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Safety Considerations and Guidelines
for Veterinary Microbiology Laboratory
Dr Ravi Kant Agrawal, MVSc, PhD
Senior Scientist (Veterinary Microbiology)
Food Microbiology Laboratory
Division of Livestock Products Technology
ICAR-Indian Veterinary Research Institute
Izatnagar 243122 (UP) India
Biohazard:Biohazard:
An agent of biological origin that has the capacityAn agent of biological origin that has the capacity
to produce harmful effects on humans;to produce harmful effects on humans; i.e.i.e.
microorganisms, toxins and allergens derived frommicroorganisms, toxins and allergens derived from
those organisms, and allergens and toxins derivedthose organisms, and allergens and toxins derived
from plants or animals.from plants or animals.
Biosafety:Biosafety:
Laboratory biosafety refers to
containment principles,
technologies and practices to
prevent unintentional
exposure to pathogens and
toxins, or their accidental
release.
Applying a combination ofApplying a combination of
laboratory practices andlaboratory practices and
procedures, laboratoryprocedures, laboratory
facilities, and safetyfacilities, and safety
equipment when working withequipment when working with
potentially infectiouspotentially infectious
microorganisms.microorganisms.
Risk Assessment:Risk Assessment:
Addressing laboratory activities involvingAddressing laboratory activities involving
infectious or potentially infectious material andinfectious or potentially infectious material and
implementing measures to reduce the worker’simplementing measures to reduce the worker’s
and environment’s risk of exposure to an agent toand environment’s risk of exposure to an agent to
an absolute minimum.an absolute minimum.
Chain of InfectionChain of Infection
Reservoir of pathogenReservoir of pathogen
Portal of escapePortal of escape
TransmissionTransmission
Route of entry/Route of entry/
infectious doseinfectious dose
Susceptible hostSusceptible host
Incubation periodIncubation period
Risk AssessmentRisk Assessment
Practices/Equipm
ent
Practices/Equipm
ent
Personal Protective
Personal Protective
Equipm
ent (PPE)
Equipm
ent (PPE)
Im
m
unizations
Im
m
unizations
Surveillance
Surveillance
Risk
Assessm
ent
Risk
Assessm
ent
Biosecurity:Biosecurity:
Protection of high-consequenceProtection of high-consequence
microbial agents and toxins, or criticalmicrobial agents and toxins, or critical
relevant information, against theft orrelevant information, against theft or
diversion by those who intend todiversion by those who intend to
pursue intentional misuse.pursue intentional misuse.
Laboratory Biosecurity is Biorisk
Management
“Laboratory biosecurity” refers to
institutional and personal security
measures designed to prevent the
loss, theft, misuse, diversion or
intentional release of pathogens and
toxins.
 BiosecurityBiosecurity refers to ensuring therefers to ensuring the securitysecurity of biologicalof biological
materials to prevent theft, illicit use, or releasematerials to prevent theft, illicit use, or release
(Intentional)(Intentional)
 BiosafetyBiosafety focuses onfocuses on reducing exposurereducing exposure to andto and releaserelease
of biological materialsof biological materials (Un-intentional)(Un-intentional)
 Both involve conducting aBoth involve conducting a risk assessmentrisk assessment to mitigateto mitigate
risksrisks
Biosecurity vs. BiosafetyBiosecurity vs. Biosafety
The Biosecurity Programme
 Should be adapted to needs of the institution.
 Should include input from scientific personnel and
laboratory management, biosafety officers,
maintenance, IT, administrators, and law
enforcement.
 Should be based on a accountability for pathogens:
Storage location
Identification of personnel with access
Description of use
Documentation of transfers
Inactivation or disposal of materials
Laboratory Biosecurity Programs
 Are intended to protect pathogens, toxins and
security-related information from theft.
 Achieved by instituting a culture of responsibility
 Restricts access to dangerous pathogens and
toxins to authorized persons and
 Establishing accountability over these materials
based on assessment of security risks
 Graded security measures
Institutional Laboratory Biosecurity
Protocols Should Include How to Handle:
 Breaches or near-breaches in laboratory biosecurity
including:
 Incident notification
 Reporting protocols
 Investigation reports
 Recommendations and remedies
 Oversight and guidance through the Biosafety
Committee
 Should establish means to identify, report, investigate, and
remediate breaches in biosecurity.
 Should describe specific training for personnel
 Should become part of routine laboratory work
Biosecurity Challenges
 Preventing undue interference with day to day lab activities
 Ensuring efficient sharing of research and reference
materials, specimens and information
 Providing legitimate access to important materials and
research
 Assuring compliance with national and institutional
standards
 The WHO has published guidance on Laboratory Biosecurity
 Each institution will have a unique biosecurity programme
based on identified vulnerabilities
Biosafety?
Biosafety:Biosafety:
 Laboratory biosafety refers to
containment principles,
technologies and practices to
prevent unintentional exposure
to pathogens and toxins, or
their accidental release.
 Applying a combination ofApplying a combination of
laboratory practices andlaboratory practices and
procedures, laboratoryprocedures, laboratory
facilities, and safety equipmentfacilities, and safety equipment
when working with potentiallywhen working with potentially
infectious microorganisms.infectious microorganisms.
What is Biosafety?
Sunday, Sep. 20, 2009
Did the Plague Kill Illinois Scientist?
By AP
(AP / CHICAGO) — The University of Chicago Medical Center says the
infection that killed a scientist may be connected to bacteria he
researched that causes the plague.
The university said Saturday that its researcher studied the genetics
of harmful bacteria including Yersinia pestis, which causes the
illness. He died Sept. 13. His name and age haven't been released
The medical center says the bacteria he worked with was a weakened
strain that isn't known to cause illness in healthy adults. The
strain was approved by the Centers for Disease Control and
Prevention for laboratory studies.
An autopsy found no obvious cause of death but did find the
presence of the bacteria. More tests are planned. No other
illnesses have been reported.
