Hawaii Administrative Rules
Title 11 - DEPARTMENT OF HEALTH
Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS
Chapter 156 - COMMUNICABLE DISEASES
Exhibit A - Hawaii Health Care Providers Disease Reporting Requirements
The diseases described below are declared by the Director of Health to be dangerous to public health and shall be reported to the Department of Health as specified. Restrictions shall be imposed on cases and contacts as indicated in Hawaii Isolation and Control Requirements, April, 2006.
Any communicable disease not listed below occurring beyond usual frequency, or of unusual or uncertain etiology, including diseases which might be caused by a genetically engineered organism, shall be reported to the Department of Health (Disease Outbreak Control Division) by telephone. Likewise, all suspected outbreaks of a notifiable disease shall be reported to the Disease Outbreak Control Division by telephone.
If the final diagnosis or provisional diagnosis in the absence of definitive tests for confirmation is a reportable disease and if the case is not known to have already been reported to the Department, the physician responsible for the management of that case or the hospital in which the case is being treated shall report that case in accordance with the methods described below. If neither hospital nor physician reports, both shall be considered in default of their responsibility to report.
This requirement applies to all settings in which patient care is provided, including passenger ships discharging passengers in Hawaii and all facilities performing medical evaluations, including blood banks.
Failure to comply with these requirements is a misdemeanor under Hawaii Law.
Physicians, laboratory directors, and health care providers to report. Every physician or health care provider having a client affected by or suspected of being affected by a disease or condition declared to be communicable or dangerous to the public health by the director of health shall report the incidence or suspected incidence of such disease or condition to the department of health in writing or in the manner specified by the department of health. Every laboratory director having laboratory data regarding an individual affected by or suspected of being affected by a disease or condition declared to be communicable or dangerous to the public health shall report such diseases or conditions to the department of health in writing or in a manner specified by the health department. Every physician, laboratory director, or health care provider who refuses or neglects to give such notice, or make such report, may be fined in an amount not to exceed $1,000 per violation, to be assessed by the director of health. The director of health is authorized to impose the penalty pursuant to this section.
§ 325-2 Hawaii Revised Statutes.
Reporting Categories
Urgent reports: Diseases or conditions that are suspicious or presenting with novel symptoms that may or may not be part of a known disease or disease complex, labeled "urgent" shall be reported by telephone as soon as a provisional diagnosis is established. The telephone report shall be followed by a written report submitted by mail or fax within three days to the Disease Outbreak Control Division, Disease Investigation Branch on Oahu, or to the District Health Office on the neighbor islands.
Confidential: Infections/diseases which may carry a social stigma are to be reported with extra precautions to assure patient confidentiality. Reports are to be submitted within three working days of diagnosis as described below.
Routine reports: Diseases labeled "routine" shall be reported by mail, by telephone, or fax to the Disease Outbreak Control Division on Oahu, or to the District Health Offices on the neighbor islands.
Routine/Enteric (enteric prevention priority): Diseases labeled "routine - enteric prevention priority" shall be reported by telephone as soon as a working diagnosis is established if the individual case is a food handler, direct care provider, or pre-school aged child. Otherwise routine reports may be submitted.
Outbreak reports: Any disease shall be reported by telephone when observed to occur clearly in excess of normal expectancy as determined by the healthcare provider or the Director of Health. The telephone report shall be followed by a written report submitted by mail or fax within three days to the Disease Outbreak Control Division on Oahu, or to the District Health Offices on the neighbor islands.
Upon request: Disease or condition shall be reported to the Disease Investigation Branch upon request.
Note: Diseases shown in bold require URGENT action sometimes or always.
| Disease | Reporting Category |
| Acquired Immunodeficiency Syndrome (CDC case definition)1 | Confidential |
| Amebiasis | Routine/Enteric |
| Angiostrongyliasis | Upon request |
| Anthrax | Urgent |
| Botulism, food borne | Urgent |
| Botulism, wound or infant | Routine |
| Brucellosis | Urgent |
| Campylobacteriosis | Routine/Enteric |
| Chickenpox - varicella (report individual cases) | Routine |
| Chlamydia (Chlamydia trachomatis)2 | Confidential |
1 HIV/AIDS shall be reported to the HIV/AIDS Surveillance Program (CONFIDENTIAL), 3627 Kilauea Avenue, Rm. 306, Honolulu, HI 96816; Ph. No. (808) 733-9010.
