• Biohazards are: – Materials of biological origin or synthetic material which mimic biological entities and may induce adverse conditions to humans, other animals, plants, or the environment. Biosafety Is protection of research personnel, the environment, and the public health from potential adverse consequences during the use of biological agents in research Working with biologic agents often pose risks Death of a researcher from infection with an attenuated strain of Yersinia pestis in Chicago [September 2009] Infection of a few laboratory scientists with a wild-type Francisella tularensis strain contaminating samples of an attenuated tularemia (rabbit fever) vaccine strain. Biosafety guidelines It is a set of guidelines that is essential for further advances in prevention, diagnosis, and treatment of many diseases and health risks {Biosafety: Protection of (research) personnel, the environment, and the public health from potential adverse consequences during the use of biological agents in research Biohazard in Research Any agent which may cause any infection, allergy, toxicity or can create any hazard to human health and/or environment Categories of biohazards or potentially infectious materials • Human, animal and plant pathogens: – – – – – – Bacteria Plasmids Fungi Viruses, including oncogenic viruses Parasites Prions • All human blood, blood products, tissues and certain body fluids. • Cultured cells (all human or certain animal) and potentially infectious agents these cells may contain • Allergens • Toxins (bacterial, fungal, plant, etc.). • Certain recombinant products • Clinical specimens • Infected animals and animal tissues • Recombinant deoxyribonucleic acid (rDNA) •rDNA -molecules that are constructed outside living cells by joining natural or synthetic DNA segments to DNA molecules that can replicate in a living cell, or molecules that result from the replication of those. Synthetic DNA segments that are likely to yield a potentially harmful polynucleotide or polypeptide (e.g., a toxin or a pharmacologically active agent) are considered as equivalent to their natural DNA counterpart. If the synthetic DNA segment is not expressed in vivo as a biologically active polynucleotide or polypeptide product, it can be exempted from the classification. e.g. In Human Recombinant Vaccine Trials Toxins • These are toxic substances produced within living cells or organisms [man-made substances created by artificial processes are excluded]. • Toxin: the term was first used by organic chemist Ludwig Brieger (1849–1919). • Toxins can be small molecules, peptides, or proteins that are capable of causing disease on contact with or absorption by body tissues interacting with biological macromolecules such as enzymes or cellular receptors. • Deadly toxins - botulinum toxin. • Hemotoxins – Causes destruction of RBCs • Phototoxins –Causes photosensitivity • Prion is an infectious agent composed of protein in a misfolded form. When a prion enters a healthy organism, it induces existing, properly folded proteins to convert into the diseaseassociated, prion form The prion acts as a template to guide the mis-folding of more proteins into prion form. Prion diseases –Fatal (affects brain and Neural tissues) Prion diseases, collectively called Transmissible Spongiform Encephalopathies (TSEs), are untreatable and fatal • When cell cultures are known to contain an etiologic agent or an oncogenic virus • the cell line is classified as the same level as that recommended for the agent. – Infected cell lines, Infection models – Drug testing, Drug development – Disease Established human cell lines which are characterized to be free of contamination from human hepatitis viruses, HIV, and other recognized bloodborne pathogens, are not considered as biohazardous agents Established human or animal cell lines which are known to be or likely infected/contaminated with human microbes or agents classed as bloodborne pathogens, especially hepatitis viruses and HIV are potentially hazardous. Microorganisms • Whole organisms of pathogenic microbes (e.g. viruses, bacteria, fungi) Other agents • Insects, and animals, which may a harbour human pathogen(s) • Ecto- and endo- parasites, their genetic material (natural or synthetic) • Gene products, Genetically modified organisms (GMOs, GMMs) • Tissues or fluids derived from living organisms that harbor or may harbor such material Bio hazardous agents -classified for transportation by UN number Category A, UN 2814- Infectious substances affecting humans and animals: An infectious substance in a form capable of causing permanent disability or life-threatening or fatal disease in otherwise healthy humans or animals when exposure to it occurs. Category B, UN 2900- Infectious substances affecting animals only: An infectious substance that is not in a form generally capable of causing permanent disability of life-threatening or fatal disease in otherwise healthy humans and animals when exposure to themselves occurs. Category B, UN 3373- Biological substance transported for diagnostic or investigative purposes. Regulated Medical