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Disease Outbreaks


Overview

An outbreak is defined by CDC as an occurrence of cases of disease that is more than expected, or is clustered by time, space, or common behaviors.  Washington Administrative Code (WAC) 246-101 includes a number of responsibilities related to reporting outbreaks.

All outbreaks or suspected outbreaks of foodborne or waterborne disease are immediately notifiable to the local health jurisdiction in which the patients reside.  Potential reporters include health care providers, health care facilities, laboratories, veterinarians, schools, child day care facilities, and food service establishments.

Outbreaks or suspected outbreaks of disease that occur in a health care facility or are treated by a health care provider are also notifiable to the local health jurisdiction.  These include, but are not limited to, suspected or confirmed outbreaks of chickenpox, influenza, viral meningitis, nosocomial infection suspected due to contaminated food products or devices, or environmentally related disease. 

Veterinarians must notify the local health officer of any suspected case or suspected outbreak of any disease that is transmissible from animals to humans, including anthrax, brucellosis, viral encephalitis, plague, rabies, psittacosis, tuberculosis, and tularemia.

Child day care facilities and schools must notify the local health department of outbreaks and suspected outbreaks of notifiable conditions that may be associated with the child day care facility or school.

For more information regarding outbreaks associated with food, water, or a specific communicable disease, please refer to the notifiable condition involved.

Purpose of Reporting and Surveillance

  • To identify sources of transmission (e.g., a medical product or restaurant) and to prevent further transmission from such sources.
  • To assure the adequate treatment of infected individuals in order to curtail infectiousness and prevent complications from infection.

Reporting Requirements

  • Foodborne or Waterborne diseases:  All suspected or confirmed outbreaks are immediately notifiable to Local Health Jurisdiction by all reporting entities
  • Local health jurisdictions must immediately notify DOH of all suspected or confirmed outbreaks, with case investigation completion or summary information required within 21 days
  • For other conditions, the following entities must report suspected or confirmed outbreaks to the Local Health Jurisdiction in which the patients reside:
  • Health care providers
  • Health care facilities
  • Laboratories: see disease-specific requirements
  • Veterinarians
  • Child day care facilities
  • Schools

Last guideline update
August 2007

Disease Outbreaks Resources

Public Health and Health Care

Surveillance and Reporting Guidelines
(Web Format)

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Communicable Disease Epidemiology
Office of Epidemiology
Washington State Department of Health
MS: K17-9, 1610 NE 150th St.
Shoreline, WA 98155-9701

Consultation and technical assistance are available to local health jurisdictions in Washington State:
Phone (206) 418-5500

FAX (206) 418-5515

24-hour contact (inside Washington State only)  1-877-539-4344

Washington residents can contact their local health jurisdictions for assistance


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