Biosafety in Various Disciplines
Biosafety is related to several fields
 ECOLOGY: referring to imported life forms not
indigenous to the region (Reggie the alligator)
 AGRICULTURE: reducing the risk of alien viral or
transgenic genes, or prions such as
BSE/"MadCow“; reducing the risk of food
bacterial contamination
 MEDICINE: referring to organs or tissues from
biological origin, or genetic therapy products,
virus; levels of lab containment protocols BSL-1,
2, 3, 4 in rising order of danger
 CHEMISTRY: Nitrates in water, PCB
(polychlorinated biphenyls) levels affecting
fertility
 EXOBIOLOGY: i.e., NASA's policy for containing
alien microbes that may exist on space samples -
sometimes called "biosafety level 5"
Biosafety in Academic Research
 Research Universities:
Promoting safe
laboratory practices and
procedures; proper use
of containment
equipment and
facilities; provides
advice on laboratory
design and risk
assessment of
experiments involving
infectious agents, rDNA
in-vitro and in-vivo.
Biohazard Symbol
 The biohazard symbol was developed in 1966 by
Charles Baldwin, an environmental-health
engineer working for the Dow Chemical
Company on the containment products
 Symbol to be “memorable but meaningless” so it
could be learned.
 Striking in form in order to draw immediate
attention;
 Unique and unambiguous, in order not to be
confused with symbols used for other purposes;
 Quickly recognizable and easily recalled;
 Easily stenciled;
 Symmetrical, in order to appear identical from all
angles of approach;
 Acceptable to groups of varying ethnic
backgrounds.
The chosen symbol scored the best on nationwide
testing for memorability.
 Blaze orange – most visible under harsh
conditions
Biosafety Issues
 Laboratory Safety
 Bloodborne pathogens (BBP)
 Respiratory Protection
 Recombinant DNA (rDNA)
 Biological waste disposal
 Infectious substance and diagnostic specimen
shipping
 Bioterrorism and Select agents
 Mold, mould spores and indoor air quality
 Occupational safety and health in the use of research
animals
 Biohazards used in animal models
Biohazardous Materials
 Viruses
 Bacteria
 Fungi
 Chlamydiae/Rickettsiae
 Prions
 Recombinant DNA
 Transgenic Plants, Animals and Insects
 Human and Primate Cells, Tissues, and
Body Fluids
 Brain Tissue from Demented Patients
 Viral Vectors
 Replication deficient viruses
Biosafety In Microbiological and
Biomedical Laboratories “BMBL”
(acronym)
CDC/NIH Publication
Safety “Guidelines”
Regulations of Institution
receives
NIH funding
Code of Practice and “Gold”
Standard in Industry
“Guidelines” does not mean
“optional”
They are a term and condition of
NIH funding for recombinant DNA
research.
Clinical & Research Lab.
Biosafety Concepts
HHS Publication No. (CDC) 93-8395
Biosafety Concepts from the BMBL
Principles of Biosafety
1. Practice and Procedures
 Standard Practices
 Special Practices & Considerations
1. Safety Equipment
2. Facility Design and Construction
3. Increasing levels of protection
Biosafety Concepts: The BMBL
Standard Microbiological Practices
 Most important concept
 Strict adherence
 Aware of potential hazard
 Trained & proficient in techniques
 Supervisors responsible for:
 Appropriate Laboratory facilities
 Personnel & Training
Special practices & precautions
 Occupational Health Programs
Standard Lab Procedures
Hygienic Practices
 No Smoking, Eating, drinking, applying
cosmetics, lip balm, contacts in
laboratory work areas - Hand to mouth
transmission of disease is a common
route of exposure while handling
biological agents.
 Do not store or heat/chill food or
beverages in the lab.
 Prohibit mouth pipetting- Mechanical
pipetting devices should be used for
manipulating all liquids in the
laboratory
 Wash hands before/after procedures
with disinfectant soap.
 Decontaminate lab bench before and
after work
 Restrict or limit access when conducting
research experiments
General Operational Practices
 Proper attire
 Minimum – lab coat, safety glasses, gloves
 Plan your work
 Know in advance what you are working with
 Read available resources
Personal Protective Equipment
(PPEs)
 Use personal protective
equipment to prevent skin/
mucous membrane exposure
during agent use, such as:
Lab coat
Gloves
Safety glasses/ face shield
Closed toe shoes/ foot covers
Face Mask/ Respiratory
protection (BL-3 agents)
Minimize Sharps Usage
 Needles must not be re-
capped, re-used, bent, break,
sheared or removed from a
disposable syringe.
 All used sharps must be placed
in a rigid, hard-plastic,
puncture-resistant container
for disposal.
 DON’T place needles or sharps
in office waste containers.
 Use alternatives to needles
when available.
 Substitute plastic for glass
whenever possible.
Handwashing
 Hands should be washed:
 immediately and
thoroughly with a
disinfectant hand soap, if
contaminated with
biological agents.
 after gloves are
compromised or removed
 with water and soap after
a puncture wound
 If a sink is not available (e.g.
equipment room), consider
the use of disinfectant
towelettes in these areas.
Minimize Aerosol Generation
 To avoid inhalation exposure to agents, workers must minimize
the potential generation of aerosols.
 These procedures include but are not limited to:
 Grinding,
 Blending,
 Mixing
 Vortexing
 Sonicating
 Centrifuging
 Work on the open bench top should be limited whenever
conducting these procedures.
 Decontaminate work surfaces daily
 Decontaminate infectious waste
 Maintain an insect & rodent control program
Use Biosafety Cabinets
 Biological safety cabinets are:
 Used for product/personnel protection
 Used for aerosol generating procedures
 Disinfected after use
 Certified annually
 Not recommended for chemical or radioisotope usage.
Decontaminate Work Surfaces
Laboratory work surfaces should be decontaminated with an
appropriate chemical disinfectant.
 Before the work
 When work activities are completed.