Waste, UN 3291- Waste or reusable material derived from medical treatment of an animal or human, or from biomedical research, which includes the production and testing of biological products. Risk Groups: Biohazardous agents • Risk Group 1 (RG1) Agents that are not associated with disease in healthy adult humans • Risk Group 2 (RG2) Agents that are associated with human disease which is rarely serious and for which preventive or therapeutic interventions are often available • Risk Group 3 (RG3) Agents that are associated with serious or lethal human disease for which preventive or therapeutic interventions may be available (high individual risk but low community risk) • Risk Group 4 (RG4) Agents that are likely to cause serious or lethal human disease for which preventive or therapeutic interventions are not usually available (high individual risk and high community risk) Micro-organisms: Risk Groups Risk Definition Group 1 Risk to Individual Risk to Community Low Low 1 Microorganisms not associated with disease in healthy adult humans 2 Microorganisms associated with disease that is rarely serious and for which treatment is available Moderate Low 3 MO associated with serious and/or fatal disease for which treatments may be available High low 4 MO associated with serious and/or fatal disease for which treatments is often not available high High Experiments with Recombinant DNA (rDNA) (DBT guidelines) Category 1 experiments: Involve self cloning, using strains, and interspecies cloning belonging to same exchanger group – no serious risks Category II experiments*: Falling under contaminant levels II, III, and IV Large scale recombinants made of self cloning, in systems belonging to except category I etc. Category III experiments**: Involve toxin gene cloning. Cloning of genes for vaccine production, use of infectious animals and plant viruses, self fusion experiments, field testing, release of GMOs etc. Cat II and III: either prior intimation or review and approval of the of institutional Biosafety Committee prior to commencement Risk Group I • Low individual and community risk • A microorganism unlikely to cause human or animal disease Eg. E. coli K12, Bacillus subtilis, Lactobacilli, Pseudomonas ( except P. mallei, P. psuedomallei) - Most cell cultures - [Refer to the reading material for detailed list] Risk Group II • Moderate individual risk, limited community risk • A pathogen causing human or animal disease unlikely to be a serious hazard to laboratory staff or the community • May cause serious infections but effective treatment is available risk of spread is limited E.g. Staphylococcus, influenza virus, Acenetobacter, Listeria , Klebsiella prion, Risk Group III • High individual risk, low community risk • A pathogen causing serious human disease but not readily transmitted to others • Effective treatment is available (vaccines are also available for some cases) E.g. Mycobacterium tuberculosis, Shigella dysenteria, Brucella, Psuedomonas mallei, P. psuedomalei Risk Group IV • High individual and community risk • A pathogen causing serious human or animal disease, readily transmitted between individuals Bacteria: None Fungi: None Parasites: None • Effective treatment usually not available E.g. Ebola virus (Ebola hemorrhagic fever -EHF) • • Guanarito virus Lassa Virus Human Blood, Blood Products, Body Fluids and Tissues • Bloodborne Pathogens (BBP) are pathogenic microorganisms that are transmitted primarily through blood and other infectious materials • BBPs include human immunodeficiency virus (HIV), Hepatitis B and C viruses and other microbial agents that may contaminate human blood. • BBPs may contaminate human blood, blood products, organs, tissues, other bodily fluids and human cell lines. • Universal precautions states that “all human blood or other potentially infectious materials must be assumed to be contaminated with one or more pathogens and must be stored, processed and disposed of in accordance with Biosafety guidelines” Zoonoses • Zoonoses are diseases that are communicable from animals (i.e., rats and mice) to humans under natural conditions • Two diseases of concern when working with mice are lymphocytic choriomeningitis virus (LCMV) and hantavirus. • LCMV - cause of nonbacterial or aseptic meningitis. • Rat-bite fever is caused by two bacteria, Streptobacillus moniliformis and Spirillum minor. • These bacteria are present in the upper respiratory tract and mouths of rats. • Rats are asymptomatic as the bacteria do not cause disease in them. • Commercial vendors have virtually eliminated this bacterium from their animals Biosafety: Women Researchers Infectious organisms that are believed to have adverse effects on human embryo and fetal development: • Rubella Virus, Herpes Simplex Virus, Varicella Virus • Toxoplasma gondii , (protozoa) • Cytomegalovirus, Venezuelan Equine Encephalitis Virus • Human Immunodeficiency Virus, Coxsackie virus type B, Human Parvovirus B 19 • Treponema pallidum The Infectious organisms that are known to cause birth defects in animals, but have not YET been shown to be teratogenic for