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Laboratory Hazard Categories
Chemical, biological, physical, and safety hazards.
DOH AO 2021-0037 Required Protocols
Laboratory biosafety protocols and laboratory biosecurity protocols.
WHO Coordination of Global Health Began
1948
Purpose of WHO Laboratory Biosafety Manual
Provides required rules and protocols for safe laboratory implementation.
Biological Agent
Microbiological entity (natural or engineered) capable of replication or gene transfer that can cause adverse effects.
Biological Agent vs Biological Material
Agent is the microorganism itself; material is any substance containing the agent or its products (e.g., toxins).
Biohazard
Potential source of harm caused by biological materials.
Biosafety vs Biosecurity
Biosafety prevents accidental exposure; biosecurity prevents intentional misuse or theft.
Biosafety Summary
Protecting people from bad bugs.
Biosecurity Summary
Protecting bad bugs from bad people.
Four Principles of Biosafety
Practices and procedures; safety equipment; facility design and construction; increasing levels of protection.
Safety Equipment Role in Biosafety
Primary containment barrier that minimizes exposure and contains aerosols.
Secondary Barrier for Engineering Controls
Facility design and construction.
Principle Covering BSL-1 to BSL-4
Increasing levels of protection.
Risk Group 1 (RG1)
Low individual and community risk; unlikely to cause disease.
Risk Group 2 (RG2)
Moderate individual risk and low community risk.
Low Community Risk in RG2
Effective treatment/prevention exists and spread is limited.
Risk Group 3 (RG3)
High individual risk but low community risk.
Risk Group 4 (RG4)
High individual and community risk; serious disease, easy spread, no effective treatment.
Risk Groups vs Biosafety Levels
Risk groups used in risk assessment; biosafety levels used in risk management.
Risk Groups Equal Biosafety Levels
False.
BSL-1 Standard Practices
Good Microbiological Techniques (GMT).
Additional Equipment in BSL-2 for Aerosols
Biosafety Cabinet (BSC).
BSL-3 Distinguishing Practices
Special clothing, controlled access, directional airflow.
Unique BSL-4 Facility Features
Airlock entry, shower exit, special waste systems, double-ended autoclaves.
Mandatory Equipment in BSL-3
Biosafety cabinets and other primary containment devices.
Laboratory Biosecurity
Institutional and personal security measures preventing loss, theft, misuse, diversion, or intentional release of agents.
Graded Protection Concept
Concentric layers of increasing security toward high-risk areas.
Biosecurity Pillar for Access Control
Personnel management.
Objective of Material Control
Discourage misuse through inventory oversight and accountability.
Specimen Transport System
Triple packaging system.
Triple Packaging Containers
Primary, secondary, and tertiary containers.
Absorbent/Cushioning Material Placement
Between primary and secondary containers.
Chain of Custody Purpose
Documents specimen handling and transfer to preserve integrity and accountability.
Information Security Protects
Sensitive laboratory data and information from theft or diversion.
Dual Use Research of Concern (DURC)
Legitimate research that could be misused for harmful purposes.
Biosecurity Pillar Monitoring Ethics
Emerging biotechnology oversight.
Practice Shared by Biosafety and Biosecurity
Personnel reliability or inventory control.
Fences and Window Bars
Biosecurity measure.
Biorisk Definition
Risk from biological materials based on likelihood and consequences of an event.
Biorisk Formula
Likelihood + Consequence = Biorisk.
Risk Matrix Score Formula
Frequency × Severity.
Likelihood Score 3
Occasional (about once per year).
Severity Score 5 (Catastrophic)
Patient death.
Risk Matrix Score 15-25
Extreme risk; activity must not proceed.
High Risk Action (Score 8-12)
Modify activity and implement remedial controls.
AMP Model
Assessment, Mitigation, Performance.
AMP Assessment Goal
Identify hazards and determine acceptable vs unacceptable risks.
AMP Mitigation Goal
Reduce risk severity through control strategies.
Mitigation Hierarchy (Most→Least Effective)
Elimination, substitution, engineering controls, administrative controls, work practices/procedures, PPE.
Elimination Strategy
Remove the hazard entirely.
Substitution Strategy
Replace hazard with a safer alternative.
Engineering Controls
Modify workplace or environment to reduce exposure.
Administrative Controls
Policies and procedures that manage human-hazard interaction.
AMP Performance Role
Ongoing monitoring and evaluation of control effectiveness.
Performance Subcomponents
Controls, assurance, improvement.
Emerging/Re-Emerging Diseases (2019)
Polio, measles, COVID-19.
Disease Linked to Ebola Reston (2015 Timeline)
MERS-CoV.
2009 Pandemic
Pandemic A(H1N1).
Desired Aerosol-Control Equipment in BSL-2
Biosafety cabinet and autoclave.
GMT Meaning
Good Microbiological Techniques.
Biometric Access Control
Uses physical traits (e.g., fingerprints) for identity verification.
AMP Category: Hazard ID & Likelihood Evaluation
Assessment.
AMP Category: Substitution & PPE
Mitigation.
AMP Category: Assurance & Improvement
Performance.
Likelihood Once Every Few Years
Score 2 (Remote).
Severity: Injury Requiring Medical Care
Score 3 (Serious).
Risk Matrix: Probable × Serious
Score 12.
Risk Score 5 Classification
Moderate risk.
Low Risk Action (Score 1-3)
No action needed unless risk escalates.
BSL-3 Access Requirement
Controlled access with directional airflow.
Purpose of DURC Identification
Identify research with highest misuse potential.
Biosecurity Pillar for Scientific Misconduct Risk
Personnel management.
Example of Biological Material
Used surgical mask from a COVID-19 patient.
Goal of Biorisk Management
Highest practical protection and lowest practical exposure.