north carolina’s role in preparedness. objectives how you fit into the lrn describe critical...
TRANSCRIPT
Objectives
• How you fit into the LRN• Describe critical aspects of lab
preparedness, surveillance and reporting, and response for bioterrorism
• Explain how clinical labs can access State PH Lab
• Access resources and training about response to bioterrorism
Laboratory Response Network
• Established in 1999 in response to Presidential Directive 39 which outlined national anti-terrorism policies and specific missions to federal agencies
– CDC, FBI & APHL
• Mission
– Enhance public health infrastructure
– Integrate labs to create national & international network equipped to respond to acts of biological or chemical terrorism, emerging pathogens, etc.
Laboratory Response Network
• Sentinel Lab – Level A– Hospital, Health
Departments, private and commercial labs
• Reference Labs – Level B/C– State, Local, Military,
Federal and international labs
• National Labs – Level D– CDC, USARMIID,
NMRC
Roles of the LRN Lab
• Reference service• Specialized testing• Direct services• Environmental
testing• Rapid Testing• Laboratory
Improvement• Applied research
• Disease identification and outbreak investigation
• Support of Surveillance and Epidemiology Investigations
• Emergency Preparedness and Response
All Laboratory Levels:
• Work Together As Members Of The National Laboratory Response Network for Bioterrorism
• Also Includes Department Of Defense, The Federal Bureau of Investigation, And Other Law Enforcement And Public Safety Agencies
Network Development• Lab Assessment
– Detailed Lab information via Sentinel Survey– Current Biosafety level and Clinical Scope
• Education– Online Training Resources (aphl.org)– Sentinel Lab Procedures (ASM)
• Training– Preparedness Workshop – 3x/year– Packaging and Shipping – 3x/year
• Proficiency– Sentinel Laboratory Drills– CAP-LPX – Laboratory Exercise
CAP LPX Preparedness Exercise
• Developed by CAP, CDC, and APHL• Provide laboratories with opportunity to
assess capabilities to detect pathogens of epidemiologic importance– Rule out and refer– Correct plan for notification– Packaging and Shipping– Handling of organisms
Why is the Public Health Lab involved?
• Mandated by Congress• Experience with Biological agents of
concern and outbreak investigations• Link between local lab level and
CDC/federal agencies
The Role of NC State PH LabPreparedness Unit
• Represent national Laboratory Response Network in state jurisdiction
• Conduct standardized LRN/CDC protocols• Rule in or rule out presence of biologic
agent• Preserve forensic evidence for criminal
investigation
Preparedness Contact Information
• SLPH Main # – 919 733-7834
• BTEP Unit– Main Line- 919-807-8765– BT Pager (24/7)- 919-310-4243 – BT Duty Phone (24/7)- 919-807-8600
• CT Unit– Main Line- 919-807-8771– William Parks (cell) 919-602-2481 – Bernard Barrameda (cell) 919-710-5104
Clinical Laboratory Bioterrorism Readiness Plan
• http://www.asm.org/images/PSAB/BT_Readiness.pdf
• American Society For Microbiology (ASM) provides a model for laboratories to use for developing a bioterrorism (BT) preparedness plan.
• Serves as an aid in the process of developing a specific plan for each institution.
Have A Plan• Purpose• Contact Protocol and Chain of Communication• Laboratory Response Network• Responsibilities of the Clinical Laboratory• Sentinel Level Laboratory Guidelines• Packaging and Shipping Instructions• Information Checklist• Handling of Possible BT agents• Policy Sign-off List• Training Sign-off List• Therapy of BT agents• Appendix
Questions to Answer When Creating Your Plan
• What is the biosafety level of my lab?• Is my lab active in the LRN?• Where is the nearest higher level lab?• What guidelines should be followed to
package and ship biological agents?• Whom should I call?
Test Your Plan Annually
• Have a plan, test your plan, and keep it updated
• Provide training/in-service to your staff.• Know whom to call• Know chain of custody requirements• Know shipping requirements
Bioterrorism Web Sites• CDC: Laboratory Information for BT Emergencies
– http://emergency.cdc.gov/bioterrorism/lab.asp
• CDC: Main BT homepage– http://www.bt.cdc.gov/
• FDA: Main BT page– http://www.fda.gov/Drugs/EmergencyPreparedness/
default.htm
• SLPH Web Site:– http://slph.state.nc.us/default.asp
Conclusion
• The use of a biological or chemical agent for terrorism is a low probability event with very large, potentially devastating consequences
• BE PREPARED!
Course Pre-test
• Thank you for participating in North Carolina’s Role in Preparedness.
• The pre-test for the course is available at: http://www.quia.com/quiz/3062810.html
Questions or comments?
Contact:Barbie Page, MS, MT(ASCP)
Bioterrorism and Emerging Pathogens Unit
252-714-0184