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 June, 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
							 interrogans
4
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
							 tuberculosis
5
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) 832-5846
Attn:
				  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
							 pallidum
7
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) 832-5846
Attn: Registry-
				  CONFIDENTIAL
Please call for a copy of the TB report
				  form.