Notifiable to the local health jurisdiction (LHJ) of the patient’s residence unless otherwise designated.
Healthcare Providers in Whitman County
Whitman County Public Health
- Promotes health at the community level
- Prevents disease through population-level interventions
- Focuses on getting health information to a population
- Addresses social drivers of health
Healthcare Providers in Whitman County
- Promotes health on a unique, personalized level
- Prevents disease in an individual through preventive care
- Focuses on getting health information to patients
- Addresses specific illnesses, injuries, and patient treatments
Whitman County is Stronger Together
- Improve quality of life
- Increase life expectancy
- Reduce healthcare costs through prevention and treatment
Program Contact
You can reach our Disease Prevention team at DiseasePrevention@whitmancounty.gov or securely via fax at (509) 397-6239.
For time-sensitive matters during our normal business hours, you can reach us at (509) 332‑6752.
For emergency reporting for healthcare workers, you can reach an On-Duty WCPH Officer at (509) 595-4834.
Immediately Notifiable
Requires a phone call to reach a live person at the local health jurisdiction, 24/7. Must be reported as soon as clinically suspected.
- Amebic meningitis
- Anthrax (Bacillus Anthracis and confirmed Bacilluscereus biovar anthracis only - Do not report all Bacillus cereus)
- Botulism, foodborne, infant, and wound
- Cholera (Vibrio cholerae O1 or O139)
-
Coronavirus infection (severe communicable)
- SARS-associated coronavirus
- MERS-associated coronavirus
- Novel coronavirus (COVID-19)
- Diphtheria
- Domoic acid poisoning
- E. coli (See “Shiga toxin-producing E. coli”)
- Glanders (Burkholderia mallei)
- Haemophilus influenzae (invasive disease, children under 5 years of age)
- Influenza, novel or unsubtypable strain
- Measles (Rubeola) - Acute disease only
- Melioidosis (Burkholderia pseudomallei)
- Meningococcal disease, invasive
- Monkeypox (Mpox)
- Outbreaks and suspected outbreaks
- Paralytic shellfish poisoning
- Pesticide poisoning (hospitalized, fatal, or cluster): 1-800-222-1222
- Plague
- Poliomyelitis
- Rabies (suspect or laboratory confirmed human cases and laboratory confirmed animal cases)
- Rabies, suspected human exposure (suspected human rabies exposures due to a bite from or other exposure to an animal that is suspected of being infected with rabies)
- Rubella, acute disease only (including congenital rubella syndrome)
-
Shiga toxin-producing E. coli (STEC) infections/
enterohemorrhagic E. coli infections Indication to call early hospital administration due to serveillness or known exposure to STEC - Smallpox
- Tularemia
- Vaccinia transmission
- Viral hemorrhagic fever
- Yellow fever
Notifiable Within 24 Hours
Requires a phone call if reporting after normal public health business hours.
- Baylisascariasis
- Brucellosis
- Candida auris infection or colonization
- Hantaviral infection
- Hepatitis A (acute infection)
- Hepatitis B (acute infection)
- Hepatitis C (acute infection)
- Hepatitis C (perinatal) - Initial diagnosis, and previously unreported cases
- Hepatitis D (acute and chronic infection)
- Hepatitis E (acute infection)
- Legionellosis
- Leptospirosis
- Listeriosis
- Mumps, acute disease only
- Pertussis
- Psittacosis
- Q Fever
- Salmonellosis
- Shigellosis
- Tuberculosis disease (confirmed or highly suspicious, i.e., initiation of empiric treatment)
- Vancomycin-resistant Staphylococcus aureus (not to include vancomycin-intermediate)
- Vibriosis (Vibrio species not including Vibrio cholerae O1 or O139)
- Yersiniosis
- Unexplained critical illness or death
Notifiable Within 3 Business Days
- Acquired immunodeficiency syndrome (AIDS) Notifiable to: DOH (for facilities) and LHJ (for providers)
- Anaplasmosis
-
Arboviral disease (acute disease only) including, but not limited to:
- Chikungunya
- Dengue Eastern and western equine encephalitis
- Japanese encephalitis
- La Crosse encephalitis
- Powassan virus infection
- St. Louis encephalitis
