BASIC CONCEPTS ON LABORATORY aggressively pursued the eradication of the Virus
BIOSAFETY AND BIOSECURITY (College of Physicians of Philadelphia 2014).
World Health Assembly consolidated the BRIEF HISTORY OF LAB. BIOSAFETY remaining virus stocks into two locations: the • Individuals who handle and process Center for Disease Control and Prevention (CDC) in the United States microbiological Specimen are vulnerable to State Research Center of Virology and pathogenic microorganisms which are possible Biotechnology VECTOR (SRCVB VECTOR) sources of laboratory acquired infections (LAI). in Russia. • Laboratory biosafety and biosecurity traces its BIOSAFETY LEVELS ARE: history in North America and Western Europe. The technical means of mitigating the • The origins of biosafety is rooted in the US risk of accidental infection from or biological weapons program which began in release. of agents in the laboratory 1943, as ordered by then US President Franklin setting as well as the community and Roosevelt and was active during the Cold war. environment it is situated in. • It was eventually terminated by US President concentrated in a combination of engineered controls, administrative Richard Nixon in 1969. controls, and practices, After the Second World War, Camp Detrick Emphasizing the equipment and facility was designated a permanent installation for controls with little attention given to risk biological research and development. assessment Biosafety was an inherent component of This progress in biosafety practice continued biological weapons development. until the emergence of a community of Later on, Newell A. Johnson designed “biosafety officers” who adopted the modifications for biosafety at Camp Detrick. administrative role of ensuring that the proper He engaged some of Camp Detrick’s equipment and facility controls are in place leading scientists about the nature of based on the specified biosafety level of the their work and developed specific laboratory. technical solutions such as Class III Arnold Wedum safety cabinets and laminar flow director of Industrial Health and Safety hoods to address specific risks. at the US Army Biological Research Consequent meetings eventually led to the Laboratories in 1944. formation of the American Biological Safety recognized as one Of the pioneers of Association (ABSA) in 1984. biosafety that provided the foundation The association held annual meetings for evaluating the risks of handling that soon became the ABSA annual infectious microorganisms and for conferences (Salerno et al., 2015). recognizing biological hazards and Outside USA: Arnold Wedum developing practices, equipment, and described the use of mechanical pipettors to facility safeguards for their control. prevent laboratory-acquired infections in 1907 In 1966, Wedum and microbiologist Morton and 1908 (Kruse (1991), cited by Salerno, 2015). Reitman VENTILATED CABINETS colleagues at Fort Detrick early progenitors to the nearly analyzed multiple epidemiological ubiquitous engineered control now studies of laboratory-based outbreaks; known as the biological safety cabinet, 1996, the US government were also first documented outside of enacted the Select Agent Regulations the US biological weapons program. to monitor the transfer of a select list of In 1909, a pharmaceutical company in biological agents from one facility to Pennsylvania developed a ventilated cabinet to another. prevent infection from Mycobacterium Anthrax attacks of 2001, also known as tuberculosis. Amerithrax, At the height of increasing mortality and revised Select Agent Regulations = morbidity due to smallpox in 1967, WHO required Specific security measures for Basic Concepts on Laboratory Biosafety and Biosecurity |Page 1 of 6 Prepared by: Mr. D.N.P. Sumulong, RMT This copy is for students of MTY 1201 – Principles of Medical Technology Practice 1 ONLY. Unauthorized duplication of this document is strictly prohibited. DEPARTMENT OF MEDICAL TECHNOLOGY, FAR EASTERN UNIVERSITY - MANILA any facility In the United States that LOCAL AND INTERNATIONAL GUIDELINES used or stored one or more ' agents on ON LAB BIOSAFETY & BIOSECURITY the new, longer list of agents. Revision of the Select Agent Regulations in February 2008, Comité Européen de 2012 Normalisation (CEN), sought to address the creation of two European Committee for Standardization tiers of select agents published the CEN Workshop Agreement to make the regulations more risk-based 15793 (CWA 15793) TIER 1 AGENTS focuses on laboratory biorisk management materials that pose the greatest offers a mechanism where stakeholders can risk of deliberate misuse, and develop consensus standards and the remaining select agents. requirements in an open process. additional