humans: e.g. • Lymphocytic Choriomeningitis (LCMV), Feline Panleukopenia Virus • Influenza Newcastle Disease Virus • Salmonella typhimurium and Salmonella enteriditis • Bovine diarrhea-mucosal disease virus • Bluetongue Virus Parainfluenza type 2 • Rodent Parvovirus (Minute Virus) • Hog Cholera Virus Routes of infection in the lab • • • Object to person Contact with media/materials Inhalation Aerosol-related transmissions likely account for infections of laboratory workers when there is no recognition of an exposure. Any procedure that imparts energy to a microbial suspension can produce aerosols of respirablesized particles that may remain airborne for extended periods of time. Inoculation Laboratory exposure events that are readily recognized include percutaneous inoculation with syringe needles or other contaminated sharps, spills, and splashes onto skin or mucous membranes, and animal bites or scratches. Biosafety in Research laboratories • Responsibilities Biological agents GMM/GMO Blood or blood products Biosafety measure Responsibility “Guanarito Virus Vial Missing From Galveston National Laboratory's Secure Facility [The Huffington Post | By Ryan Grenoble Posted: 03/25/2013 2:02 pm EDT | Updated: 03/25/2013 3:04 pm EDT ] The Centers for Disease Control and Prevention has referred to the FBI the case of the laboratory where one of five vials of a deadly Venezuelan virus went missing, an official from the CDC told ABCNews.com. • "CDC reported the incident to the FBI and we understand that the FBI will initiate an investigation concerning the reported incident," Dr. Rob Weyant, director of the CDC's Division of Select Agents and Toxins, told ABCNews.com in an email. "Since the investigation is just underway, the agency will not comment further regarding details of this incident." • The FBI would not confirm it was investigating the incident at the Galveston National Laboratory.” Responsibilities of a Researcher Be fully aware of all risks associated with the materials (biologic) used in the study Be fully aware what protective measures are required Comply fully with applicable rules Report incidents and accidents Educate co-workers Be aware of emergency routines Risk assessment Is the first principle in maximizing safety while working with biologic agents. This includes identification of potential hazards (1)From exposure to or release of biologic agents Not limited but also look into (2) Related to laboratory procedures operation of equipment in laboratory settings. Appropriate protective measures should be assigned to each specific task. All investigators and research personnel share these responsibilities (e.g. non decontaminated culture of a potentially pathogenic bacteria Or a swab containing PPB Or a blood sample containing Pathogen ) Institutional Biosafety Committee (IBC) Is responsible for the protection of research personnel, the environment, and the public health from potential adverse consequences during research uses of biologic agents Guidelines for Institutional Biosafety Committee (IBSC) is available with DBT which was developed in association with BCIL (India) At the local level IBCs review research protocols involving biologic agents to • Determine potential risks of the work • Ensure adequate bio-containment and expertise of research personnel • Determine whether health surveillance of research personnel is necessary Handling blood or blood products All contacts with blood that has not been purified from infectious agents for example by heat treatment is a potential risk. Possible infections Most common: Hepatitis B, vaccine available, risk of infection by inoculation 10-30% Other diseases with a risk are: HIV, no vaccine, risk of infection by inoculation 0.3% Hepatitis C, no vaccine, risk of infection by inoculation 3% • Clinical laboratories, especially those in health care facilities, receive clinical specimens with requests for a variety of diagnostic and clinical support services. – Typically, the infectious nature of clinical material is unknown • • Biosafety Level 2 practices and procedures must be followed when handling human blood, blood products, body fluids and tissues because of the infectious agents they may contain. Biosafety Level 2 practices and procedures requires all specimens of human blood or other potentially infectious materials to be treated as if they Personal Protective Equipment (PPE) is a primary line of defense against BBP exposures The following procedures are implemented during the handling of BBP: • • • • • • • • • A laboratory coat is worn whenever potential exposure is anticipated. If any garments are penetrated by blood or other infectious materials, they are removed immediately, or as soon as is feasible. All PPE is removed prior to leaving a work area. Gloves are worn when handling or touching contaminated items or surfaces. Disposable gloves are replaced as soon as practical after contamination or if they are torn, punctured, or otherwise lose their ability to function as an exposure barrier. Utility gloves are decontaminated for reuse unless they are cracked, peeling, torn, or