 After a spill of biohazardous materials
Disinfectant Selection
Disinfectants must be selected on a case by case basis to ensure
efficiency.
 Quaternary Ammonia Compounds
 Chloride Compounds (Bleach)
 Iodophores (Wescodyne)
 Phenolics (Amphyl)
 Alcohols (70% Ethanol)
 Formaldehyde/ Glutaraldehyde
Infectious Waste Disposal
 Ensure that:
Infectious waste is placed in a red bag lined bin.
Sharps waste is placed in a sharps container
Mixed chemical-biological waste is handled as
chemical waste
Mixed radioactive-biological waste is handled as
radioactive waste
Hazard Communication
Biohazard labels shall be
placed on:
The surface of all equipment
(freezers, incubators,
refrigerators) which may be
containing/ contaminated with
biohazardous materials.
Sample transport outer
containers.
The outer door of BL 2 labs.
Medical waste bins
Medical waste storage areas
Biosafety Issues: The BMBL
(2) Safety Equipment
 Primary Containment Barrier
 Biological Safety Cabinets
 Minimize exposure to hazard
 Prevent contact / Contain aerosols
 Personal Protective Equipment (PPE)
 Gloves, gowns, Respirator, face mask,
Face shield, eye protective devices,
Booties
 Covered or ventilated animal cage
systems
Biosafety Concepts: The BMBL
(3) Facility Design and Construction
 Secondary Barrier/ Engineering controls
 Contributes to worker protection
 Protects outside the laboratory
 Environment & Neighborhood
 Ex. Building & Lab design, Ventilation, Autoclaves,
Cage wash facilities, etc.
Classification of Infectious Agents
 Classified into risk groups on the basis of risk to the individual
and to the community.
 Currently, 4 risk group levels have been designated: the least
risk (RG-1) to the most risk (RG-4). NIH Guidelines, Appendix B
 This classification based on:
 Capability to infect and cause disease
 Severity of disease
 Availability of preventive measures and effective treatments
Other characteristics to consider include:
 Infective dose
 Stability in environment
 Host range
 Probable routes of transmission
 Endemic nature
• This risk group classification meant for laboratory work only
RG-1 Agents
 Not associated with disease in healthy adult humans.
 No or low individual and community risk
 Generally only require a laboratory with minimal
containment
 Biosafety Level 1
 “Declaration of Dangerous Goods” is not generally
required for transportation by air.
 Classified as a diagnostic specimen
RG-2 Agents
 Associated with human disease which is rarely
serious.
 Moderate individual risk but low community risk
 Preventative and therapeutic interventions are
available.
 Generally require a laboratory with moderate
containment.
 Biosafety Level 2
 “Declaration of Dangerous Goods” required for
shipment.
RG-3 Agents
 Associated with serious or lethal disease.
 High individual risk but low community risk
 Preventative or therapeutic interventions may be
available.
 Generally require a laboratory with high level
containments
 Biosafety level 3
 “Declaration of Dangerous Goods” required for
shipment.
RG-4 Agents
 Likely to cause serious or lethal human disease
 High individual and high community risk
 Preventative or therapeutic interventions are
not usually available.
 Require a laboratory with extensive high-level
containment
 Biosafety level 4
 Research on these agents are allowed only in
those campus where a BSL-4 containment lab is
currently available.
W.H.O. Agent Risk Group Classification
Risk Group vs Biosafety Level
 Biosafety risk assessment
 To determine the risk group of a biological agent
 RG-2 organisms are generally handled in BSL-2
containment and RG-3 in BSL-3.
 Exceptions
 RG-2 agents used in large quantities may require BSL-3
containment
 RG-3 agents under some circumstances may be manipulated
at BSL-2 containment.
 Institutional Biosafety Committee (IBSC) approves the
level of laboratory containment required following an
IBC protocol review.
Biosafety Levels
Biosafety Level-1 (BSL-1 or ABSL-1)
 Agents not known to cause disease (in healthy
human adults; now healthy immunocompetent adults) i.e. Well
characterized agents.
 Prophylactic treatment available
 Open bench procedures
 Animals in open cage system or open
environment (outdoors)
 Good laboratory practices
BSL-1 Practices
 Bench-top work allowed
 Daily Decontamination
 Manual pipetting
 Required Handwashing
 Red bag waste
 Biosafety cabinet not
required (unless creating
aerosols)
 2˚ containment
Risk Group 1 Agents
 E. coli K-12, Bacillus subtilis, Adenoasociated viruses 1-
4, T4 bacteriophages, Saccharomyces cerevisiae,
Rhizopus stolonifer, Candida albicans, Pseudomonas
Infectious canine hepatitis
 Transgenic Plants
 Plasmids
 Fungi
 Mold
 Yeast
BSL-1 Containment Overview
 RG-1 Agents
 Not known to cause disease in healthy adult humans
 Practices
 Standard microbiological practices
 Safety equipment
 Minimal requirements
 Facilities
 Open bench top
Bio-safety Level-2
 Agents associated w/ human
disease
 Treatment for disease available
 Agent poses moderate hazard to
personnel and environment
 Direct contact or exposure
 Percutaneous exposure
 Scratch, Puncture, Needle
stick
 Mucus membrane exposure
 Eyes, Mouth, open cut
BSL-2 Practices & Procedures
 Limited access to lab when
work in progress
 Daily decontamination
 Mechanical pipetting
 Lab coat, safety glasses and
gloves required
 Red bag & sharps containers
required
 Biohazard Sign posted at
entrance to lab
 Label all equipment
(incubators, freezers, etc.)
