Trading Places and Mentoring in New Spaces: Biosafety Peer Network - - PowerPoint PPT Presentation

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Trading Places and Mentoring in New Spaces: Biosafety Peer Network - - PowerPoint PPT Presentation

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Analysis. Answers. Action. www.aphl.org Trading Places and Mentoring in New Spaces: Biosafety Peer Network Sean Page Associate Specialist, Public Health Preparedness and Response Association of Public Health Laboratories (APHL) This

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Trading Places and Mentoring in New Spaces: Biosafety Peer Network

Sean Page Associate Specialist, Public Health Preparedness and Response Association of Public Health Laboratories (APHL)

This presentation was 100% funded with federal funds from a federal program of $2.2 million. This publication was supported by Cooperative Agreement #1U500E000094-01 from the US Centers for Disease Control and Prevention (CDC). Its contents are solely the responsibility of the authors and do not necessarily represent the official views of CDC or the Department of Health and Human Services.

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Agenda

  • About APHL
  • Biosafety Charge
  • Public Policy
  • Biosafety Community of Practice
  • Overview of Peer Network Program

– Structure – Deliverables

  • Peer Network Pairings

– NYC & ID – WI & MT

  • Key Takeaways & Outcomes
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About APHL

  • A non-profit, non-governmental US based organization
  • Over 900 members from state and local public health

laboratories, state environmental and agricultural labs and

  • thers federal agencies and academic institutions.
  • Advocates at the national level to shape public health policy

and to secure increased support and resources for member labs

  • Provides training, model practices, technical assistance

domestically and internationally

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Biosafety Charge

  • Biosafety and Biosecurity Initiatives

– Housed under APHL’s Public Health Preparedness and Response Program; cross-organizational approach to strengthen biosafety domestically and globally

  • Coordinate national efforts to improve biosafety in PHLs and

support outreach to clinical laboratories

– *CDC Funding: PHLs received $21 million over 3 years with a one- year extension to strengthen internal biosafety and assist clinical labs – **CDC Funding: APHL received $2.2 million to serve as a resource for laboratories and coordinate the strengthening biosafety initiatives.

*Domestic Ebola Supplement to Epidemiology and Laboratory Capacity for Infectious Diseases (ELC) -Building and Strengthening Epidemiology, Laboratory and Health Information Systems Capacity in State and Local Health Departments **APHL-CDC Cooperative Agreement Domestic Laboratory Biosafety for Ebola and Other Highly Infectious Diseases

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Public Policy

  • Addressed

importance of audience and targeted messaging

  • Federal

government contributes 94% of funds

[] [] [] []

State 2% [] [] Other 2% Federal - ELC Federal - PHEP State Local Other

Biosafety

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APHL Biosafety Community of Practice

  • Goal: To provide PHL Biosafety Officers

(BSOs) from state, local, territorial and US Affiliated Pacific Islands (API) with

  • pportunities to network, share ideas and

resources and build biosafety and biosecurity skills.

  • Community of Practice:

– ColLABorate Platform (over 140 members) – Biosafety Peer Network (52 PHLs Paired) – Biosafe360 Program (200+ participants) – Technical Skills Building Workshops and Webinars (750+ participants) – Leadership Development Workshop Series

For more information: aphl.org/biosafety

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BIOSAFETY PEER NETWORK

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Puerto Rico Palau Micronesia Guam Northern Mariana Islands US Virgin Islands

Biosafety Peer Network Overview

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Peer Network Structure

  • The Network utilizes a twinning concept. Laboratories are

paired based on responses to an application.

  • Traditional Pairing

– Option A: Paired BSOs travel and visit each other’s institutions.

  • Alternative Pairing

– Option B: Host Site Visit Only – A paired colleague is unable to travel but can host another’s institution. – Option C: Web Format - APHL will set up a Skype or other web based meeting in lieu of travel so paired peers can discuss biosafety practices.