- West Nile virus infection
- Zika virus infection
- See also “Yellow fever”
- Babesiosis
- Campylobacteriosis
-
Carbapenem-resistant Enterobacteriaceae infections limited to:
- Klebsiella species
- E. coli
- Enterobacter species
- Chagas disease
- Chancroid
- Chlamydia trachomatis infection
- Coccidioidomycosis
- Cryptococcus gattii or undifferentiated Cryptococcus species (i.e., Cryptococcus not identified as C. neoformans)
- Cryptosporidiosis
- Cyclosporiasis
- Cysticercosis
- Echinococcosis
- Ehrlichiosis
- Giardiasis
- Gonorrhea
- Granuloma inguinale
- Hepatitis B, report pregnancy in hepatitis B virus infected patients (including carriers)*
- Hepatitis B (chronic infection) - Initial diagnosis, and previously unreported prevalent cases*
- Hepatitis B (perinatal) - Initial diagnosis, and previously unreported cases*
- Hepatitis C (chronic infection)
- Herpes simplex, neonatal and genital (initial infection only)
- (Providers)
- Histoplasmosis
- Human immunodeficiency virus (HIV) infection
- Human prion disease
- Influenza-associated death (laboratory confirmed)
- Lyme disease
- Lymphogranuloma venereum
- Malaria
- Pesticide poisoning (all other)
- Relapsing fever (borreliosis)
- Rickettsia infection
- Serious adverse reactions to immunizations
- Syphilis
- Taeniasis
- Tetanus
- Tick paralysis
- Trichinosis Typhus
- Varicella-associated death
Notifiable Within 30 Business Days
- Birth defects (Alcohol-related, Autism spectrum disorders and Cerebral palsy)
- Cancer (See chapter 246-102 WAC) wscr@doh.wa.gov
- Facilities Only
- Birth defects - Abdominal wall defects (inclusive of gastroschisis and omphalocele)
- Birth defects (Down syndrome, Hypospadias and Limb reductions)
- Birth defects - Neural tube defects (inclusive of anencephaly and spina bifida)
- Birth defects - Oral clefts (inclusive of cleft lip with/without cleft palate)
- Gunshot wounds (nonfatal)
- For birth defects listed above, call 360-236-3533
- Notifiable to L&I - 360-902-5669
- Asthma, occupational Hypersensitivity pneumonitis, occupational
- Silicosis
Rapid Screening Tests
Providers and facilities performing blood lead level RST shall report as a laboratory and comply with the requirements of WAC 246-101-201 through 246-101-230.
- Blood lead level**
- RST results (See WAC 246-101-200)
- Coronavirus infection (severe communicable)
- Novel coronavirus (COVID-19)
- RST results (See WAC 246-101-200)
- Novel coronavirus (COVID-19)
- Hepatitis C (acute infection)
- RST results (See WAC 246-101-200)
- Hepatitis C (chronic infection)
- RST results (See WAC 246-101-200)
- Human immunodeficiency virus (HIV) infection
- RST results (See WAC 246-101-200)
Notifiable Conditions
Laboratories
Notifiable to the local health jurisdiction (LHJ) of the patient’s residence unless otherwise designated.
-
Notify Immediately
Requires a phone call to reach a live person at the LHJ, 24/7 -
Notify Within 24hrs
Requires phone call if reporting after normal business hours - Notify Within 2 Business Days
- Notify Within 30 Business Days
- Report deidentified negative screening result at least annually
- Specimen submission to the Public Health Laboratories required (upon request for all others)
- Call Public Health Lab to ensure regulations are met (206-418-5562)
Bacteria
- Anaplasma species (Anaplasmosis)
- Bacillus anthracis (Anthrax)
- Bacillus cereus, biovar anthracis only
- Bordetella pertussis (Pertussis)
- Borrelia burgdorferi or Borrelia mayonii (Lyme disease)
- Borrelia hermsii, B. parkeri, B. turicatae, B.miyamotoi, or B. recurrentis (Relapsing fever,tick or louse-borne)
- Brucella species (Brucellosis)
- Burkholderia mallei (Glanders)
- Burkholderia pseudomallei (Melioidosis)
- Carbapenem-resistant Enterobacteriaceae (CRE)
- Campylobacter species (Campylobacteriosis)
- Chlamydia psittaci (Psittacosis)
- Chlamydia trachomatis (4)
- Clostridium botulinum (Botulism)
- Corynebacterium diphtheriae (Diphtheria)
- Coxiella burnetii (Q fever)
- E. coli - Refer to “Shiga toxin-producing E. coli”
- Ehrlichia species
- Francisella tularensis (Tularemia)
