Hawaii Administrative Rules
Title 11 - DEPARTMENT OF HEALTH
Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS
Chapter 156 - COMMUNICABLE DISEASES
Exhibit B - Hawaii Laboratory Reporting Requirements
Current through February, 2024
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.
Reports are to be made to the Disease Outbreak Control Division on O'ahu or the District Health Office on neighbor islands, except as noted below.
Reporting Categories
1. URGENT - Agents labeled URGENT shall be reported by telephone when a laboratory request is received.
2. Immediate - Positive test results for agents labeled "Immediate" shall be reported by telephone within 24 hours of confirmation, followed by a written notification by mail or fax.
3. Routine - Positive test results for agents and tests labeled "Routine" shall be reported within 3 days of confirmation.
4. Confidential - Positive test results for agents and tests labeled "Confidential" shall be reported to the appropriate programs within three (3) workings days of confirmation. However, HIV/AIDS and CD4 test results shall be reported by mail, telephone or electronic encryption.
5. Upon Request - Test results for agents shall be reported to the Disease Investigation Branch upon request.
Note: Agents or tests shown in bold require urgent or immediate action.
| Specimens to be sent to the Department as noted: *Sample of isolate **Blood smear [DAGGER]Aliquot of positive serum (*) or ([DAGGER]) = Send sample or aliquot upon request only | |
| Agent/Test | Category |
| Group A Arboviruses (Venezuelan equine, Eastern equine, Western equine, California set-group) | URGENT* |
| Group B Arboviruses (St. Louis, Powassan, West Nile, Japanese encephalitis virus) | URGENT* |
| Arenaviruses (Lassa, Marburg) | URGENT* |
| Bacillus anthracis | URGENT* |
| Bordetella pertussis | Immediate* |
| Burkholderia mallei | URGENT* |
| Burkholderia pseudomallei | URGENT* |
| Brucella spp. | URGENT* |
| Brugia Malayi | Routine |
| Brugia Timori | Routine |
| Campylobacter spp. | Routine * |
| CD4 T-lymphocyte count and percent1 | Confidential |
| Chlamydia psittaci | Immediate |
| Chlamydia trachomatis, genital 2 | Confidential |
| Clostridium botulinum (Foodborne, wound, and infant) | URGENT* |
| Clostridium tetani | Routine |
| Corynebacterium diphtheriae | Immediate* |
| Cryptosporidium spp. | Routine |
| Cyclosporiasis | Routine |
| Coxielta burnetii | Immediate |
| Dengue virus | Immediate |
| Entamoeba histolytica | Routine |
| Enterococcus, Vancomycin-resistant | Routine (*) |
1 Reports shall be made to the HIV/AIDS Surveillance Program (CONFIDENTIAL), 3627 Kilauea Avenue, Rm. 306, Honolulu, HI 96816; telephone: No. (808) 733-9010.
2 Sexually Transmitted Infections other than HIV/AIDS shall be reported to the STD Prevention Program, 3627 Kilauea Avenue, Room 304, Honolulu, HI 96816; telephone: Ph. No. (808) 733-9281 facsimile (808) 733-9291.
| Specimens to be sent to the Department as noted: *Sample of isolate **Blood smear [DAGGER]Aliquot of positive serum (*) or ([DAGGER]) = Send sample or aliquot upon request only | |
| Agent/Test | Category |
| Eosinophilic meningitis | Upon request |
| Escherichia coli - shigatoxin producing, including type O157 | Routine* |
| Filoviruses (Ebola, Marburg) | URGENT* |
| Francisella tularensis | URGENT |
| Giardia lamblia | Routine |
| Haemophilus influenzae (from spinal fluid, blood, lung, or other normally sterile site) Report serotype and antimicrobial resistance if available. | Immediate* |
| Hantavirus | Immediate ([DAGGER]) |
| Hepatitis A virus (IgM positive); Also report liver function tests (AST {SGOT}, ALT {SGPT}) conducted at the same time. | Immediate |
| Hepatitis B virus; (surface antigen positive and/or anti-core IgM antibody positive) Also report liver function tests (AST {SGOT}, ALT {SGPT}) conducted at the same time for all patients who are HBsAg positive. | Routine |
| Hepatitis C virus; Also report liver function tests (AST {SGOT}, ALT {SGPT}) conducted at the same time for all patients who are anti-HCV positive. | Routine |
| Hepatitis E virus; Also report liver function tests (AST {SGOT}, ALT {SGPT}) conducted at the same time for all patients who are anti-HCE positive. | Routine |
| HIV (Human Immunodeficiency Virus) and all HIV viral load tests3 | Confidential |
| Influenza virus (Report positive, negative and indetermine results, and other viral isolates obtained through respiratory culture) | Routine |
| Legionella pneumophila | Immediate (*) |
| Leptospira interrogans4 | Routine[DOUBLE DAGGER] |
| Listeria monocytogenes | Routine* |
| Liver function tests (AST {SGOT}, ALT {SGPT}) conducted at the same time on a patient who is HbsAg positive or anti-HCV positive. | Routine |
| Lyssavirus spp. (Rabies) | URGENT* |
| Measles/Rubeola (IgM) | Immediate[DAGGER] |
| Mumps (IgM) | Routine ([DAGGER]) |
| Mycobacterium tuberculosis5 | Immediate |
3Reports shall be made to the HIV/AIDS Surveillance Program (CONFIDENTIAL), 3627 Kilauea Avenue, Rm. 306, Honolulu, HI 96816; telephone: No. (808)733-9010.
