The Health Department is closed Monday, Sept. 7, for the Labor Day holiday.
  • Report Notifiable Conditions

    How to report notifiable conditions

    Immediately notifiable conditions

    • Call (253) 649-1412 to speak with a nurse or disease investigator.

    Other notifiable conditions

    • Call (253) 649-1413 and leave a message, 24 hours a day, 7 days a week. Leave the patient’s name, date of birth, and disease. 
    • Or fax a notifiable condition report form to (253) 649-1389.

    Disease-specific forms

    Outbreak reporting for healthcare facilities

    All healthcare facilities should report outbreaks:

    • Acute care hospitals.
    • Long-term care facilities.
    • Supported living facilities.
    • Outpatient healthcare service facilities.

    Report a suspected or confirmed outbreak of:

    • COVID-19.
    • Influenza.
    • Respiratory syncytial virus (RSV).
    • Stomach illness.
    • Undiagnosed respiratory illness.

    Pierce County healthcare facilities have several ways to report outbreaks:

    Include in your report:

    • Facility name.
    • Dates of first and most recent illness onset.
    • Numbers of cases: number of staff and number of patients/residents. 
    • Whether or not you need support.

    Notes:

    • If you use point-of-care (POC) testing, include a line list of positive cases that includes name, date of birth, and date of test.
    • If you use a commercial lab for testing, don’t include a line list.
    • If you report these results to us, you don’t need to submit them to Washington State Department of Health.

    Questions?

    Contact Elle Cooper.

    Notifiable conditions

    Report suspected or confirmed. Print the list.

    Report a suspected institutional outbreak of any illness (e.g., gastrointestinal or flu-like symptoms in a nursing home).

    Report immediately, 24/7—call (253) 649-1412.
    Amebic meningitis
    Anthrax
    Botulism (foodborne, wound, infant)
    Burkholderia mallei (glanders) and pseudomallei (melioidosis)
    Cholera
    Coronavirus infection (SARS, MERS, COVID-19)
    Diphtheria
    Domoic acid poisoning (amnesic shellfish poisoning) 
    Haemophilus influenzae (invasive disease) (children under 5 years old) 
    Influenza (novel or unsubtypable strain) 
    Measles (rubeola) (acute) 
    Meningococcal disease (invasive) 
    Mpox
    Outbreak (suspected foodborne or waterborne origin) 
    Paralytic shellfish poisoning 
    Pesticide poisoning (hospitalized, fatal, cluster)—Call (800) 222-1222.
    Plague 
    Poliomyelitis 
    Rabies (confirmed human or animal) (suspected human exposure) 
    Rubella (including congenital rubella syndrome) (acute) 
    Shiga toxin-producing E. coli infections (including but not limited to E. coli O157:H7) 
    Smallpox 
    Tularemia 
    Vaccinia transmission 
    Viral hemorrhagic fever 
    Yellow fever 
    Report within 24 hours.
    Baylisascariasis
    Brucellosis
    Candia auris infection or colonization
    Hantaviral infection
    Hepatitis A (acute)
    Hepatitis B (acute)
    Hepatitis C (acute)
    Hepatitis C (perinatal)
    Hepatitis D (acute or chronic)
    Hepatitis E (acute)
    Legionellosis
    Leptospirosis
    Listeriosis
    Mumps (acute) 
    Pertussis 
    Psittacosis
    Q fever
    Salmonellosis
    Shigellosis
    Tuberculosis (confirmed or highly suspicious)
    Vancomycin-resistant Staphylococcus aureus (not vancomycin-intermediate)
    Vibriosis
    Yersiniosis
    Unexplained critical illness or death
    Report within 3 workdays.
    Acquired immunodeficiency syndrome (AIDS) (including people previously reported with HIV)
    Anaplasmosis 
    Arboviral disease (acute) (including, but not limited to, chikungunya, dengue, eastern and western equine encephalitis, Japanese encephalitis, LaCrosse encephalitis, Powassan virus, St. Louis encephalitis, West Nile virus, Zika virus)
    Babesiosis
    Campylobacteriosis
    Carbapenem-resistant Enterobacteriaceae infections (limited to Klebsiella species, E. coliEnterobacter species)
    Chagas disease
    Chancroid
    Chlamydia trachomatis infection
    Coccidioidomycosis
    Cryptococcus gattii or undifferentiated Cryptococcus species (e.g., Cryptococcus not identified as C. neoformans)
    Cryptosporidiosis
    Cyclosporiasis
    Cysticercosis 
    Echinococcosis 
    Ehrlichiosis 
    Giardiasis 
    Gonorrhea
    Granuloma inguinale
    Hepatitis B surface antigen-positive pregnant woman
    Hepatitis B (chronic) (initial diagnosis and previously unreported cases)
    Hepatitis B (perinatal) (initial diagnosis) 
    Hepatitis C (chronic)  
    Herpes simplex (neonatal, genital) (initial infection)
    Histoplasmosis 
    HIV infection
    Human prion disease 
    Immunization reactions (severe, adverse)
    Influenza-associated death (lab-confirmed)
    Lyme disease
    Lymphogranuloma venereum
    Malaria
    Pesticide poisoning (non-hospitalized, non-fatal, non-cluster)—Call (800) 222-1222.
    Relapsing fever (borreliosis)
    Rickettsia infection 
    Syphilis (including congenital)
    Taeniasis 
    Tetanus
    Tick paralysis 
    Trichinosis
    Typhus 
    Varicella-associated death
    Report within 7 workdays.
    Tuberculosis infection (latent) (positive tuberculosis skin test or interferon-gamma release assay, e.g., QuantiFERON®-TB Gold)
    Report monthly.
    Asthma (occupational) (suspected or confirmed)—Call (888) 66-SHARP.
    Birth defects (autism spectrum disorders, cerebral palsy, alcohol-related)—Call (360) 236-3533.
    Facilities only:
    Birth defects:
    • Abdominal wall defects, including gastroschisis and omphalocele.
    • Down syndrome.
    • Hypospadias.
    • Limb reductions.
    • Neural tube defects, including anencephaly and spina bifida.
    • Oral clefts, including cleft lip with or without cleft palate.
    Gunshot wounds (non-fatal).