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Peer Network Deliverables

  • 1. A Trip Report
  • 2. A PowerPoint presentation explaining:

(a) Purpose of the Visit (b) Lessons Learned/Key take away messages and (c) Changes implemented as a result of the visit

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Trading Places and Mentoring in New Spaces: Biosafety Peer Network

Idaho Bureau

  • f Laboratories

New York City Public Health Laboratory

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Participants

Idaho Bureau of Laboratories:

  • Michael Stevenson, PhD
  • Deputy Lab Director
  • Cassie Dayan, MPH, MLS(ASCP)cm
  • Health & Safety Specialist

Michael and Cassie on the 86th floor of the Empire State Building

New York City Public Health Laboratory:

  • Anna Liddicoat, MPH
  • Chief of Health and Safety
  • Biosafety Officer
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Part 1: IBL Visits NYC PHL

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Days 1 and 2: PHL Tour - Highlights

  • Biosafety Level 3 (BSL3) Lab Spaces
  • Serology Unit – Zika, HIV, MMRV
  • Molecular Sequencing Unit – Next Generation

Sequencing

  • Environmental Microbiology Unit – Legionella, PulseNet
  • Chemistry Unit – houses environmental chemistry testing

and Laboratory Response Network (LRN) Chemical Threat Level 3 lab

  • PHL Safety and Security – Health Police are stationed in

key locations

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Day 2: Safety Practices

  • Understanding Anna’s role as PHL BSO
  • Sample management – from receipt by Lab

Support/Accessioning staff to lab delivery to biohazard waste disposal

  • Chemical Hygiene
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Day 2: Risk Assessments

  • Required for every procedure, and in some cases,

specifically for a pathogen being tested (e.g., Zika virus)

  • Performed by BSO and testing unit chief or supervisor
  • Involves observing lab process and filling out RA form for

risk management, including:

  • Biological safety
  • Chemical safety
  • PPE
  • Engineering controls
  • Waste management
  • Emergency preparedness
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Day 2: Quality Management System

  • Major highlights include:
  • Regular internal audits in testing sections
  • Regular external audits
  • Competency assessments
  • Training
  • Electronic document control
  • Event reporting for non-compliance and other incidents
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Day 3: Bellevue “Meet & Greet”

  • Exchange between agencies on practices for patient sample

management for test submission to PHL

  • PHL binder given to Bellevue for reference
  • Tour Pathology Medicine facility
  • Ebola treatment hospital isolation ward
  • TB testing lab in Ebola isolation ward
  • Microbiology, mycology, parasitology, HIV testing labs

Source: https://www.burns-group.com/project/cogeneration-system-for-bellevue-hospital/

NYC Health + Hospitals/Bellevue

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  • IBL reviewed and received examples of PHL policies on

biosafety, respiratory protection, exposure control, and Select Agent program, and plans to incorporate relevant items that may be absent in IBL’s own programs

  • Anna’s demonstration of PortaCount fit testing helped

boost IBL’s confidence in using this equipment and developing a “loaning library” to Idaho state partners

  • IBL used binder and other given materials for its own

“Meet & Greet” to sentinel labs

Take Home Points

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Part 2: NYC PHL Visits IBL

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Day 1: IBL Tour Highlights

Chemistry Section

  • LRN-C, Organics, Inorganic, Air Filter Lab programs

Clinical Section

  • Arboviral, Influenza, Rabies, TB (in BSL3 suite) programs
  • PPE requirements listed at entrance to labs
  • Rabies work – necropsy performed in biosafety cabinet with

respiratory protection

  • TB work – respiratory protection required when generating

aerosols (processing sputum and other sample types)

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Days 1 and 3: IBL Tour Highlights

Microbiology Section

  • Reference Bacteriology, Molecular Biology, LRN-B (in BSL3 suite)
  • Biothreat samples in BSL3 suite progress through pass-through

windows to respective rooms for initial assessment, processing, and biochemical testing

Lab Improvement Section

  • Regulatory inspection programs
  • X-ray facilities, CLIA labs, air monitoring instruments
  • Developmental Science, Biorepository programs
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Day 2: Sentinel Clinical Laboratory Outreach

  • Labs in Idaho volunteer to

be in the Idaho Sentinel Lab Network (ISLN).

  • IBL created a “roadshow”

biosafety workshop that they take around the state.

  • Discussed Packaging and

Shipping Category A Drills

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Day 2: Clinical Section Internal Audit

  • Shadowed Quality Management (QM) Team’s internal audit of

Clinical Section

  • Excel risk assessment template of 21 questions to address

potential exposure hazards.

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BSL2 PPE Signage

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BSL3 Suite PPE Signage

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Day 3: Quality Management System

  • QM Team meetings – weekly basis
  • SharePoint used for document control
  • Records for training, SOP, competency assessment
  • Quality Improvement Reports (QIRs)
  • Observed QM Team’s internal audit process
  • Checklist created for audits
  • Review records
  • Lab staff meeting
  • Lab site inspection
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  • NYC PHL reviewed IBL policies on biosafety,

incident response, QM Plan and Security Plan

  • PHL received IBL’s Biosafety Workshop

binder/flash drive

  • IBL uses a checklist to assess received

Category A and B packages; incorrect packaging is noted and sender is informed

  • During IBL lab tour, PHL BSO observed posted

Incident Response (IR) Booklet, and CPR/First Aid/AED programs

Take Home Points

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Acknowledgements

Idaho and New York City participants wish to thank APHL for the opportunity to visit a public health laboratory and observe their lab programs.