security measures can be applied to international stakeholders, Other countries also relatively however, they do not have the force of implemented and prescribed regulation while conformity is voluntary. biosecurity regulations for developed among experts from 24 different bioscience facilities. countries including Argentina, Australia, Singapore’s Biological Agents and Toxins Act Belgium, Canada, China, Denmark, similar in scope with the US regulations Germany, Ghana, UK, US, among others. but with more severe penalties for updated in 2011 and intended to maintain a noncompliance (Republic of Singapore biorisk management system among diverse 2005). organizations and set out performance-based South Korea, the Act on Prevention of requirements with the exclusion of guidance Infectious Diseases in 2005 for implementing a national biosafety amended to require institutions that system work with listed “highly dangerous Since it originated in the European pathogens” to implement laboratory workshop agreement framework, confusion biosafety and biosecurity requirements among countries outside Europe arose to prevent the loss, theft, diversion, especially in the United States in terms of its release, or misuse of these agents. applicability. In Japan, the Infectious Disease Control Law Nevertheless, the agreement was used until recently amended under Japans Ministry it officially expired in 2014. of Health, Labor, and Welfare. WHO in 1983 published its 3rd edition of the It also established four schedules of Laboratory Biosafety Manual select agents that are subject to different To address concerns on biosafety reporting and handling requirement for guidance for research and health possession, transport and other activities laboratories, issues On risk assessment Then in Canada, Canadian containment level and guidance to commission and certify (CL) 3 and CL4 facilities laboratories Work with risk group 3 or 4 includes information on the different required to undergo certification levels of containment laboratories In 2008, the Danish parliament passed a law that (Biosafety levels 1-4), gives the Minister of Health and different types of biological Safety Prevention the authority to regulate the cabinets, possession, manufacture, use, storage, good microbiological techniques, and sale, purchase or other transfer, how to disinfect and sterilize equipment distribution, transport, and disposal of covers the packaging required by listed biological agents. international transport regulations Around the world, other types of safety procedures for biosecurity implementation has become chemical, electrical, ionizing radiation, a purely administrative activity based on and fire hazards. a government-developed checklist
Basic Concepts on Laboratory Biosafety and Biosecurity |Page 2 of 6
Prepared by: Mr. D.N.P. Sumulong, RMT This copy is for students of MTY 1201 – Principles of Medical Technology Practice 1 ONLY. Unauthorized duplication of this document is strictly prohibited. DEPARTMENT OF MEDICAL TECHNOLOGY, FAR EASTERN UNIVERSITY - MANILA emphasis on the continuous monitoring considered as an expansion of the and improvement directed by a biosafety NCBP, which since 1987 has played an officer and the biosafety committee important role in pioneering the Unfortunately, there is no mechanism to establishment and development of the insure that the WHO biosafety guidance current biosafety system of the country is being adhered to, or that people and was acknowledged as a model working in laboratories are sufficiently system for developing countries trained. The Department of Agriculture (DA) also issued The Cartagena Protocol on Biosafety (CPB) Administrative Order No. 8 2003 to set in place policies on the applies to the 168 member-countries importation and release. of plants and provides an international regulatory plant products derived from modern framework biotechnology. to ensure “an adequate level of The Department of Health (DOH), together with protection in the field of safe transfer, NCBP, handling, and use of living modified formulated guidelines in the assessment organisms (LMOS) resulting from of the impacts on health posed by modern biotechnology.” modern biotechnology and its The regulations primarily tackle the safe applications transfer, handling, and use of LMOs that aid in evaluating and monitoring may have adverse effects on the processed food derived from or conservation of biological diversity containing GMO except those that are used for Currently, DOH, in the midst of technological pharmaceuticals purpose. advances, recognizes the need to update the Provides a framework for assessing the minimum standards and technical requirements risk of LMOs and is focused on ensuring for