2Sexually Transmitted Infections other than HIV/AIDS shall be reported to die STD Prevention Program, 3627 Kilauea Avenue, Room 304, Honolulu, HI 96816; Ph. No. (808) 733-9281.
| Cholera | Urgent |
| Congenital Rubella Syndrome | Urgent |
| Cryptosporidiosis | Routine/Enteric |
| Cyclosporiasis | Routine |
| Dengue | Urgent |
| Diphtheria | Urgent |
| Encephalitis, Meningitis, Arboviral (Alphaviruses [e.g., California Serogroup, Eastern equine, Western Equine, St. Louis, West Nile, Powassan]) | Urgent |
| Enterococcus, Vancomycin-resistant | Routine |
| Escherichia coli O157 | Routine/Enteric |
| Filariasis | Routine |
| Fish poisoning (ciguatera, scombroid, or hallucinogenic) | Urgent |
| Food borne illness: 2 or more ill persons having eaten: (a) a common food, or (b) at a place in common. | Urgent |
| Giardiasis | Routine/Enteric |
| Glanders | Urgent |
| Gonococcal disease (Neisseria gonorrhoeae) 3 | Confidential |
| Haemophilus influenzae serotype b (meningitis, bacteremia, epiglottitis, pneumonia, or isolation from a normally sterile site). | Urgent |
| Hansen's disease 4 | Confidential |
| Hantavirus Disease | Urgent |
| Hemorrhagic colitis due to E. coli, any strain or serotype | Routine/Enteric |
| Hepatitis A * Also report liver function tests (AST {SGOT}, ALT {SGPT}) conducted at the same time for all patients who are HAV IgM positive. | Urgent |
| Hepatitis B (acute and chronic) *Also report liver function tests (AST {SGOT}, ALT {SGPT}) conducted at the same time for all patients who are HBsAg positive. | Routine |
| Hepatitis C (acute) *Also report liver function tests (AST {SGOT}, ALT {SGPT}) conducted at the same time for all patients who are anti-HCV positive. | Routine |
| Hepatitis C (chronic) *Also report liver function tests (AST {SGOT}, ALT {SGPT}) conducted at the same time for all patients who are anti-HCV positive. | Upon request |
| Hepatitis E *Also report liver function tests (AST {SGOT}, ALT {SGPT}) conducted at the same time for all patients who are anti-HCV positive. | Routine |
3Sexually transmitted infections other than HIV/AIDS shall be reported to the STD Prevention Program, 3627 Kilauea Avenue, Room 304, Honolulu, HI 96816; Ph. No. (808) 733-9281.
4Reports shall be made to the Hansen's Disease Community Program at Ph. No. (808) 735-2472.
