ADR 2005ADR 2005

TRANSPORT OF INFECTIOUS TRANSPORT OF INFECTIOUS SUBSTANCESSUBSTANCES

S J GRAY S J GRAY

CHIEF H&S ADVISERCHIEF H&S ADVISER

NPHS for WalesNPHS for Wales

Division 6.2Division 6.2

CATEGORY ACATEGORY A

CATEGORY BCATEGORY B

EXEMPT HUMAN OR ANIMAL EXEMPT HUMAN OR ANIMAL SPECIMEN SPECIMEN

Flowchart for the classification of infectious substances 

SUBSTANCE FORCLASSIFICATION

Does it meet any of the following conditions:

It is in a form that any pathogens present have been neutralised or inactivatedsuch that they no longer pose a health risk,

It is known not to contain infectious substances or taken from pathogen freesources,

It contains only Micro-organisms that are non-pathogenic for humans or animals,

It is a substance from non-human or non-animal sources for which there is a lowprobability that infectious substances are present or are present in concentrations encountered naturally and not considered to pose a significant risk e.g. foodstuffs, water samples.

It is for transplant or transfusion

Not subject to the transportrequirements for dangerousgoods unless meeting thecriteria for another class or

division

UN2814 Infectioussubstance, affecting

humans; orUN2900 Infectious

substance, affectinganimals

(as appropriate)

UN3373 Diagnosticspecimens; or

UN3373 Clinical specimens(as appropriate)

Does it meet the definitionof a Category A substance?

Is it a laboratory stockculture that is to beconsigned by air?

Yes

No

No

Yes

Yes

No

CATEGORY ACATEGORY A

TRANSPORTED IN A FORM THAT WHEN TRANSPORTED IN A FORM THAT WHEN EXPOSURE TO IT OCCURS IS CAPABLE OF EXPOSURE TO IT OCCURS IS CAPABLE OF CAUSING PERMANENT DISABILITY, LIFE-CAUSING PERMANENT DISABILITY, LIFE-THREATENING OR FATAL DISEASE TO HUMAN OR THREATENING OR FATAL DISEASE TO HUMAN OR ANIMALSANIMALS

ADR 2005 INDICATIVE LISTADR 2005 INDICATIVE LIST

CATEGORY B +CATEGORY B +

CATEGORY B IS AN INFECTIOUS SUBSTANCE CATEGORY B IS AN INFECTIOUS SUBSTANCE THAT DOES NOT MEET THE CRITERIA FOR THAT DOES NOT MEET THE CRITERIA FOR INCLUSION IN CATEGORY AINCLUSION IN CATEGORY A

EXEMPT HUMAN (OR ANIMAL) SPECIMEN EXEMPT HUMAN (OR ANIMAL) SPECIMEN

“ “NON-INFECTIOUS”NON-INFECTIOUS”

CATEGORY ACATEGORY A

EXEMPTIONSEXEMPTIONS Mycobacterium tuberculosis Mycobacterium tuberculosis (culture)(culture)

Shigella dysenteriae Shigella dysenteriae type 1type 1 (culture)(culture)

Escherichia coli, verotoxigenic (culture)Escherichia coli, verotoxigenic (culture)

TRANSPORT & PACKAGINGTRANSPORT & PACKAGING

CATEGORY A – UN 2814 (2900) - PI 620 (602)CATEGORY A – UN 2814 (2900) - PI 620 (602)

CATEGORY B – UN 3373 - PI 650CATEGORY B – UN 3373 - PI 650

““EXEMPT HUMAN (OR ANIMAL) SPECIMEN”EXEMPT HUMAN (OR ANIMAL) SPECIMEN”

NO ASSIGNMENT TO A PACKAGINGNO ASSIGNMENT TO A PACKAGING

INSTRUCTIONINSTRUCTION

TRANSPORT & PACKAGINGTRANSPORT & PACKAGING

CATEGORY A / CATEGORY B / “EXEMPT”CATEGORY A / CATEGORY B / “EXEMPT”