Cassie’s goat cheese farm, Eden Creamery (So many baby goats!)

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Trading Places and Mentoring in New Spaces: Biosafety Peer Network

Wisconsin State Laboratory of Hygiene Montana Laboratory Services Bureau

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Participants

Montana Laboratory Services Bureau:

  • Crystal Fortune, BSCLS
  • Biosafety officer

Wisconsin State Laboratory

  • f Hygiene:
  • Erin Bowles, BS, MT(ASCP)
  • Laboratory Network Coordinator
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My very first view

  • f Wisconsin-a

cool, rainy day in Madison

Crystal’s Visit to Wisconsin

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Started with a great meal-Erin style!!

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A LITTLE WORK…

A day in the Life of Erin and the WSLH staff

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Wisconsin Clinical Laboratory Network (WCLN)

Regional Meeting in Madison, WI

  • Overview of the WCLN
  • Updates from the

Laboratory and Epidemiology

  • Games and case studies
  • Biosafety update
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A Visit to the Wisconsin State Laboratory of Hygiene

  • Biosafety and Select Agent Program

Overview

  • Tour of the infectious disease testing

laboratories and the Newborn Screening Laboratory

  • Meeting with Chemical Laboratory Response

Network staff

  • One-on-one with Erin and Dick Dern (BSO)
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Molecular testing area

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Chemical terrorism testing equipment

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…AND A LITTLE PLAY

Being part of the family

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Octoberfest

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Apple picking and apple pies

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A Fond Farewell

We finally made it!

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TAKE HOME

We are all different, yet the same

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Erin’s Visit to Montana Day One

Woke up to a sunny day with frost on the trees and fences glistening in the sunlight.

Beautiful!

Cold and Snowy, Just Like Wisconsin

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Picking up bribes for the MPHL staff so they would be nice and spend time with me. Best donuts I’ve ever had …, even better than Vodoo Donuts!

Donuts

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Montana Public Health and Human Services Building

So nice to have the PHL, EPI and PHEP partners all in the same

  • building. This is

something we don’t have in Wisconsin.

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Montana State Capitol

The Montana State Capitol is nearby the lab

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Montana Public Health Laboratory

Spent the 1st day touring the lab and meeting with laboratory leaders and staff.

Molecular Serology Day One

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Day 2 - Montana PPE

Can you guess?

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Sound Familiar?

  • Boots
  • Gloves
  • Warm coat
  • Head cover with

face protection

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The Montana Public Health Laboratory Day Two Molecular

Priority - getting the work done when short of staff due to the cold weather.

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Day Three

The road to Missoula! Here we come!

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Salmonella Outbreak Exercise

LPH provided scenarios were followed up by group

  • discussions. Main ideas were

then shared with all present as we worked through what might occur during a Salmonella outbreak.

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Montana Hospitality and Fun!

Japanese Hibachi dinner with new friends

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With a Little Biosafety!

When do you think was the last time he did a risk assessment?

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At Home With Crystal

Feeding the family – work never ends!

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Tomorrow is another day to fight another fight and to make the world a better place…..

  • an
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It was a wonderful experience to see the differences between our facilities, and intimidating to think about what we could possibly have to offer one another; but at the heart of it all, we found we are the same. Our passion is the same, we have so much yet to create, and we have so much more room to grow... together.

What Did We Learn?

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Peer Network Takeaways and Outcomes

  • Clinical Laboratory Outreach Improvements
  • Train-The-Trainer Biosafety and Biosecurity Workshops
  • Packing and Shipping Training Improvements
  • Risk Assessments and Biosafety Plan Improvements
  • Staff Donning and Doffing Trainings
  • Incorporating Biosafety and Biosecurity into Facility

Improvements

  • The Future of Biosafety
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“Without the support of the CDC/APHL biosafety and biosecurity program, I would never have been able to meet so many people in such a short time and so early in my career, nor would I have received the quantity or quality of training made possible by the program.”

Drew Fayram, MS, safety officer, State Hygienic Laboratory and the University of Iowa.

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Thank you!

  • Visit: www.aphl.org/biosafety
  • Contact:

– Sean Page: sean.page@aphl.org or biosafety@aphl.org