| Hemolytic uremic syndrome (HUS) | Routine/Enteric |
| HIV (Human Immunodeficiency Virus)5 | Confidential |
| Influenza (report laboratory confirmed cases and outbreaks) | Urgent |
| Influenza-like illness | Upon Request |
| Legionellosis | Urgent |
| Leptospirosis | Routine |
| Listeriosis | Routine/Enteric |
| Malaria | Routine |
| Measles (rubeola) | Urgent |
| Melioidosis | Urgent |
| Meningococcal Disease (meningitis, meningococcemia, or isolation from a normally sterile site) | Urgent |
| MRSA (Methicillin-Resistant Staphylococcus aureus) | Upon Request |
| Mumps | Routine |
| Norovirus (NoV) (report laboratory confirmed cases and outbreaks) | Routine/Enteric |
| Pelvic Inflammatory Disease (PID) 6 | Confidential |
| Pertussis | Urgent |
| Plague | Urgent |
| Pneumococcal disease (meningitis, bacteremia, or isolation from a normally sterile site) | Routine |
| Poliomyelitis | Urgent |
| Psittacosis | Urgent |
| Q fever | Urgent |
| Rabies | Urgent |
| Rubella (German measles) | Urgent |
| Salmonellosis (other than typhoid) | Routine/Enteric |
| SARS (Severe Acute Respiratory Syndrome) | Urgent |
| Shigellosis | Routine/Enteric |
| Smallpox | Urgent |
| Streptococcal disease, Group A (beta hemolytic, invasive disease including Streptococcal Toxic Shock Syndrome, necrotizing fasciitis, or isolation from a normally sterile site, but not including pharyngitis) | Routine |
| Syphilis6 | Confidential |
5HIV/AIDS shall be reported to the HIV/AIDS Surveillance Program (CONFIDENTIAL), 3627 Kilauea Avenue, Room 306, Honolulu, HI 96816; Ph. No. (808) 733-9010.
6Sexually transmitted diseases other than HIV/AIDS shall be reported to the STD Prevention Program, 3627 Kilauea Avenue, Room 304, Honolulu, HI 96816; Ph. No. (808) 733-9281.
| Tetanus | Routine |
| Toxoplasmosis | Routine |
| Trichinosis | Routine |
| Tuberculosis7 | Urgent |
| Tularemia | Urgent |
| Typhoid Fever | Urgent |
| Typhus (louse, flea, mite-borne) | Routine |
| Vibriosis (other than cholera) | Routine/Enteric |
| Viral hemorrhagic fevers (filoviruses [e.g. Ebola, Barburg, and arenaviruses [e.g., Lassa, Machupo]) | Urgent |
| Yellow fever | Urgent |
| Yersiniosis (other than plague) | Routine/Enteric |
Report all Diseases except Tuberculosis, Hansen's Disease, Sexually Transmitted Infections, and HTV/ATDS to the Health Department Office in Your County
| Oahu | Hawaii |
| P.O. Box 3378 | P.O. Box 916 |
| Honolulu, HI 96801 | Hilo, HI 96720 |
| Phone: (808) 586-4586 | Phone: (808) 933-4539 |
| FAX: (808)586-4595 | FAX: (808)933-4669 |
| Maui | Kauai |
| Hawaii Department of Health | 3040 Umi Street |
| Attention: Epidemiologist | Lihue, Hawaii 96766 |
| 54 High Street | Phone: (808) 241-3563 |
| Wailuku, Hawaii 96793 | FAX: (808)241-3480 |
| Phone: (808)984-8213 | |
| FAX: (808)984-8222 |
Reports of Sexually Transmitted Infections other than HIV/ATDS shall be made to:
The STD Prevention Program
3627 Kilauea Avenue, Room 304
Honolulu, HI 96816
Telephone: Ph. No. (808) 733-9281, Facsimile: (808) 733-9291
7 Tuberculosis shall be reported to the Tuberculosis Control Program at Ph. No. (808) 832-5731 or by mail to TB Program, 1700 Lanakila Avenue, Honolulu HI 96817, Attn: Registry- CONFIDENTIAL or by Facsimile to (808) 832-5846Attn: Registry- CONFIDENTIAL. Please call for a copy of the TB report form.
Reports of HIV/AIDS shall be made to:
HIV/AIDS Surveillance Program (CONFIDENTIAL)
3627 Kilauea Avenue, Rm. 306
Honolulu, HI 96816
Telephone: No. (808)733-9010
Reports of Hansen's Disease shall be made to:
Hansen's Disease Community Program
Telephone: No. (808) 733-9831
Reports of Tuberculosis shall be made to:
Tuberculosis Control Program
by mail to TB Program, 1700 Lanakila Avenue, Honolulu HI 96817
Attn: Registry- Confidential
Telephone: No. (808) 832-5731
Facsimile: (808) 832-5846Attn: Registry- CONFIDENTIAL.
Please call for a copy of the TB report form.