exhibit other signs of deterioration. Full-face protection, such as facemasks, face shields, and eye protection, is used whenever splashes or sprays may generate droplets of infectious materials. Head covers/hoods and/or shoe covers/boots are used in any instances where gross contamination is anticipated, such as perfusion activities. • • • • • Wear required PPE at all times when working with animals. Not wear PPE outside of the animal facility. Wear gloves at all times when handling animals. Not distribute animal bedding in the immediate work environment. All cage cleaning procedures should be performed in a manner that prevents bedding debris from entering the work environment. Change bedding in a cage changing station, BSC, or fume hood. • Ensure that animal cages are properly fitted into ventilated racks and cage lids properly fit. • Not overpopulate animal cages. • Follow containment facilities required for different risk group organisms Guidelines for working with animals contd.. • Work with animals in a ventilated hood or BSC when required and whenever possible. • Work with animals in well ventilated areas when not working under a hood/cabinet. • Clean and disinfect all equipment after use. • Wash hands with soap and water frequently and always after handling animals (even when wearing gloves). • Avoid touching the face when working with animals. • Keep the work area clean. • Keep animal cages and transport containers properly covered at all times. • Not handle common items (i.e., door knobs) with gloved hands that have had animal contact. Disinfection and Sterilization • Disinfection is the planned reduction of the concentration of microbial agents and is therefore a relative term. • Generally disinfection is used to describe the elimination of microbial agents but not necessarily their spores; • Ethanol is a commonly used disinfectant. • Sterilization is an absolute term, which means the planned alumination of all microbial agents. Sterilization eliminates all biological agents, including their spores, and can be chemical or physical; • Autoclaving is the most commonly used sterilant within the laboratory. Risk Group Micro-organisms • When genetic manipulation is to be undertaken, possible impacts on cell tropism, host range, virulence, or susceptibility to antimicrobial agents or other treatments, including protection from vaccines, must be considered. BIOSAFETY LEVELS (BSL) Biologic containment is the important aspect of Biosafety Includes enclosure of agents as much as possible during manipulation and transport 4 Biosafety levels (BSL) represent risk-related combinations of laboratory practices, safety equipment, and laboratory facilities necessary to work safely with biologic agents. BSL Typical Lab Type* Practices/Procedures Typical PPE Containment Equipment BSL 1 Basic research, teaching Standard procedures Lab coat, gloves Open bench BSL II Clinical , diagnostic, general research, RG2 pathogens/ agents in Res. controlled, increased training requirements, occupational health program recommended Lab coat, gloves, respiratory protection as needed Biologic safety cabinet (class II BSC) for activities with aerosol generation potential BSL III Clinical, RG3 pathogens/agent s in research heightened security, extensive training and emergency response procedures, occupational health program required Dedicated clothing, gloves, overalls/ gowns respiratory protection Primary containment devices (BSC, centrifuge containment devices) are utilized at all times. BSL IV Risk group 4 pathogens/agent s in research BSL 3 standards plus extremely specialized facility with extensive training, medical surveillance Scrubs for glovebox lab, positive pressure suit (moon suit) All work performed in a class III BSC (glove box) or use of positive-pressure suit with class II BSC • High-Efficiency Particulate Arresting or HEPA is a type of air filter. • To qualify as HEPA by government standards, an air filter must remove 99.97% of all particles greater than 0.3 micrometer from the air that passes through. • HEPA filter was designed in the 1940s in the Manhattan Project to prevent the spread of airborne radioactive contaminants • This level is required for work with dangerous and exotic agents that pose a high individual risk of aerosoltransmitted laboratory infections, agents which cause severe to fatal disease in humans for which vaccines or other treatments are not available [refer reading material] – – – – – Bolivian and Argentine hemorrhagic fevers, Marburg virus Ebola virus Lassa fever Crimean-Congo hemorrhagic fever, Smallpox, and various other hemorrhagic diseases • Use of a positive pressure personnel suit, with a segregated air supply, is mandatory. • The entrance and exit of a level four biolab shall contain multiple showers, a vacuum room, an ultraviolet light room, • Other safety precautions designed to destroy all traces of the biohazard. • Multiple airlocks are employed and are electronically secured to prevent both doors opening at the same time. • All air and water service going to and coming from a biosafety level 4 (or P4) lab will undergo similar decontamination procedures to eliminate the possibility of an accidental release. • Members of the laboratory staff have specific and thorough training in handling extremely hazardous infectious agents • BSL IV facility is either in a separate building or in a controlled area within a building • Completely isolated from all other areas of the building. • A specific facility operations manual is prepared or adopted. • Building protocols for preventing contamination often use negatively pressurized facilities BSL IV facilities in India 1. 