERS-CoV)Communicable Disease Report FormMiddle East Respiratory Syndrome Coronavirus (MERS-CoV) Fact Sheet
Monkeypox** ImmediateCommunicable Disease Report FormRare Disease of Public Health Significance
Mumps24 HoursMumps Suspect Case Report FormMumps Fact Sheet
Neurologic SyndromeCommunicable Disease Report Formnone
Other ConditionsCommunicable Disease Report Formnone
Outbreak Reporting
(See also: Foodborne Outbreaks and Waterborne Outbreaks)
** ImmediateInfluenza Outbreak Report Form /
Gastroenteritis Daily Report Form/ Acute Gastroenteritis / Norovirus Case Report Worksheet
Outbreak Reporting Fact Sheet

Pertussis24 HoursCommunicable Disease Report FormPertussis Fact Sheet
Pesticide Poisoning** Immediate - (fatal, hospitalized or cluster)
Within 3 Days - (non-fatal, non-hospitalized or non-cluster) 1-800-222-1222
n/aPesticide Poisoning Fact Sheet
Plague** ImmediateCommunicable Disease Report FormPlague Fact Sheet
Polio** ImmediateCommunicable Disease Report FormPolio Fact Sheet
Prion Diseases, Human (CJD)Within 3 DaysCommunicable Disease Report FormPrion Diseases, Human (CJD) Fact Sheet
Psittacosis24 HoursCommunicable Disease Report FormPsittacosis Fact Sheet
PSP (Paralytic Shellfish Poisoning)Communicable Disease Report FormShellfish Poisoning, Paralytic or Domoic Acid
Q Fever24 HoursCommunicable Disease Report FormQ Fever Fact Sheet
Rabies, Human** ImmediateCommunicable Disease Report FormHuman Rabies Fact Sheet
Rabies, Suspected Human Exposure** ImmediateCommunicable Disease Report Form / Medical Provider Animal Bite Report Form
Rabies, Suspected Human Exposure Fact Sheet
Rare diseases of public health significanceCommunicable Disease Report FormRare Disease Fact Sheet
Rash illnessCommunicable Disease Report Formnone
Relapsing Fever24 HoursCommunicable Disease Report FormRelapsing Fever Fact Sheet
Rubella** ImmediateCommunicable Disease Report FormRubella Fact Sheet
Salmonellosis24 HoursCommunicable Disease Report FormSalmonellosis Fact Sheet
Shellfish Poisoning, Paralytic, Domoic Acid, or DiarrheticCommunicable Disease Report FormShellfish Poisoning, Paralytic, Domoic Acid, or Diarrhetic Fact Sheet
Shiga toxin-producing E. coli ("STEC")** ImmediateCommunicable Disease Report FormShiga toxin-producing E. coli ("STEC") Fact Sheet
Shigellosis24 HoursCommunicable Disease Report FormShigellosis Fact Sheet
Spotted Fever Rickettsioses24 HoursCommunicable Disease Report FormRare Disease of Public Health Significance
SyphilisWithin 3 DaysSTD Case Report FormSyphilis Fact Sheet
TetanusWithin 3 DaysCommunicable Disease Report FormTetanus Fact Sheet
Tick Paralysis24 HoursCommunicable Disease Report FormRare Disease of Public Health Significance
TrichinosisWithin 3 DaysCommunicable Disease Report FormTrichinosis Fact Sheet
Tuberculosis (TB)** ImmediateTuberculosis Report Form /Communicable Disease Report FormTuberculosis (TB) Fact Sheet
Tularemia** ImmediateCommunicable Disease Report FormTularemia Fact Sheet
Typhoid fever24 Hours
Communicable Disease Report FormTyphoid Fever Fact Sheet
Typhus24 HoursCommunicable Disease Report FormRare Disease of Public Health Significance
Unexplained Critical Illness or Death24 HoursCommunicable Disease Report FormUnexplained Critical Illness or Death Fact Sheet
Vaccinia Transmission** Immediaten/aRare Disease of Public Health Significance
Varicella DeathWithin 3 DaysCommunicable Disease Report FormRare Disease of Public Health Significance
Vibriosis24 HoursCommunicable Disease Report FormVibriosis Fact Sheet
Highly Antibiotic Resistant Organisms Including (VRSA)24 Hours
Communicable Disease Report FormRare Disease of Public Health Significance
Waterborne Disease Outbreaks** ImmediateGastroenteritis Daily Report Form /Acute Gastroenteritis / Norovirus Case Report Worksheet
Waterborne Disease Outbreaks Fact Sheet
West Nile Virus DiseaseCommunicable Disease Report Form
West Nile Virus Disease Fact Sheet
Yellow Fever** ImmediateCommunicable Disease Report FormYellow Fever fact Sheet
Yersiniosis24 HoursCommunicable Disease Report FormYersiniosis Fact Sheet
Zika VirusWithin 3 DaysCommunicable Disease Report Form
Zika Virus Fact Sheet

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