 Documented training
 Baseline serology or pre-
vaccination may be required
 TC room – negative air flow
Risk Group 2 Agents
 S. aureus, Bordetella pertussis,
Corynebacterium diphthriae,
Other E coli, Nisseria gonorrhoea
 Streptococcus pyogenes, Vibrio
cholerae, Klesiella spp., Proteus,
Serratia marcescens,
 Rabies,
 Hepatitis ABC
 Cryptococcus neoformans,
 Most parasitic agents
 Human or Primate Cells
 Herpes Simplex Virus
 Replication Incompetent
Attenuated Human
Immunodeficiency Virus
 Patient specimens
BSL-2 Containment Overview
 RG-2 Agents
 Associated with mild to moderate disease in humans
 Practices
 BSL-1 plus limited access.
 Safety equipment
 Biological Safety Cabinet and personal protective
equipment as needed.
 Facilities
 BSL-1 plus the availability of a mechanism for
decontamination.
Biosafety Level 3: Working in High Containment
Biosafety Level-3 (BSL-3 or ABSL-3)
 Indigenous or exotic agents
 Aerosol transmission
 Serious health effects
 Treatment may or may not exist
BSL-3 Practices
 Public access NOT permitted
 Daily decontamination upon completion of
experiment and after spill
 Required foot activated hand washing sink
and controls
 No sharps unless absolutely necessary
 Aerosol minimization procedures required
 Wrap around disposable clothing is
required.
 Autoclave required and waste is disposed at
the end of day
 Specialized equipment may be required
depending upon procedures
BSL-3 Practices (con’t)
 Biohazard Signs and labels posted
 Air flow from low hazard to high hazard “Pressure
Mapping”
 Bench top work not permitted
 Documented training and personnel competency
certification (for BSL-3 procedures)
 Baseline serology
 Spills – report immediately and treat accordingly
 Vaccinations/ post exposure protocols and SOP’s,
Biosafety Manual, Biosafety Officer
Risk Group 3 Agents
 SARS
 Rift valley fever
 Human Immunodeficiency
Virus
 Yellow fever virus
 VEE virus
 Hanta virus
 Prions
 M. tuberculosis, M. bovis
 Coxiella burnetii
 B. abortus
 Bacillus anthracis,
 Yersinia pestis
 Pasteurella multocida
 Coccidiodes immitis
 Plasmodium
 Trypanosoma
 No parasitic agents
BSL-3 Containment Overview
 RG-3 Agents
 Associated with serious or potentially lethal disease
in humans
 Practices
 BSL-2 plus controlled access.
 Safety equipment
 Biological Safety Cabinet and personal protective
equipment required.
 Facilities
 BSL-2 with self-closing double door access and
single-pass negative directional airflow.
BSL-3
Biosafety Level-4: Working in High Containment
Biosafety Level-4
 Builds on BSL-3/ ABSL-3 practices
 Maximum containment facilities
 Pressurized Containment Suite
 BSL-3 + Class III Biosafety Cabinet
 Chemical decontamination showers
 Liquid effluent collection / decontamination
 BSL-4: High Safety Animal Disease Laboratory, Bhopal
(National Institute of High Security Animal Diseases)
Biosafety Level-4 (BSL-4 or ABSL-4) practices
 Dangerous/exotic agents
 Life threatening disease
 Aerosol transmission
 Agents of unknown risk of transmission or
health affects
 No known treatment
Risk Group 4 agents
 Ebola Hemmorrhagic Fever
Virus
 Marburg Virus
 Lassa Fever Virus
 Machupo virus
 Crimean congo Haemorrhagic
viruses, Bolivian and Argentine
Haemorrhagic fever viruses
 Some encephalitis viruses
 Herpesvirus simiae
 No bacterial agents
 No fungal agents
 No parasitic agents
Animal Biosafety Level-4: Working in High Containment
BSL-4 Containment Overview
 RG-4 Agents
 Associated with high risk of life-threatening disease in humans
and/or animals
 Practices
 BSL-3 plus controlled access
 Safety equipment
 Biological Safety Cabinet
 Full-body air-supplied, positive pressure personnel suit
 Facilities
 BSL-3 plus dedicated air and exhaust, decontamination
procedures for exit, separate building, etc.
BSL Agents Microbiology
Practices
Safety Equipment
(Primary Barriers)
Facilities
(Secondary Barriers)
1
Not known to
consistently cause
disease in healthy
adults
Standard Microbiological
Practices
None required Open bench top sink
required
2
Associated with
human disease,
hazard equals
percutaneous injury,
ingestion, mucous
membrane exposure
BSL-1 plus: Limited
access, biohazard warning
signs, “sharps”
precautions, biosafety
manual defining waste
decontamination &
medical surveillance
policies
Class I or II BSCs or
other physical
containment for
manipulations of
agents that cause
splashes or aerosols
of infectious materials,
PPE: lab coats, gloves,
face protection as
needed
BSL-1 plus: Autoclave
3
Indigenous or exotic
agents with potential
aerosol transmission;
may have serious or
lethal consequences
BSL-2 plus: Controlled
access; Decontamination
of all waste & lab clothing
before laundering;
Baseline serum
Class I or II BCSs or
other physical
containment for all
manipulations; PPE:
protective clothing;
gloves; respiratory
protection as needed
BSL-2 plus: Physical
separation from
corridors; Self-closing,
double-door access;
Exhausted air not
recirculated; Negative
airflow into laboratory
4
Dangerous/ exotic
agents with high risk
of life-threatening
disease, aerosol-
transmitted
infections; or related
agents with unknown
risk of transmission
BSL-3 practices plus:
Clothing change before
entering, shower on exit,
all material
decontaminated on exit
All procedures in
Class III BSCs or Class
I or II BSCs in
combination with full-
body, air-supplied,
positive pressure
personnel suit
BSL-3 plus: Separate
building or isolated
zone, dedicated
supply, exhaust,
vacuum, & decon
systems; other
requirements.
Recommended Biosafety Levels for Infectious Agents
“Biosafety in Microbiological and Biomedical Laboratories”,5th Ed
Type of hazard Image
Generic caution
Poison
Ionizing radiation
Radiation – high-level
source
Non-ionizing radiation
Biological hazard
Carcinogen
High voltage
Laser hazard
Chemical weapon
Hazard Symbols
Thanks
Acknowledgement: All the material/presentations available online on
the subject are duly acknowledged.
