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Biosafety: Animal
Allergens 101
Triumvirate Environmental presents:
Steps You Can Take to Ensure
the Safety of Your Employees
Meet Your Moderator
Sasha Laferte
All lines will be muted.
Communicate via the questions tab in your
webinar panel.
Unanswered questions will be personally after
the webinar.
Webinar recording and slides will be emailed to
you tomorrow.
During This Webinar
Meet Your Presenter
Mark Liffers
EH&S Consultant
Triumvirate Environmental
Agenda
Laboratory Animal Allergy
Exposure Risks
Controls
Case Studies
Laboratory Animal
Allergy (LAA)
Allergic reaction to animals is
among the most common
conditions that adversely affect
pharmaceutical research workers.
Laboratory Animal
Allergy (Cont’d)
Symptoms:
• Nasal symptoms (allergic rhinitis)
• Itchy eyes (allergic conjunctivitis)
• Rashes (contact urticaria, atopy)
Mouse Allergen
The major mouse
allergen is Mus m 1,
or mouse urinary
protein.
Rat Allergen
Rat n 1 is a known
human allergen,
protein appears to
be in the urine and
saliva of the animal.
Agenda
Laboratory Animal Allergy
Exposure Risks
Controls
Case Studies
Routes of Exposure
1. Inhalation of aeroallergens
2. Contaminated bedding
3. Direct skin and eye contact
Assessing
Potential Risk
What are “typical”
exposures?
What tasks have the
highest risk?
Assessing Potential Risk
(Cont’d)
Activities most associated with allergen
exposure are:
• Handling animals and cages with bedding
without ventilation
• Manual cage changing
• Dumping soiled bedding
Source: Thulin et al British Occupational Hygiene Society, 2002
What is a “Safe” Level?
• S. Gordon (formerly IOM) recommended maintaining
exposures at or below 5 ng/m3
-Feasible controls for rodent allergens
-Reduced risk of LAA at this level - study of 458
• Dutch Expert Committee on Occupational Standards
recommended a health based OEL-TWA ~ 4.5 ng/m3
• LAA risk reduced but not eliminated; still risk that a small
number of people will develop LAA
Monitoring Can Be Useful
No OSHA Standard Method for allergens –
BUT…
• Allergens attach to particles and can be
hazardous when deposited anywhere in the
respiratory tract
• Inhalable and Respirable fraction includes
particulate matter that enter the head airways
region, including the nose and mouth
IOM
Sampler
Labs for Analysis
• DACI (Dermatology, Allergy
and Clinical Immunology)
laboratory at Johns Hopkins
• EMLab P&K
• Wisconsin Occupational
Health Laboratory
• Call and discuss with the lab!
Agenda
Laboratory Animal Allergy
Exposure Risks
Controls
Case Studies
Hierarchy of Controls
• Engineering
• Ventilation, substitution, eliminate the hazard
• Safe Work Practices –
• Changing the way the work is done or by adding a tool to
help. Remote entry.
• Administration –
• Rotating workers more often to reduce exposure times,
occupational health program
• PPE
• Respirators, gloves, hearing protection, etc.
BEST
WORST
Engineering Controls
• Enclosure
• Dilution ventilation
• Cage designs
• Containment
equipment, such as:
• Biosafety cabinets
• Cage changing stations
• Bedding dump stations
Engineering Controls
Filter Top Cage
Ventilated Cage Rack
Biosafety
Cabinet
Cage
Charging
Station
Administrative & Work
Practice Controls
• Reduce time with animal
• Reduce density of animals
• Good housekeeping practices
• Wet mopping in place of
vacuuming or sweeping
• Procedures that minimize
release of airborne materials
Establishing an Occupational Medical
Program for Allergy Surveillance
Job Hazard Analyses
Select Occupational Health Clinic
Develop Occupational Health Questionnaire
Written Occupational Medicine Program
Ongoing Surveillance
Job Hazard Analyses
Who will be included in the allergy surveillance program?
• Animal Husbandry staff
• Custodial staff
• Researchers
• Facilities Group
• EH&S
• IACUC members
• Outside Service
Contractors need to be
notified of potential
hazards
• HVAC
• Autoclave
• Cagewasher
Lab Animal Handler
Questionnaire
• Job title / Description
• Hx of work with animals
• Tetanus status
• Allergies?
• Seasonal
• Latex
• Animals
• When working with animals do
you:
• Sneeze, cough
• Runny nose
• Itchy eyes
• Wheeze
• Hives
• Chest tightness / SOB
• Do symptoms go away when
you leave work?
