1887
Perspective Open Access
Like 0

Abstract

Europe-wide activities to improve biosafety and biosecurity performed within the frameworks of the European Union (EU)-funded Joint Actions EMERGE and QUANDHIP led to the development of an Integrated European Checklist for Laboratory Biorisk Management (ECL).

To better understand different approaches shaping biorisk management (BRM) systems on an operational level in high containment laboratories, the ECL was used to map the implementation of BRM in 32 high containment laboratories in 18 countries in Europe. The results suggest that the BRM elements referring to standard microbiological working practices and the handling of infectious material were fulfilled particularly well. The elements safety exercises involving internal and external emergency responders, and appropriate decommissioning plans were not fulfilled particularly well. BRM in Biosafety Level (BSL) 4 laboratories handling Risk Group (RG) 4 viruses appear to vary among each other less than BSL3 laboratories handling RG 3 bacteria. It is important to agree on comparable regulations in Europe as high containment laboratories are indispensable for a safe, quick and effective response to public health threats. As high containment laboratories may also present a public health risk it is crucial to have robust BRM on organisational and operational levels.

Loading

Article metrics loading...

/content/10.2807/1560-7917.ES.2020.25.36.2000089
2020-09-10
2024-12-19
/content/10.2807/1560-7917.ES.2020.25.36.2000089
Loading
Loading full text...

Full text loading...

/deliver/fulltext/eurosurveillance/25/36/eurosurv-25-36-5.html?itemId=/content/10.2807/1560-7917.ES.2020.25.36.2000089&mimeType=html&fmt=ahah

References

  1. World Health Organization (WHO). Laboratory biosafety manual. 3rd ed. Geneva: WHO; 2004. Available from: https://www.who.int/csr/resources/publications/biosafety/Biosafety7.pdf?ua=1
  2. World Health Organization (WHO). Responsible life sciences research for global health security: A guidance document. Geneva: WHO; 2010. Available from: https://www.who.int/csr/resources/publications/HSE_GAR_BDP_2010_2/en/
  3. Oladeinde BH, Omoregie R, Odia I, Osakue EO, Imade OS. Biorisk assessment of medical diagnostic laboratories in Nigeria. Saf Health Work. 2013;4(2):100-4.  https://doi.org/10.1016/j.shaw.2013.04.006  PMID: 23961333 
  4. Miller JM, Astles R, Baszler T, Chapin K, Carey R, Garcia L, et al. Guidelines for safe work practices in human and animal medical diagnostic laboratories. Recommendations of a CDC-convened, Biosafety Blue Ribbon Panel. MMWR Suppl. 2012;61(1):1-102. PMID: 22217667 
  5. Bakanidze L, Imnadze P, Perkins D. Biosafety and biosecurity as essential pillars of international health security and cross-cutting elements of biological nonproliferation. BMC Public Health. 2010;10(Suppl 1):S12.  https://doi.org/10.1186/1471-2458-10-S1-S12  PMID: 21143822 
  6. World Health Organization (WHO). Biorisk management: Laboratory biosecurity guidance. Geneva: WHO; Sep 2006. Available from: https://www.who.int/ihr/publications/WHO_CDS_EPR_2006_6/en/
  7. Shinnick TM, Gilpin C. A Risk Assessment-based Approach to Defining Minimum Biosafety Precautions for Tuberculosis Laboratories in Resource-limited Settings. Appl Biosaf. 2012;17(1):6-10.  https://doi.org/10.1177/153567601201700102 
  8. Pastorino B, de Lamballerie X, Charrel R. Biosafety and Biosecurity in European Containment Level 3 Laboratories: Focus on French Recent Progress and Essential Requirements. Front Public Health. 2017;5:121.  https://doi.org/10.3389/fpubh.2017.00121  PMID: 28620600 
  9. Edmonds J, Lindquist HD, Sabol J, Martinez K, Shadomy S, Cymet T, et al. Multigeneration Cross-Contamination of Mail with Bacillus anthracis Spores. PLoS One. 2016;11(4):e0152225.  https://doi.org/10.1371/journal.pone.0152225  PMID: 27123934 
  10. Wurtz N, Papa A, Hukic M, Di Caro A, Leparc-Goffart I, Leroy E, et al. Survey of laboratory-acquired infections around the world in biosafety level 3 and 4 laboratories. Eur J Clin Microbiol Infect Dis. 2016;35(8):1247-58.  https://doi.org/10.1007/s10096-016-2657-1  PMID: 27234593 
  11. Siengsanan-Lamont J, Blacksell SD. A Review of Laboratory-Acquired Infections in the Asia-Pacific: Understanding Risk and the Need for Improved Biosafety for Veterinary and Zoonotic Diseases. Trop Med Infect Dis. 2018;3(2):36.  https://doi.org/10.3390/tropicalmed3020036  PMID: 30274433 
  12. Bienek A, Heisz M, Su M. Surveillance of laboratory exposures to human pathogens and toxins: Canada 2016. Can Commun Dis Rep. 2017;43(11):228-35.  https://doi.org/10.14745/ccdr.v43i11a04  PMID: 29770052 
  13. Pomerleau-Normandin D, Heisz M, Tanguay F. Surveillance of laboratory exposures to human pathogens and toxins: Canada 2017. Can Commun Dis Rep. 2018;44(11):297-304.  https://doi.org/10.14745/ccdr.v44i11a05  PMID: 30996692 
  14. Grunow R, Ippolito G, Jacob D, Sauer U, Rohleder A, Di Caro A, et al. Benefits of a European project on diagnostics of highly pathogenic agents and assessment of potential "dual use" issues. Front Public Health. 2014;2:199.  https://doi.org/10.3389/fpubh.2014.00199  PMID: 25426479 
  15. Lloyd G, Ippolito G, Di Caro A, Vincenti D, Brave A, Strasser M, et al. Integrated European Checklist for Laboratory Biorisk Management in Handling of High Consequence Risk Group 3 and 4 Agents (ECL-Biorisk). Belin: Robert Koch Institute; 2016. Available from: https://www.emerge.rki.eu/Emerge/EN/Content/Topics/Topics_node.html;jsessionid=CD4BD9C9D2A4CD6A37DC495EDB1515CE.2_cid298
  16. McKinley DW, Boulet JR. Using factor analysis to evaluate checklist items. Acad Med. 2005;80(10) Suppl;S102-5.  https://doi.org/10.1097/00001888-200510001-00027  PMID: 16199446 
  17. Lord FM. The relation of the reliability of multiple-choice tests to the distribution of item difficulties. Psychometrika. 1952;17(2):181-94.  https://doi.org/10.1007/BF02288781 
  18. Hingorjo MR, Jaleel F. Analysis of one-best MCQs: the difficulty index, discrimination index and distractor efficiency. J Pak Med Assoc. 2012;62(2):142-7. PMID: 22755376 
  19. Aponik DA, Dembo MH. LD and Normal Adolescents’ Causal Attributions of Success and Failure at Different Levels of Task Difficulty. Learn Disabil Q. 1983;6(1):31-9.  https://doi.org/10.2307/1510860 
  20. Merler S, Ajelli M, Fumanelli L, Vespignani A. Containing the accidental laboratory escape of potential pandemic influenza viruses. BMC Med. 2013;11(1):252.  https://doi.org/10.1186/1741-7015-11-252  PMID: 24283203 
/content/10.2807/1560-7917.ES.2020.25.36.2000089
Loading

Data & Media loading...

Supplementary data

Submit comment
Close
Comment moderation successfully completed
This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error