Disclaimer: The author bear no responsibility with regard to the source
and authenticity of the content.
Questions???

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Safety considerations and guidelines veterinary microbiology laboratory

  • 1. Safety Considerations and Guidelines for Veterinary Microbiology Laboratory Dr Ravi Kant Agrawal, MVSc, PhD Senior Scientist (Veterinary Microbiology) Food Microbiology Laboratory Division of Livestock Products Technology ICAR-Indian Veterinary Research Institute Izatnagar 243122 (UP) India
  • 2. Biohazard:Biohazard: An agent of biological origin that has the capacityAn agent of biological origin that has the capacity to produce harmful effects on humans;to produce harmful effects on humans; i.e.i.e. microorganisms, toxins and allergens derived frommicroorganisms, toxins and allergens derived from those organisms, and allergens and toxins derivedthose organisms, and allergens and toxins derived from plants or animals.from plants or animals.
  • 3. Biosafety:Biosafety: Laboratory biosafety refers to containment principles, technologies and practices to prevent unintentional exposure to pathogens and toxins, or their accidental release. Applying a combination ofApplying a combination of laboratory practices andlaboratory practices and procedures, laboratoryprocedures, laboratory facilities, and safetyfacilities, and safety equipment when working withequipment when working with potentially infectiouspotentially infectious microorganisms.microorganisms.
  • 4. Risk Assessment:Risk Assessment: Addressing laboratory activities involvingAddressing laboratory activities involving infectious or potentially infectious material andinfectious or potentially infectious material and implementing measures to reduce the worker’simplementing measures to reduce the worker’s and environment’s risk of exposure to an agent toand environment’s risk of exposure to an agent to an absolute minimum.an absolute minimum.
  • 5. Chain of InfectionChain of Infection Reservoir of pathogenReservoir of pathogen Portal of escapePortal of escape TransmissionTransmission Route of entry/Route of entry/ infectious doseinfectious dose Susceptible hostSusceptible host Incubation periodIncubation period Risk AssessmentRisk Assessment Practices/Equipm ent Practices/Equipm ent Personal Protective Personal Protective Equipm ent (PPE) Equipm ent (PPE) Im m unizations Im m unizations Surveillance Surveillance Risk Assessm ent Risk Assessm ent
  • 6. Biosecurity:Biosecurity: Protection of high-consequenceProtection of high-consequence microbial agents and toxins, or criticalmicrobial agents and toxins, or critical relevant information, against theft orrelevant information, against theft or diversion by those who intend todiversion by those who intend to pursue intentional misuse.pursue intentional misuse. Laboratory Biosecurity is Biorisk Management “Laboratory biosecurity” refers to institutional and personal security measures designed to prevent the loss, theft, misuse, diversion or intentional release of pathogens and toxins.
  • 7.  BiosecurityBiosecurity refers to ensuring therefers to ensuring the securitysecurity of biologicalof biological materials to prevent theft, illicit use, or releasematerials to prevent theft, illicit use, or release (Intentional)(Intentional)  BiosafetyBiosafety focuses onfocuses on reducing exposurereducing exposure to andto and releaserelease of biological materialsof biological materials (Un-intentional)(Un-intentional)  Both involve conducting aBoth involve conducting a risk assessmentrisk assessment to mitigateto mitigate risksrisks Biosecurity vs. BiosafetyBiosecurity vs. Biosafety
  • 8. The Biosecurity Programme  Should be adapted to needs of the institution.  Should include input from scientific personnel and laboratory management, biosafety officers, maintenance, IT, administrators, and law enforcement.  Should be based on a accountability for pathogens: Storage location Identification of personnel with access Description of use Documentation of transfers Inactivation or disposal of materials
  • 9. Laboratory Biosecurity Programs  Are intended to protect pathogens, toxins and security-related information from theft.  Achieved by instituting a culture of responsibility  Restricts access to dangerous pathogens and toxins to authorized persons and  Establishing accountability over these materials based on assessment of security risks  Graded security measures
  • 10. Institutional Laboratory Biosecurity Protocols Should Include How to Handle:  Breaches or near-breaches in laboratory biosecurity including:  Incident notification  Reporting protocols  Investigation reports  Recommendations and remedies  Oversight and guidance through the Biosafety Committee  Should establish means to identify, report, investigate, and remediate breaches in biosecurity.  Should describe specific training for personnel  Should become part of routine laboratory work
  • 11. Biosecurity Challenges  Preventing undue interference with day to day lab activities  Ensuring efficient sharing of research and reference materials, specimens and information  Providing legitimate access to important materials and research  Assuring compliance with national and institutional standards  The WHO has published guidance on Laboratory Biosecurity  Each institution will have a unique biosecurity programme based on identified vulnerabilities
  • 12. Biosafety? Biosafety:Biosafety:  Laboratory biosafety refers to containment principles, technologies and practices to prevent unintentional exposure to pathogens and toxins, or their accidental release.  Applying a combination ofApplying a combination of laboratory practices andlaboratory practices and procedures, laboratoryprocedures, laboratory facilities, and safety equipmentfacilities, and safety equipment when working with potentiallywhen working with potentially infectious microorganisms.infectious microorganisms.
  • 13. What is Biosafety? Sunday, Sep. 20, 2009 Did the Plague Kill Illinois Scientist? By AP (AP / CHICAGO) — The University of Chicago Medical Center says the infection that killed a scientist may be connected to bacteria he researched that causes the plague. The university said Saturday that its researcher studied the genetics of harmful bacteria including Yersinia pestis, which causes the illness. He died Sept. 13. His name and age haven't been released The medical center says the bacteria he worked with was a weakened strain that isn't known to cause illness in healthy adults. The strain was approved by the Centers for Disease Control and Prevention for laboratory studies. An autopsy found no obvious cause of death but did find the presence of the bacteria. More tests are planned. No other illnesses have been reported.