- Haemophilus influenzae (children < 5 years of age)
- Legionella species (Legionellosis)
- Leptospira species (Leptospirosis)
- Listeria monocytogenes
- Neisseria gonorrhoeae (Gonorrhea) (4)
- Neisseria meningitidis (Meningococcal disease)
-
Rickettsia species including, but not limited to:
- Rickettsia rickettsii
- Rickettsia africae
- Rickettsia conorii
- Rickettsia typhi
- Rickettsia parkeri
- Rickettsia philipii
- Salmonella species (Salmonellosis, typhoid fever)
- Shiga toxin-producing E. coli /enterohemorrhagic E. coli(STEC)
- Shigella species (Shigellosis)
- Treponema pallidum (Syphilis) (4)
- Vancomycin-resistant Staphylococcus aureus
- Vibrio cholerae O1 or O139 (Cholera)
- Vibrio species (Vibriosis) not including Vibrio cholerae O1 or O139 (Cholera)
- Yersinia enterocolitica, Y. pseudotuberculosis, Y.intermedia, Y. fredericksenii, or Y. kristensenii (Yersiniosis)
- Yersinia pestis (Plague)
Viruses
- Arboviruses, acute, (California serogroup viruses, Chikungunya virus, Dengue virus, Eastern and western equine encephalitis virus, Japanese encephalitis virus, La Crosse encephalitis virus, Powassan virus, St. Louis encephalitis virus, West Nile virus, Zika virus)
- Coronavirus (SARS-associated Coronavirus, MERS-associated Coronavirus, Novel Coronavirus [SARS-Cov-2]) (3)
- Hantavirus including, but not limited to: Andes virus, Bayou virus, Black Creek Canal virus, Dobrava-Belgrade virus, Hantaan virus, Seoul virus, Sin nombre virus
- Hepatitis A virus
- Hepatitis B virus (1)
- Hepatitis C virus (1) (3) (5)
- Hepatitis D virus
- Hepatitis E virus
- Influenza virus, novel or unsubtypable strain
- Measles virus - See “Rubeola (Measles virus)”
- Mumps virus
- Poliovirus (Poliomyelitis)
- Rabies virus
- Rubella
- Rubeola (Measles virus)
- Vaccinia [Submit specimen collected from a suspect case immediately]
- Variola virus (Smallpox) [Submit specimen collected from a suspect case immediately]
- Viral hemorrhagic fever (Crimean-Congo virus, Ebola virus, Guanarito virus, Junin virus, Lassa virus, Lujo virus, Machupo virus, Marburg virus, Sabia virus)
- Yellow Fever Virus
Parasites
- Amebic meningitis
- Babesia species (Babesiosis)
- Baylisascaris (Baylisascariasis)
- Cryptosporidium (Cryptosporidiosis)
- Cyclospora cayetanensis (Cyclosporiasis)
- Echinococcus granulosus or E.multilocularis (Echinococcosis)
- Giardia duodenalis, G. lamblia, G. intestinalis (Giardiasis)
- Plasmodium species (Malaria)
- Taenia solium (Taeniasis or Cysticercosis)
- Trichinella species (Trichinellosis)
- Trypanosoma cruzi (Chagas disease)
Fungi
- Candida auris
- Coccidioides (Coccidioidomycosis)
- Cryptococcus gattii or undifferentiated Cryptococcus species (i.e., Cryptococcus not identified as C. neoformans)
- Histoplasma capsulatum (histoplasmosis)
Other
- Human prion disease
Notifiable to Department of Health (DOH)
- Blood lead level (elevated: ≥5μg/dL) (2) (3) DOH Lead Program: 360-236-4280
- Blood lead level (non-elevated: <5μg/dL) (2) (3) DOH Lead Program: 360-236-4280
- CD4 + count 1, or CD4 + percent 2, or both (patients aged thirteen or older)* DOH Office of Infectious Disease: 360-236-3464
- Human immunodeficiency virus (HIV)* (for example, positive antibody and antigen tests and all NAAT tests) (3) (5) DOH Tuberculosis Program - Fax: 206-364-1060
- Mycobacterium tuberculosis complex (Tuberculosis) DOH Office of Infectious Disease: 360-236-3464
* Notify DOH (except King County where this is notifiable to LHJ)
Notifiable Conditions Reporting Forms
Animal Bite Reporting Form for Suspected Rabies Exposure
If wishing to complete the form by hand, download, print and fax the Animal Bite Reporting Form for Suspected Rabies Exposure to (509) 397-6239.
General Communicable Disease Reporting Form
If wishing to complete the form by hand, download, print and fax the General Communicable Disease Reporting Form to (509) 397-6239.
Sexually Transmitted Infections Reporting Form
If wishing to complete the form by hand, download, print and fax the Confidential Sexually Transmitted Infection Case Reporting Form to (509) 397-6239.
