Amendments to OAR 333-018-0015 — Reportable Diseases, Conditions, and Reporting Timeframes
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Permanent administrative order specifying which diseases, microorganisms, toxins, and conditions must be reported to Oregon public health and the required reporting timeframes; applies to persons and entities subject to OAR chapter 333, division 18.
OAR 333-018-0015 is amended to align the list of select biological agents and toxins with the DHHS list, add certain organisms/conditions (including toxigenic Corynebacterium diphtheriae and brucellosis), add MIS-C to 24-hour reporting, clarify reporting timelines including addition of 'condition' for arthropod vector-borne items, and specify nonreportable nontuberculous Mycobacteria species.
OAR 333-018-0016 (Reporting of COVID-19 Related Test Results, Cases and Deaths) is repealed because COVID-19 test results and cases are no longer reportable.
Reporting Criteria and Timeframes
Reporting criteria and timeframes
Diseases, microorganisms, toxins, and conditions and their required reporting timeframes include, by timeframe:
Immediately, day or night
- United States DHHS select agents and toxins (e.g., anthrax, botulinum neurotoxins, Brucella, Burkholderia mallei, Burkholderia pseudomallei, Ebola, Marburg, SARS, variola, Yersinia pestis, and others as listed)
- DHHS and USDA overlap select agents and toxins (e.g., Bacillus anthracis, Burkholderia mallei, Burkholderia pseudomallei, Hendra virus, Nipah virus, Rift Valley fever virus, Venezuelan equine encephalitis virus)
- USDA select agents and toxins (e.g., avian influenza virus, Newcastle disease virus)
- Other specified infections, microorganisms, and conditions including Brucella species, Corynebacterium diphtheriae (known toxigenic strains only), novel influenza, poliomyelitis, rabies (human), measles, rubella, toxigenic Vibrio cholerae O1/O139, marine intoxications (e.g., domoic acid, ciguatera, scombroid), and other select toxins and agents listed in rule
- Any known or suspected disease outbreak, including health care–associated outbreaks
- Any uncommon illness of potential public health significance
Within 24 hours (including weekends and holidays)
- Haemophilus influenzae (any invasive disease; for laboratories, any isolation or identification from a normally sterile site)
- Multisystem inflammatory syndrome in children (MIS-C)
- Neisseria meningitidis (any invasive disease; for laboratories, any isolation or identification from a normally sterile site)
- Pesticide poisoning
Within one local public health authority working day
- Carbapenem-resistant Acinetobacter species and other organisms found to be resistant to any carbapenem antibiotic or known to be carbapenemase-producing
- Arthropod vector–borne infections and conditions (including tick paralysis; mosquito-borne, tick-borne, and other vector-borne diseases enumerated in rule)
- An extensive list of bacterial, viral, parasitic, fungal, and toxin-related conditions as enumerated in rule (examples include Campylobacter, Candida auris, hepatitis A/B/C/D/E, HIV infection and AIDS, Listeria monocytogenes, Mycobacterium tuberculosis, nonrespiratory nontuberculous mycobacteria, Salmonella, Shigella, Vibrio [non-cholera], Yersinia [non-pestis], and others)
- Death of any person under 18 years of age with laboratory-confirmed influenza, respiratory syncytial virus (RSV), or SARS-CoV-2 infection
Within seven calendar days
- Any blood lead level tests including the result
- Licensed laboratories shall report, within seven calendar days, results of all tests of CD4+ T-lymphocyte absolute counts and percent CD4, and HIV nucleic acid (viral load) tests
Laboratory Reporting and Time Thresholds
| CD4+ T-lymphocyte absolute count | Results of all tests of CD4+ T-lymphocyte absolute counts and the percent of total lymphocytes that are CD4 positive |
| HIV nucleic acid (viral load) test | HIV nucleic acid (viral load) tests |
Provider and Laboratory Reporting Obligations
Report all human cases/suspected cases and reportable lab results within specified timeframes
Health care providers must report all human cases or suspected human cases of the diseases, infections, microorganisms, intoxications, and conditions specified in the rule; licensed laboratories must report all test results indicative of and specific for those diseases, infections, microorganisms, intoxications, and conditions for humans. Reporting timeframes are specified based on severity and public health value of rapid intervention.
- Health care providers shall report all human cases or suspected human cases of the diseases, infections, microorganisms, intoxications, and conditions specified below.
- Licensed laboratories shall report all test results indicative of and specific for the diseases, infections, microorganisms, intoxications, and conditions specified below for humans.
- Timing of reports is specified to reflect severity and the potential value of rapid public health intervention.
Definitions and Specified Strains
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