  • 14. Biosafety in Various Disciplines Biosafety is related to several fields  ECOLOGY: referring to imported life forms not indigenous to the region (Reggie the alligator)  AGRICULTURE: reducing the risk of alien viral or transgenic genes, or prions such as BSE/"MadCow“; reducing the risk of food bacterial contamination  MEDICINE: referring to organs or tissues from biological origin, or genetic therapy products, virus; levels of lab containment protocols BSL-1, 2, 3, 4 in rising order of danger  CHEMISTRY: Nitrates in water, PCB (polychlorinated biphenyls) levels affecting fertility  EXOBIOLOGY: i.e., NASA's policy for containing alien microbes that may exist on space samples - sometimes called "biosafety level 5"
  • 15. Biosafety in Academic Research  Research Universities: Promoting safe laboratory practices and procedures; proper use of containment equipment and facilities; provides advice on laboratory design and risk assessment of experiments involving infectious agents, rDNA in-vitro and in-vivo.
  • 16. Biohazard Symbol  The biohazard symbol was developed in 1966 by Charles Baldwin, an environmental-health engineer working for the Dow Chemical Company on the containment products  Symbol to be “memorable but meaningless” so it could be learned.  Striking in form in order to draw immediate attention;  Unique and unambiguous, in order not to be confused with symbols used for other purposes;  Quickly recognizable and easily recalled;  Easily stenciled;  Symmetrical, in order to appear identical from all angles of approach;  Acceptable to groups of varying ethnic backgrounds. The chosen symbol scored the best on nationwide testing for memorability.  Blaze orange – most visible under harsh conditions
  • 17. Biosafety Issues  Laboratory Safety  Bloodborne pathogens (BBP)  Respiratory Protection  Recombinant DNA (rDNA)  Biological waste disposal  Infectious substance and diagnostic specimen shipping  Bioterrorism and Select agents  Mold, mould spores and indoor air quality  Occupational safety and health in the use of research animals  Biohazards used in animal models
  • 18. Biohazardous Materials  Viruses  Bacteria  Fungi  Chlamydiae/Rickettsiae  Prions  Recombinant DNA  Transgenic Plants, Animals and Insects  Human and Primate Cells, Tissues, and Body Fluids  Brain Tissue from Demented Patients  Viral Vectors  Replication deficient viruses
  • 19. Biosafety In Microbiological and Biomedical Laboratories “BMBL” (acronym) CDC/NIH Publication Safety “Guidelines” Regulations of Institution receives NIH funding Code of Practice and “Gold” Standard in Industry “Guidelines” does not mean “optional” They are a term and condition of NIH funding for recombinant DNA research. Clinical & Research Lab. Biosafety Concepts HHS Publication No. (CDC) 93-8395
  • 20. Biosafety Concepts from the BMBL Principles of Biosafety 1. Practice and Procedures  Standard Practices  Special Practices & Considerations 1. Safety Equipment 2. Facility Design and Construction 3. Increasing levels of protection
  • 21. Biosafety Concepts: The BMBL Standard Microbiological Practices  Most important concept  Strict adherence  Aware of potential hazard  Trained & proficient in techniques  Supervisors responsible for:  Appropriate Laboratory facilities  Personnel & Training Special practices & precautions  Occupational Health Programs
  • 22. Standard Lab Procedures Hygienic Practices  No Smoking, Eating, drinking, applying cosmetics, lip balm, contacts in laboratory work areas - Hand to mouth transmission of disease is a common route of exposure while handling biological agents.  Do not store or heat/chill food or beverages in the lab.  Prohibit mouth pipetting- Mechanical pipetting devices should be used for manipulating all liquids in the laboratory  Wash hands before/after procedures with disinfectant soap.  Decontaminate lab bench before and after work  Restrict or limit access when conducting research experiments
  • 23. General Operational Practices  Proper attire  Minimum – lab coat, safety glasses, gloves  Plan your work  Know in advance what you are working with  Read available resources
  • 24. Personal Protective Equipment (PPEs)  Use personal protective equipment to prevent skin/ mucous membrane exposure during agent use, such as: Lab coat Gloves Safety glasses/ face shield Closed toe shoes/ foot covers Face Mask/ Respiratory protection (BL-3 agents)
  • 25. Minimize Sharps Usage  Needles must not be re- capped, re-used, bent, break, sheared or removed from a disposable syringe.  All used sharps must be placed in a rigid, hard-plastic, puncture-resistant container for disposal.  DON’T place needles or sharps in office waste containers.  Use alternatives to needles when available.  Substitute plastic for glass whenever possible.
  • 26. Handwashing  Hands should be washed:  immediately and thoroughly with a disinfectant hand soap, if contaminated with biological agents.  after gloves are compromised or removed  with water and soap after a puncture wound  If a sink is not available (e.g. equipment room), consider the use of disinfectant towelettes in these areas.
  • 27. Minimize Aerosol Generation  To avoid inhalation exposure to agents, workers must minimize the potential generation of aerosols.  These procedures include but are not limited to:  Grinding,  Blending,  Mixing  Vortexing  Sonicating  Centrifuging  Work on the open bench top should be limited whenever conducting these procedures.  Decontaminate work surfaces daily  Decontaminate infectious waste  Maintain an insect & rodent control program
  • 28. Use Biosafety Cabinets  Biological safety cabinets are:  Used for product/personnel protection  Used for aerosol generating procedures  Disinfected after use  Certified annually  Not recommended for chemical or radioisotope usage.