ALL OF 3 LAYERSALL OF 3 LAYERS

SAMPLE IN ITS PRIMARY CONTAINERSAMPLE IN ITS PRIMARY CONTAINER SECONDARY CONTAINERSECONDARY CONTAINER OUTEROUTER All require absorbent material / paddingAll require absorbent material / padding

DIFFERENCES IN PIsDIFFERENCES IN PIs

620 650 Exempt620 650 ExemptPackage SpecificationPackage Specification Marking e.g. U N / 4G Marking e.g. U N / 4G Yes No NoYes No No

Class6.2/05/GB/2470Class6.2/05/GB/2470

11oo/ 2/ 2oo leak&siftproof leak&siftproof Yes Yes YesYes Yes Yes

22o o / Outer rigid Outer/ Outer rigid Outer (Either) Adequate strength (Either) Adequate strength

95 kPa 95 kPa Yes Yes ? NoYes Yes ? No

Markings Markings Yes (no technical name) Yes (n t n) No (n t n)Yes (no technical name) Yes (n t n) No (n t n)

UN 2814 UN 3373 Exempt HumanUN 2814 UN 3373 Exempt Human Infectious Substance Biological Substance Specimen Infectious Substance Biological Substance Specimen affecting humans Category B Consignor/Consignee affecting humans Category B Consignor/Consignee Biohazard Diamond Consignor/Consignee Biohazard Diamond Consignor/Consignee Consignor/Consignee Consignor/Consignee

Max amount 400 kg / l No limit No limit Max amount 400 kg / l No limit No limit

Specimen TransportSpecimen Transport

Royal Mail DX DG CourierRoyal Mail DX DG Courier

620 No No Yes620 No No Yes

650 Yes Yes Yes650 Yes Yes Yes

Not Mtb / VTEC / Sh.dysNot Mtb / VTEC / Sh.dys

Exempt Yes Yes YesExempt Yes Yes Yes

Transport RequirementsTransport Requirements

620 650 Exempt620 650 ExemptSafety awarenessSafety awareness Yes Yes YesYes Yes Yes

Security Yes No NoSecurity Yes No No AuditAudit KnowledgeKnowledge ContractContract VDCVDC DfT TransecDfT Transec

DGSA Yes No NoDGSA Yes No No

List of contents btwn Yes Yes Best PracticeList of contents btwn Yes Yes Best Practice

22oo / outer / outer

Transport Document Yes No NoTransport Document Yes No No

Inform Consignee Yes No NoInform Consignee Yes No No

PROFORMA INVOICE Order Number: 0045634 Date: 01.11.2005 Consignor (Sending) Organisation: Mr S J Gray, NPHS Microbiology Cardiff, University Hospital of Wales, Heath Park Cardiff CF14 4XW Consignor 24 Hour Emergency Contact Number: 0779 4456734 Consignee (Receiving) Organisation: Dr Maria Zambon, Health Protection Agency, Centre for Infection, Virus Reference Division, 61 Colindale Avenue, London NW9 5DF Consignee 24 Hour Emergency Contact Number: 020 8200 6868 / 4400 Goods (including technical name of organism): One fibreboard box containing 1 x 2ml nasopharyngeal aspirate; 1 x 5ml broncheoalveolar lavage; 1 x 5ml blood; 2 x throat swabs at 0.01 gram, each containing a suspected category A Infectious Substance, Avian influenza H5N1 Weight (gross) of package: 500 gm Date and time of collection: 01.11.2005 / 11.55 hrs Value: £1.00 (no commercial value) Reason for shipment: Diagnosis / confirmatory testing I hereby declare the above information to be true and accurate. Signed (Consignor)

GP Specimen TransportGP Specimen Transport

GP Samples (B)GP Samples (B)

GP Specimen TransportGP Specimen Transport

GP Specimen TransportGP Specimen Transport

Cat B Motorcycle courierCat B Motorcycle courier

Cat B Bicycle courierCat B Bicycle courier

Cat B – Other Forms TransportCat B – Other Forms Transport

Staff transporting samplesStaff transporting samples

Patient transporting samplesPatient transporting samples

Patient sample via Royal MailPatient sample via Royal Mail

TaxiTaxi