4 For Leptospira interrogans submit whole blood and paired serum samples
5Tuberculosis shall be reported to the Tuberculosis Control Program at No. (808) 832-5731 or by mail to TB Program, 1700 Lanakila Avenue, Honolulu HI 96817, Attn: Registry-CONFIDENTIAL or by FAX to (808) 832-5846Attn: Registry-CONFIDENTIAL. Please call for a copy of the TB report form.
| Specimens to be sent to the Department as noted: *Sample of isolate **Blood smear [DAGGER]Aliquot of positive serum (*) or ([DAGGER]) = Send sample or aliquot upon request only | |
| Agent/Test | Category |
| Mycobacterium leprae (AFB) positive biopsies and smears 6 | Routine |
| Neisseria gonorrhoeae (including identification of resistant strains)7 | Confidential * |
| Neisseria meningitidis (from spinal fluid, blood, lung, or other normally sterile site) report antimicrobial susceptibility | Immediate* |
| Norovirus (NoV) PCR positive | Routine |
| Plasmodium spp. | Routine** |
| Poliovirus | Immediate* |
| Respiratory Syncitial Virus (RSV) {Report positive and negative results, and other viral isolates obtained through respiratory culture} | Routine |
| Rickettsia typhi | Routine[DAGGER] |
| Rubella (IgM) | Immediate[DAGGER] |
| Salmonella spp. (including typhi) | Urgent* |
| SARS-Associated Coronavirus (SARS-CoV) | Urgent |
| Shigella spp. | Urgent* |
| Staphylococcus aureus, Methicillin-Resistant (MRSA) | Routine |
| Staphylococcus aureus, Vancomycin-intermediate, (VISA) | Routine |
| Vancomycin-resistant, Staphylococcus aureus (VRSA) | Urgent |
| Streptococcus pyogenes, Group A (beta hemolytic, invasive disease including Streptococcal Toxic Shock Syndrome or other normally sterile site, but not including pharyngitis) | Routine (*) |
| Streptococcus pneumoniae isolated from a normally sterile site, report antimicrobial susceptibility. | Routine |
| Toxoplasma gondii | Routine |
| Treponema pallidum7 | Confidential[DAGGER] |
| Trichinella spiralis | Routine |
6Reports shall be made to the Hansen's Disease Community Program at Ph. No. (808)733-9831.
7 Sexually Transmitted Infections other than HIV/AIDS shall be reported to the STD Prevention Program, 3627 Kilauea Avenue, Room 304, Honolulu, HI 96816; telephone: Ph. No. (808) 733-9281.
| Specimens to be sent to the Department as noted: *Sample of isolate **Blood smear [DAGGER]Aliquot of positive serum (*) or ([DAGGER]) = Send sample or aliquot upon request only | |
| Agent/Test | Category |
| West Nile Virus IgM | URGENT* |
| Wuchereria bancrofti | Routine |
| Varicella (IgM) | Routine (f) |
| Variola virus | URGENT |
| Vibrio cholerae | URGENT* |
| Vibrio spp. (other than cholerae) | Routine* |
| Yellow fever virus | URGENT* |
| Yersinia pestis | URGENT* |
| Yersinia spp. (other than pestis) | Routine* |
Report all Diseases except Tuberculosis, Hansen's Disease, Sexually Transmitted Infections, HIV/AIDS, CD4, and HIV viral load to the Department of Health 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 | |
| Hawaii Department of Health | Kauai |
| 54 High Street | 3040 Umi Street |
| Wailuku, Hawaii 96793 | Lihue, Hawaii 96766 |
| Phone: (808) 984-8213 | Phone: (808) 241-3563 |
| FAX: (808)984-8222 | FAX: (808)241-3480 |
Reports of Sexually Transmitted Infections other than HIV/ADDS 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
Reports of HTV/AIDS shall be made to:
HIV/AIDS Surveillance Program (CONFIDENTIAL)
3627 Kilauea Avenue, Rm. 306
Honolulu, HI 96816
Telephone: Ph. No. (808) 733-9010
Reports of Hansens's Disease shall be made to:
Hansen's Disease Community Program
3650 Maunalei Avenue
Honolulu, HI 96816
Telephone: Ph. 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.