clinical laboratories. that LMOs do not negatively affect It requires clinical laboratories to ensure biodiversity. policy guidelines on laboratory biosafety The new National Committee on Biosafety of and biosecurity the Philippines (NCBP) DOH Administrative Order No. 2007- established under E.O. 430 series of 0027 1990 focuses on the organizational structure DIFFERENT ORGANIZATIONS IN THE FIELD for biosafety: OF BIOSAFETY: procedures for evaluation of proposals with biosafety concerns; American biological safety association (ABSA) procedures and guidelines on the Founded in 1984 introduction, movement, and field Regional professional society for biosafety and release of regulated materials; biosecurity procedures on physico-chemical and Promotes biosafety as “scientific discipline” biological containment Provides guidance to its members on the On March 17, 2006, the Office of the President regulatory regime present in North America promulgated EO 514 establishing the National Biosafety Framework (NBF) ASIA-PACIFIC BIOSAFETY ASSOCIATION (A- guidelines for its implementation, PBA) strengthening the National Committee Founded in 2005 on Biosafety of the Philippines Acts as a professional society for biosafety combination of policy, legal, professionals in the Asia-Pacific region administrative, and technical Its members are from Singapore, Brunei, China, instruments developed to attain the Indonesia, Malaysia, Thailand, the Philippines objective of the Cartagena Protocol on and Myanmar Biosafety which the Philippines signed Active members of the International Biosafety on May 24, 2000 Working Group are required to directly Basic Concepts on Laboratory Biosafety and Biosecurity |Page 3 of 6 Prepared by: Mr. D.N.P. Sumulong, RMT This copy is for students of MTY 1201 – Principles of Medical Technology Practice 1 ONLY. Unauthorized duplication of this document is strictly prohibited. DEPARTMENT OF MEDICAL TECHNOLOGY, FAR EASTERN UNIVERSITY - MANILA contribute to the development of the best FUNDAMENTAL CONCEPTS OF LABORATORY biosafety practices. BIOSAFETY AND BIOSECURITY
EUROPEAN BIOLOGICAL SAFETY • BIOSAFETY
ASSOCIATION (EBSA) o Containment principles, technologies and Founded in June 1996 practices that are implemented to prevent Non-profit organization unintentional exposure to pathogens and Aims to provide a forum for discussions and toxins, or their accidental release. debates on issues of concern and to represent o focuses on laboratory procedures and those working in the field of biosafety. practices necessary to prevent exposure to encouraging and communicating among its members information and issues on biosafety and acquisition of infections and biosecurity as well as emerging legislation o “PROTECTS PEOPLE FROM GERMS” and standards. • BIOSECURITY o The protection, control and accountability Philippine Biosafety and Biosecurity Association for valuable biological materials within PhBBA laboratories in order to prevent their Created by a multi-disciplinary team with unauthorized access, loss, theft, misuse, members coming from the health and education diversion, or intentional release sectors as well as individuals from the executive, o maintenance of secure procedures and legislative, and judicial branches of the practices in handling biological materials government and sensitive information Also included are members of the steering committee and technical working group of the o “PROTECTS GERMS FROM PEOPLE.” National Laboratory Biosafety and Biosecurity • BIOSAFETY AND BIOSECURITY SHARE Action Plan Task Force as per DPO No. 2006- COMMON PERSPECTIVES 2500 dated September 15, 2006 o in terms of risk assessment and A long-term goal = assist the DA and DOH in management, their efforts to create a national policy and o methodologies, implement plan for the laboratory biosafety and o personnel expertise and responsibility, biosecurity. o control and accountability for research materials including: Biological Risk Association Philippines (BRAP) ▪ microorganisms and culture stocks, Non-government ▪ access control elements, Non-profit ▪ material transfer documentation, Serve the emergent concerns of biological risk management in various professional fields: ▪ training, emergency planning and Health ▪ program management among others. Agriculture • Charles Baldwin (1996) Technology o Environmental health engineer (Dow Launched numerous activities in cooperation Chemical Company containment systems and collaboration on a national and international products) scale in the promotion of biosafety, biosecurity, o Created the BIOHAZARD SYMBOL used and biorisk management as scientific disciplines. in labeling biological materials carrying “Asses. Mitigate. Monitor.” significant health risks.
