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

Current through June, 2024
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) 832-5846
Attn:
				  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) 832-5846
Attn: Registry-
				  CONFIDENTIAL
.
Please call for a copy of the TB report
				  form.