Occ Health
Review
• MD evaluates
questionnaire
• May request
physical exam
• May require PFTs
• May suggest
allergy testing
• May require
tetanus booster
• Will recommend
PPE needed
• May require tetanus
booster
• Will recommend PPE
needed
• May establish medical
restrictions
• Questionnaire should
be re-administered
annually & if
symptoms develop
Reporting & Follow Up
• Symptoms should be reported promptly to your supervisor so that
medical follow-up can be initiated
• Once animal allergy develops, the affected worker should minimize
any additional allergen exposure to prevent progression of allergy
symptoms
Association for Assessment and
Accreditation of Laboratory Animal
Care International
Personal
Protective
Equipment
N-95 Respirator for
Allergen Protection
Face mask (N-95 Respirator) to
reduce inhalation and hand-to-face
spread of allergens
OSHA Respiratory
Protection Std.
1910.134
Written Program
Annual Training
Proper Respirator
Selection
Medical Clearance
Annual Fit Testing
Must Use Properly to Work!
N-95 Respirator
Agenda
Laboratory Animal Allergy
Exposure Risks
Controls
Case Studies
Exposure to
Laboratory Rats
• 21-year-old female worker at a pharmaceutical company
• Symptoms included hives on her forearms and hands
• The worker then began to suffer episodes of sneezing, nasal
drainage, watery eyes, and chest tightness
• She was transferred to another department, where her
symptoms ceased
• The worker had positive skin tests to animal dander and to rat
hair.
• She also had elevated antibodies (IgE) to various rat proteins
[DeGroot and Messerschmidt 1984].
Exposure to
Various Animals
• 38 students were examined during their first year of training as
laboratory technicians (median age was 21 years)
• They were re-examined after working with various laboratory animals
(primarily rats, mice, and rabbits) for an average of 18 months
• 9 students (24%) had developed allergies to laboratory animals
• Symptoms included: nasal and eye irritation, skin rashes, and chest
problems
• Of the 9 students with animal allergies, 7 had reactions to rat or
mouse antigen in skin-prick tests, and 8 showed asthma-like reactions
during lung testing [Renstrom et al. 1995]
Wrap Up
QUESTIONS?
Thank You For Attending!
• Please fill out our
survey
• You will receive a copy
of the presentation
• Expect a special offer
Sources
• NIOSH Alert – Preventing Asthma in Animal Handlers
January 1998 DHHS (NIOSH) Publication No. 97-116
www.cdc.gov/niosh/animalrt.html
• Guide for the Care and Use of Laboratory Animals (NRC
2011) http://www.aaalac.org/resources/theguide.cfm

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Biosafety: Animal Allergens

  • 1. Biosafety: Animal Allergens 101 Triumvirate Environmental presents: Steps You Can Take to Ensure the Safety of Your Employees
  • 3. All lines will be muted. Communicate via the questions tab in your webinar panel. Unanswered questions will be personally after the webinar. Webinar recording and slides will be emailed to you tomorrow. During This Webinar
  • 4. Meet Your Presenter Mark Liffers EH&S Consultant Triumvirate Environmental
  • 5. Agenda Laboratory Animal Allergy Exposure Risks Controls Case Studies
  • 6. Laboratory Animal Allergy (LAA) Allergic reaction to animals is among the most common conditions that adversely affect pharmaceutical research workers.
  • 7. Laboratory Animal Allergy (Cont’d) Symptoms: • Nasal symptoms (allergic rhinitis) • Itchy eyes (allergic conjunctivitis) • Rashes (contact urticaria, atopy)
  • 8.
  • 9. Mouse Allergen The major mouse allergen is Mus m 1, or mouse urinary protein.
  • 10. Rat Allergen Rat n 1 is a known human allergen, protein appears to be in the urine and saliva of the animal.
  • 11. Agenda Laboratory Animal Allergy Exposure Risks Controls Case Studies
  • 12. Routes of Exposure 1. Inhalation of aeroallergens 2. Contaminated bedding 3. Direct skin and eye contact
  • 13. Assessing Potential Risk What are “typical” exposures? What tasks have the highest risk?
  • 14. Assessing Potential Risk (Cont’d) Activities most associated with allergen exposure are: • Handling animals and cages with bedding without ventilation • Manual cage changing • Dumping soiled bedding
  • 15. Source: Thulin et al British Occupational Hygiene Society, 2002
  • 16.