Basic Concepts on Laboratory Biosafety and Biosecurity |Page 4 of 6
Prepared by: Mr. D.N.P. Sumulong, RMT This copy is for students of MTY 1201 – Principles of Medical Technology Practice 1 ONLY. Unauthorized duplication of this document is strictly prohibited. DEPARTMENT OF MEDICAL TECHNOLOGY, FAR EASTERN UNIVERSITY - MANILA CLASSIFICATIONS OF MICROORGANISMS o It represents a significant risk to laboratory ACCORDING TO RISK GROUPS workers • WHO recommends an agent risk group classification o may be readily transmissible from one for laboratory use that describes FOUR GENERAL individual to another RISK GROUPS based on principal characteristics o effective treatment and preventive measures and relative hazards posed by infectious toxins or are not usually available agents. • Risk group classification for humans and animals is CATEGORIES OF LABORATORY BIOSAFETY based on the agent’s: ACCORDING TO LEVELS 1. pathogenicity, 2. mode of transmission, CDC categorized laboratories into four biosafety 3. host range levels 4. availability of preventative measures Biosafety level designations are based on: 5. Effective treatment composite of the design features, • Risk group 1 (No or Low individual and construction, Containment facilities, community risk) equipment, o includes microorganisms that are unlikely to practices, and cause human or animal disease operational procedures required for o low individual and community risk working with agents from the various • Risk group 2 (Moderate Individual Risk, Low risk groups community Risk) They are designated in ascending order, by o includes microorganisms that are unlikely to degree of protection provided to the personnel, be a significant risk to laboratory workers the environment, and the community and the community, livestock, or the environment Biosafety Level 1 (BSL-l) o Laboratory exposure may cause infection, suitable for work involving viable microorganisms that are defined and with well- however, effective treatment and preventive characterized strains known not to cause disease measures are available in humans. o While the risk of spread is limited, this risk Bacillus subtilis, Naegleria gruberi, infectious group bring about moderate individual risk canine hepatitis Virus, and exempt organisms and limited community risk under the NIH Guidelines • Risk group 3 (high individual risk, low most appropriate among undergraduate and community risk) secondary educational training and teaching o includes microorganisms that are known to laboratories that require basic laboratory safety cause serious diseases to humans or animals practices, safety equipment, and facility design and may present a significant risk to that requires basic level of containment laboratory workers. o could present a limited to moderate risk if Biosafety Level 2 (BSL-2) for laboratories that deal with indigenous these microorganisms spread in the moderate-risk agents present in the community community or the environment observes practices, equipment, and facility o there are usually effective preventive design that are applicable to clinical, diagnostic, measures or treatment available and teaching laboratories consequently o high individual risk and limited to moderate observing good microbiological techniques community risk appropriate when work is done with human • Risk group 4 (high individual and community blood, body fluids, tissues, or primary human risk) cell lines where there is uncertain presence of o microorganisms that are known to produce infectious agents Iife-threatening diseases to humans or Hand washing sinks and waste decontamination animals. facilities must be available and access to the Basic Concepts on Laboratory Biosafety and Biosecurity |Page 5 of 6 Prepared by: Mr. D.N.P. Sumulong, RMT This copy is for students of MTY 1201 – Principles of Medical Technology Practice 1 ONLY. Unauthorized duplication of this document is strictly prohibited. DEPARTMENT OF MEDICAL TECHNOLOGY, FAR EASTERN UNIVERSITY - MANILA laboratory must be restricted when work is being Laboratory staff must have specific and thorough conducted. training in handling extremely hazardous infectious All procedures where infectious aerosols or agents. splashes may be created are conducted in The laboratory is controlled by the laboratory biosafety cabinets or other physical containment supervisor in accordance with institutional Policies. equipment. Marburg or the Crimean-Congo hemorrhagic fever Examples Hepatitis B virus, HIV, salmonellae, and Toxoplasma species.
Biosafety Level 3 (BSL-3)
emphasis on primary and secondary barriers in the protection of the personnel, the community, and the environment from infectious aerosol exposure Work With indigenous or exotic agents with a potential for respiratory transmission, and that may cause serious and potentially lethal infection are being conducted here Performed in a BSC or other equipment like a gas-tight aerosol generation chamber Secondary barriers Highly required controlled access to the laboratory and ventilation requirements to minimize the release of infectious aerosols from the laboratory while special engineering and design features are being considered. Personnel must be supervised by scientists competent in handling infectious agents and associated procedures Examples = MTB, St. Louis encephalitis virus, Coxiella
Biosafety Level 4 (BSL-4)
dangerous and exotic agents that pose high individual risks of life-threatening diseases that may be transmitted via the aerosol route no available vaccines or treatment Specific practices, Safety equipment, and appropriate facility design and construction are required agents known to pose a high risk of exposure and infection to laboratory personnel, community, and environment. The laboratory worker’s complete isolation from aerosolized infectious materials is accomplished primarily by working in a Class III biosafety cabinet or in a full-body air-supplied positive-pressure personnel suit. generally a separate building or completely isolated zone with specialized ventilation requirements and waste management systems Basic Concepts on Laboratory Biosafety and Biosecurity |Page 6 of 6 Prepared by: Mr. D.N.P. Sumulong, RMT This copy is for students of MTY 1201 – Principles of Medical Technology Practice 1 ONLY. Unauthorized duplication of this document is strictly prohibited. DEPARTMENT OF MEDICAL TECHNOLOGY, FAR EASTERN UNIVERSITY - MANILA