  • 29. Decontaminate Work Surfaces Laboratory work surfaces should be decontaminated with an appropriate chemical disinfectant.  Before the work  When work activities are completed.  After a spill of biohazardous materials Disinfectant Selection Disinfectants must be selected on a case by case basis to ensure efficiency.  Quaternary Ammonia Compounds  Chloride Compounds (Bleach)  Iodophores (Wescodyne)  Phenolics (Amphyl)  Alcohols (70% Ethanol)  Formaldehyde/ Glutaraldehyde
  • 30. Infectious Waste Disposal  Ensure that: Infectious waste is placed in a red bag lined bin. Sharps waste is placed in a sharps container Mixed chemical-biological waste is handled as chemical waste Mixed radioactive-biological waste is handled as radioactive waste
  • 31. Hazard Communication Biohazard labels shall be placed on: The surface of all equipment (freezers, incubators, refrigerators) which may be containing/ contaminated with biohazardous materials. Sample transport outer containers. The outer door of BL 2 labs. Medical waste bins Medical waste storage areas
  • 32. Biosafety Issues: The BMBL (2) Safety Equipment  Primary Containment Barrier  Biological Safety Cabinets  Minimize exposure to hazard  Prevent contact / Contain aerosols  Personal Protective Equipment (PPE)  Gloves, gowns, Respirator, face mask, Face shield, eye protective devices, Booties  Covered or ventilated animal cage systems
  • 33. Biosafety Concepts: The BMBL (3) Facility Design and Construction  Secondary Barrier/ Engineering controls  Contributes to worker protection  Protects outside the laboratory  Environment & Neighborhood  Ex. Building & Lab design, Ventilation, Autoclaves, Cage wash facilities, etc.
  • 34. Classification of Infectious Agents  Classified into risk groups on the basis of risk to the individual and to the community.  Currently, 4 risk group levels have been designated: the least risk (RG-1) to the most risk (RG-4). NIH Guidelines, Appendix B  This classification based on:  Capability to infect and cause disease  Severity of disease  Availability of preventive measures and effective treatments Other characteristics to consider include:  Infective dose  Stability in environment  Host range  Probable routes of transmission  Endemic nature • This risk group classification meant for laboratory work only
  • 35. RG-1 Agents  Not associated with disease in healthy adult humans.  No or low individual and community risk  Generally only require a laboratory with minimal containment  Biosafety Level 1  “Declaration of Dangerous Goods” is not generally required for transportation by air.  Classified as a diagnostic specimen
  • 36. RG-2 Agents  Associated with human disease which is rarely serious.  Moderate individual risk but low community risk  Preventative and therapeutic interventions are available.  Generally require a laboratory with moderate containment.  Biosafety Level 2  “Declaration of Dangerous Goods” required for shipment.
  • 37. RG-3 Agents  Associated with serious or lethal disease.  High individual risk but low community risk  Preventative or therapeutic interventions may be available.  Generally require a laboratory with high level containments  Biosafety level 3  “Declaration of Dangerous Goods” required for shipment.
  • 38. RG-4 Agents  Likely to cause serious or lethal human disease  High individual and high community risk  Preventative or therapeutic interventions are not usually available.  Require a laboratory with extensive high-level containment  Biosafety level 4  Research on these agents are allowed only in those campus where a BSL-4 containment lab is currently available.
  • 39. W.H.O. Agent Risk Group Classification
  • 40. Risk Group vs Biosafety Level  Biosafety risk assessment  To determine the risk group of a biological agent  RG-2 organisms are generally handled in BSL-2 containment and RG-3 in BSL-3.  Exceptions  RG-2 agents used in large quantities may require BSL-3 containment  RG-3 agents under some circumstances may be manipulated at BSL-2 containment.  Institutional Biosafety Committee (IBSC) approves the level of laboratory containment required following an IBC protocol review.
  • 41. Biosafety Levels Biosafety Level-1 (BSL-1 or ABSL-1)  Agents not known to cause disease (in healthy human adults; now healthy immunocompetent adults) i.e. Well characterized agents.  Prophylactic treatment available  Open bench procedures  Animals in open cage system or open environment (outdoors)  Good laboratory practices
  • 42. BSL-1 Practices  Bench-top work allowed  Daily Decontamination  Manual pipetting  Required Handwashing  Red bag waste  Biosafety cabinet not required (unless creating aerosols)  2˚ containment
  • 43. Risk Group 1 Agents  E. coli K-12, Bacillus subtilis, Adenoasociated viruses 1- 4, T4 bacteriophages, Saccharomyces cerevisiae, Rhizopus stolonifer, Candida albicans, Pseudomonas Infectious canine hepatitis  Transgenic Plants  Plasmids  Fungi  Mold  Yeast
  • 44. BSL-1 Containment Overview  RG-1 Agents  Not known to cause disease in healthy adult humans  Practices  Standard microbiological practices  Safety equipment  Minimal requirements  Facilities  Open bench top
  • 45. Bio-safety Level-2  Agents associated w/ human disease  Treatment for disease available  Agent poses moderate hazard to personnel and environment  Direct contact or exposure  Percutaneous exposure  Scratch, Puncture, Needle stick  Mucus membrane exposure  Eyes, Mouth, open cut
  • 46. BSL-2 Practices & Procedures  Limited access to lab when work in progress  Daily decontamination  Mechanical pipetting  Lab coat, safety glasses and gloves required  Red bag & sharps containers required  Biohazard Sign posted at entrance to lab  Label all equipment (incubators, freezers, etc.)  Documented training  Baseline serology or pre- vaccination may be required  TC room – negative air flow
  • 47. Risk Group 2 Agents  S. aureus, Bordetella pertussis, Corynebacterium diphthriae, Other E coli, Nisseria gonorrhoea  Streptococcus pyogenes, Vibrio cholerae, Klesiella spp., Proteus, Serratia marcescens,  Rabies,  Hepatitis ABC  Cryptococcus neoformans,  Most parasitic agents  Human or Primate Cells  Herpes Simplex Virus  Replication Incompetent Attenuated Human Immunodeficiency Virus  Patient specimens
  • 48. BSL-2 Containment Overview  RG-2 Agents  Associated with mild to moderate disease in humans  Practices  BSL-1 plus limited access.  Safety equipment  Biological Safety Cabinet and personal protective equipment as needed.  Facilities  BSL-1 plus the availability of a mechanism for decontamination.