  • 17. What is a “Safe” Level? • S. Gordon (formerly IOM) recommended maintaining exposures at or below 5 ng/m3 -Feasible controls for rodent allergens -Reduced risk of LAA at this level - study of 458 • Dutch Expert Committee on Occupational Standards recommended a health based OEL-TWA ~ 4.5 ng/m3 • LAA risk reduced but not eliminated; still risk that a small number of people will develop LAA
  • 18. Monitoring Can Be Useful No OSHA Standard Method for allergens – BUT… • Allergens attach to particles and can be hazardous when deposited anywhere in the respiratory tract • Inhalable and Respirable fraction includes particulate matter that enter the head airways region, including the nose and mouth
  • 20. Labs for Analysis • DACI (Dermatology, Allergy and Clinical Immunology) laboratory at Johns Hopkins • EMLab P&K • Wisconsin Occupational Health Laboratory • Call and discuss with the lab!
  • 21. Agenda Laboratory Animal Allergy Exposure Risks Controls Case Studies
  • 22. Hierarchy of Controls • Engineering • Ventilation, substitution, eliminate the hazard • Safe Work Practices – • Changing the way the work is done or by adding a tool to help. Remote entry. • Administration – • Rotating workers more often to reduce exposure times, occupational health program • PPE • Respirators, gloves, hearing protection, etc. BEST WORST
  • 23. Engineering Controls • Enclosure • Dilution ventilation • Cage designs • Containment equipment, such as: • Biosafety cabinets • Cage changing stations • Bedding dump stations
  • 24. Engineering Controls Filter Top Cage Ventilated Cage Rack
  • 26.
  • 28. Administrative & Work Practice Controls • Reduce time with animal • Reduce density of animals • Good housekeeping practices • Wet mopping in place of vacuuming or sweeping • Procedures that minimize release of airborne materials
  • 29. Establishing an Occupational Medical Program for Allergy Surveillance Job Hazard Analyses Select Occupational Health Clinic Develop Occupational Health Questionnaire Written Occupational Medicine Program Ongoing Surveillance
  • 30. Job Hazard Analyses Who will be included in the allergy surveillance program? • Animal Husbandry staff • Custodial staff • Researchers • Facilities Group • EH&S • IACUC members • Outside Service Contractors need to be notified of potential hazards • HVAC • Autoclave • Cagewasher
  • 31. Lab Animal Handler Questionnaire • Job title / Description • Hx of work with animals • Tetanus status • Allergies? • Seasonal • Latex • Animals • When working with animals do you: • Sneeze, cough • Runny nose • Itchy eyes • Wheeze • Hives • Chest tightness / SOB • Do symptoms go away when you leave work?
  • 32. Occ Health Review • MD evaluates questionnaire • May request physical exam • May require PFTs • May suggest allergy testing • May require tetanus booster • Will recommend PPE needed • May require tetanus booster • Will recommend PPE needed • May establish medical restrictions • Questionnaire should be re-administered annually & if symptoms develop
  • 33. Reporting & Follow Up • Symptoms should be reported promptly to your supervisor so that medical follow-up can be initiated • Once animal allergy develops, the affected worker should minimize any additional allergen exposure to prevent progression of allergy symptoms
  • 34. Association for Assessment and Accreditation of Laboratory Animal Care International
  • 36. N-95 Respirator for Allergen Protection Face mask (N-95 Respirator) to reduce inhalation and hand-to-face spread of allergens
  • 37. OSHA Respiratory Protection Std. 1910.134 Written Program Annual Training Proper Respirator Selection Medical Clearance Annual Fit Testing
  • 38. Must Use Properly to Work! N-95 Respirator
  • 39. Agenda Laboratory Animal Allergy Exposure Risks Controls Case Studies
  • 40. Exposure to Laboratory Rats • 21-year-old female worker at a pharmaceutical company • Symptoms included hives on her forearms and hands • The worker then began to suffer episodes of sneezing, nasal drainage, watery eyes, and chest tightness • She was transferred to another department, where her symptoms ceased • The worker had positive skin tests to animal dander and to rat hair. • She also had elevated antibodies (IgE) to various rat proteins [DeGroot and Messerschmidt 1984].
  • 41. Exposure to Various Animals • 38 students were examined during their first year of training as laboratory technicians (median age was 21 years) • They were re-examined after working with various laboratory animals (primarily rats, mice, and rabbits) for an average of 18 months • 9 students (24%) had developed allergies to laboratory animals • Symptoms included: nasal and eye irritation, skin rashes, and chest problems • Of the 9 students with animal allergies, 7 had reactions to rat or mouse antigen in skin-prick tests, and 8 showed asthma-like reactions during lung testing [Renstrom et al. 1995]
  • 44. Thank You For Attending! • Please fill out our survey • You will receive a copy of the presentation • Expect a special offer
  • 45. Sources • NIOSH Alert – Preventing Asthma in Animal Handlers January 1998 DHHS (NIOSH) Publication No. 97-116 www.cdc.gov/niosh/animalrt.html • Guide for the Care and Use of Laboratory Animals (NRC 2011) http://www.aaalac.org/resources/theguide.cfm