Measles Guidance
Actions Requested of Health Care Providers
Maintain a high index of suspicion for measles to identify those infected.
Please consider measles in patients presenting with fever, rash, and any of the following: cough, runny nose, or red, watery eyes—especially if they have had contact with someone known to have measles or symptoms consistent with measles.
If you suspect measles:
- Test
- Early testing helps confirm diagnosis and guide public health actions. NP swab for PCR is the most sensitive test and preferred in the prodromal period but is most accurate 0-5 days after rash onset. If it has been between 72 hours and 10 days since rash onset, it is recommended to collect an NP swab AND urine for PCR.
- Initiate isolation promptly
- Do not wait for lab results before taking action. Measles is highly contagious, so implement airborne precautions immediately. CDC provides detailed guidance for measles management and infection control in healthcare settings.
- Exclude
- Advise the patient to stay home from work, school, or childcare until at least 4 days after the onset of the rash.
- Educate
- Consider using WCPH's Measles Fact Sheet to help educate patients and families about measles symptoms, transmission, and isolation recommendations.
- Ask about close contacts
- Identify and assess close contacts for immunity.
- Offer post-exposure prophylaxis (MMR vaccine within 72 hours or immune globulin within 6 days) to susceptible individuals.
- Infants under 12 months, pregnant people without evidence of immunity, and immunocompromised contacts are especially high priority.
- Advise all contacts to monitor for symptoms for 21 days after exposure and CALL FIRST before coming in to the office.
- Report the illness to Whitman County Public Health immediately
- We will conduct an interview with the patient to confirm isolation, assess exposure risk, and assist in determining recommendations for post-exposure prophylaxis and exclusion.
- Prioritize vaccination
- Ensure children and adults are up to date on MMR vaccination according to national immunization guidelines.
Measles Assessment Checklist for Providers
Adult Measles Vaccine Recommendations
Pertussis Guidance
Actions Requested of Health Care Providers
Maintain a high index of suspicion for pertussis to identify those infected.
Please also consider pertussis in a respiratory illness of any duration in patients who have had contact with someone known to have had pertussis or symptoms consistent with pertussis.
If you suspect pertussis:
- Test
- Collect a nasopharyngeal (NP) swab for Bordetella pertussis PCR or culture. PCR is the most sensitive and fastest diagnostic test and is widely available at commercial laboratories.
- Initiate treatment promptly
- Do not delay treatment while awaiting results. CDC provides detailed treatment guidance.
- Exclude
- Tell the patient to stay home from work, school, or childcare.
- Advise them that they are considered contagious until they have completed 5 full days of appropriate antibiotics.
- Educate
- Consider using WCPH's Pertussis Fact Sheet to help educate patients about pertussis and isolation recommendations.
- Ask about close contacts
- Consider preventive antibiotics for the entire household AND any close contact who meets “High Risk” criteria:
- Infants under one year old.
- Pregnant people, especially those in the third trimester.
- People who have a chronic respiratory illness.
- Family members or caregivers of infants or pregnant women.
- Symptomatic close contacts should be treated as soon as possible and excluded from public activities until they have completed 5 days of antibiotics.
- Asymptomatic close contacts and those taking preventive antibiotics do not need to be excluded from activities unless they develop symptoms.
- Advise family members and close contacts who are not taking preventive antibiotics to return promptly if they develop symptoms within the next 21 days.
- Consider preventive antibiotics for the entire household AND any close contact who meets “High Risk” criteria:
- Report the illness to Whitman County Public Health within 24 hours
- We will conduct an interview with the patient to confirm isolation and treatment. We can also assist in determining recommendations for prophylaxis and exclusion.
- Prioritize vaccination
- Ensure children and adults are up to date on pertussis-containing vaccines according to national immunization guidelines.
Measles Assessment Checklist for Providers
Adult Measles Vaccine Recommendations
COVID-19 Guidance
DOH COVID-19 Vaccine Guidance
COVID-19 Vaccine Schedule for Healthcare Providers
Provider & Community Health Alerts
Be the First to Know
From advisories to urgent alerts, get accurate public health updates that help keep you and your patients safe.
Program Contact
You can reach our Disease Prevention team at DiseasePrevention@whitmancounty.gov or securely via fax at (509) 397-6239.
For time-sensitive matters during our normal business hours, you can reach us at (509) 332‑6752.
For after-hours emergency reporting for healthcare workers, you can reach an On-Duty WCPH Officer through WHITCOM's Non-Emergency Reporting line at (509) 332‑2521.