  • 49. Biosafety Level 3: Working in High Containment Biosafety Level-3 (BSL-3 or ABSL-3)  Indigenous or exotic agents  Aerosol transmission  Serious health effects  Treatment may or may not exist
  • 50. BSL-3 Practices  Public access NOT permitted  Daily decontamination upon completion of experiment and after spill  Required foot activated hand washing sink and controls  No sharps unless absolutely necessary  Aerosol minimization procedures required  Wrap around disposable clothing is required.  Autoclave required and waste is disposed at the end of day  Specialized equipment may be required depending upon procedures
  • 51. BSL-3 Practices (con’t)  Biohazard Signs and labels posted  Air flow from low hazard to high hazard “Pressure Mapping”  Bench top work not permitted  Documented training and personnel competency certification (for BSL-3 procedures)  Baseline serology  Spills – report immediately and treat accordingly  Vaccinations/ post exposure protocols and SOP’s, Biosafety Manual, Biosafety Officer
  • 52. Risk Group 3 Agents  SARS  Rift valley fever  Human Immunodeficiency Virus  Yellow fever virus  VEE virus  Hanta virus  Prions  M. tuberculosis, M. bovis  Coxiella burnetii  B. abortus  Bacillus anthracis,  Yersinia pestis  Pasteurella multocida  Coccidiodes immitis  Plasmodium  Trypanosoma  No parasitic agents
  • 53. BSL-3 Containment Overview  RG-3 Agents  Associated with serious or potentially lethal disease in humans  Practices  BSL-2 plus controlled access.  Safety equipment  Biological Safety Cabinet and personal protective equipment required.  Facilities  BSL-2 with self-closing double door access and single-pass negative directional airflow.
  • 54. BSL-3
  • 55. Biosafety Level-4: Working in High Containment Biosafety Level-4  Builds on BSL-3/ ABSL-3 practices  Maximum containment facilities  Pressurized Containment Suite  BSL-3 + Class III Biosafety Cabinet  Chemical decontamination showers  Liquid effluent collection / decontamination  BSL-4: High Safety Animal Disease Laboratory, Bhopal (National Institute of High Security Animal Diseases)
  • 56. Biosafety Level-4 (BSL-4 or ABSL-4) practices  Dangerous/exotic agents  Life threatening disease  Aerosol transmission  Agents of unknown risk of transmission or health affects  No known treatment
  • 57. Risk Group 4 agents  Ebola Hemmorrhagic Fever Virus  Marburg Virus  Lassa Fever Virus  Machupo virus  Crimean congo Haemorrhagic viruses, Bolivian and Argentine Haemorrhagic fever viruses  Some encephalitis viruses  Herpesvirus simiae  No bacterial agents  No fungal agents  No parasitic agents
  • 58. Animal Biosafety Level-4: Working in High Containment
  • 59. BSL-4 Containment Overview  RG-4 Agents  Associated with high risk of life-threatening disease in humans and/or animals  Practices  BSL-3 plus controlled access  Safety equipment  Biological Safety Cabinet  Full-body air-supplied, positive pressure personnel suit  Facilities  BSL-3 plus dedicated air and exhaust, decontamination procedures for exit, separate building, etc.
  • 60. BSL Agents Microbiology Practices Safety Equipment (Primary Barriers) Facilities (Secondary Barriers) 1 Not known to consistently cause disease in healthy adults Standard Microbiological Practices None required Open bench top sink required 2 Associated with human disease, hazard equals percutaneous injury, ingestion, mucous membrane exposure BSL-1 plus: Limited access, biohazard warning signs, “sharps” precautions, biosafety manual defining waste decontamination & medical surveillance policies Class I or II BSCs or other physical containment for manipulations of agents that cause splashes or aerosols of infectious materials, PPE: lab coats, gloves, face protection as needed BSL-1 plus: Autoclave 3 Indigenous or exotic agents with potential aerosol transmission; may have serious or lethal consequences BSL-2 plus: Controlled access; Decontamination of all waste & lab clothing before laundering; Baseline serum Class I or II BCSs or other physical containment for all manipulations; PPE: protective clothing; gloves; respiratory protection as needed BSL-2 plus: Physical separation from corridors; Self-closing, double-door access; Exhausted air not recirculated; Negative airflow into laboratory 4 Dangerous/ exotic agents with high risk of life-threatening disease, aerosol- transmitted infections; or related agents with unknown risk of transmission BSL-3 practices plus: Clothing change before entering, shower on exit, all material decontaminated on exit All procedures in Class III BSCs or Class I or II BSCs in combination with full- body, air-supplied, positive pressure personnel suit BSL-3 plus: Separate building or isolated zone, dedicated supply, exhaust, vacuum, & decon systems; other requirements. Recommended Biosafety Levels for Infectious Agents “Biosafety in Microbiological and Biomedical Laboratories”,5th Ed
  • 61. Type of hazard Image Generic caution Poison Ionizing radiation Radiation – high-level source Non-ionizing radiation Biological hazard Carcinogen High voltage Laser hazard Chemical weapon Hazard Symbols
  • 62. Thanks Acknowledgement: All the material/presentations available online on the subject are duly acknowledged. Disclaimer: The author bear no responsibility with regard to the source and authenticity of the content. Questions???

Editor's Notes

  1. The 4th edition of the BMBL (1999) contained the first government writings about security concepts for Select Agents. By inclusion, these ideas can be used by all laboratories that store and use pathogens, particularly those that might be perceived as or used for terrorist purposes.
  2. This classification based on: Capability to infect and cause disease Severity of disease Availabilty of preventive measures and effective treatments Other characteristics to consider include: Probable routes of transmission Infective dose Stability in environment Host range Endemic nature This risk group classification meant for laboratory work only