2. 3. 4. High Security Animal Disease Laboratory (HSADL) India, Bhopal Established in 1998 This facility deals especially to zoonotic organisms and emerging infectious disease threats Centre for Cellular and Molecular Biology Hyderabad, India Established in 2009 National Bio-Safety Level-4 Containment Facility for Human Infectious Diseases & Clinical Research Facility in Regenerative Medicine All India Institute of Medical Sciences India, New Delhi BSL 1-4 Established in 1993 Conducts studies on major pathogenic organisms. Has contributed in discovering new strains & vaccines Microbial Containment Complex India, Pune: [National Institute of Virology] BSL-IV Laboratory Established in 2012 : [ICMR +support from DST] Good Laboratory Practice A quality system concerned with the organisational process and the conditions under which non-clinical health and environmental safety studies are planned, performed, monitored, recorded, archived and reported. How does GLP relate to academic research? 1. Safety 2. Reproducibility 3. Reporting Good Microbiological Techniques GMT • • • • • • • • • • • • • • • • • • • • • • Specimens are handled safely. No mouth pipetting is permitted. Pipettes and pipetting aids are used safely. Dispersal of infectious materials is avoided. Contact of infectious materials with skin and eyes is avoided. Ingestion of infectious materials is avoided. Separation of serum is carried out safely. Centrifuges are used safely. Homogenizers, shakers and sonicators are used safely. Tissue grinders are used safely. Refrigerators are maintained and used safely. Ampoules containing infectious materials are opened safely. Infectious materials are stored safely. Precautions are taken with blood and other bodily fluids. Specimens and infectious materials are shipped safely. Appropriate disinfection and sterilization are carried out. Gloves are worn for procedures that involves contact with blood or infectious material. Hands are washed between procedures and prior to leaving laboratory. Laboratory gowns are worn for work in laboratory. Closed-toed shoes are worn for work in laboratory. Storage of food or drink in the laboratory is prohibited. Eating, drinking, or smoking in the laboratory is prohibited. Personal protective equipments • • Also be aware of hazards from your work possibly affecting others working around you Use a fume cupboard, warn others, restrict access to where you are working GMM Genetically modified microorganism GMM is defined as a microorganism whose genetic material has been changed in a way that does not occur naturally by mating or natural recombination Includes: • Bacteria, virus, viroids, blue-green algae, molds, protozoa, etc. • RNAi if inserted via a vector, but not if inserted by a liposome • Cell lines from plants or animals • Cells microinjected with DNA • Cell fusions or hybridization techniques generating living cells with new combination of genetic material that might be dangerous for health or environment. Examples of what is not considered as GMM • Microorganisms generated by mutagenesis • Microorganisms generated by cell fusions of prokaryotes exchanging genetic materials by known natural processes • Cell fusions or hybridization techniques generating living cells with new combination of genetic material that is not dangerous for health or environment. Waste disposal Waste disposal Waste must be disposed of correctly: Autoclave bags or the yellow carton bin dedicated for incineration Stainless steel container Sharp bin containers Treatment of liquid waste with disinfectant Storage of chemical products No more chemicals than needed should be stored Always read the chemical's label Mark it with the date of receipt/opening before storage Never store a chemical with an obscured or missing label Define separate storage areas for highly toxic chemicals Never store liquid hazardous chemicals above eye level Risk Assessments Hazardous Chemicals Control of Substances Hazardous to Health Regulations 2002 (COSHH). Biological Hazards Genetic manipulation, handling pathogens, Crime & Security Act 2001 Radiochemicals Contact the safety office for permission before use Experimental risk assessments Combination of hazards associated with a technique or protocol EMERGENCY PROCEDURES -The safety signs to recognize • Emergency exits and evacuation routes • Fire extinguishers • Spill kits and First aid kits • Emergency showers • Eye-wash fountains • Know your nearest first aiders Safety icons Hazard icons
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