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Principles and Practices of Biosafety - San Diego State University

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<strong>Principles</strong> <strong>and</strong> <strong>Practices</strong> <strong>of</strong><br />

<strong>Biosafety</strong><br />

Environmental Health <strong>and</strong> Safety<br />

<strong>San</strong> <strong>Diego</strong> <strong>State</strong> <strong>University</strong>


Abbreviations<br />

• BSC – <strong>Biosafety</strong> Cabinet<br />

• BSL – <strong>Biosafety</strong> Level<br />

• ABSL – Animal <strong>Biosafety</strong> B<br />

Level<br />

• BSO – <strong>Biosafety</strong> Officer<br />

• BUA – Biological Use Authorization<br />

• CA – California<br />

• CDC – Center for Disease Control <strong>and</strong><br />

Prevention<br />

• DGR – Dangerous Goods Regulations<br />

• DOT – Department <strong>of</strong> Transportation<br />

• EHS – Environmental Health <strong>and</strong><br />

Safety<br />

• EPA – Environmental Protection<br />

Agency<br />

• HMR – Hazardous Materials<br />

Regulations<br />

• IACUC – Institutional Animal Care<br />

<strong>and</strong> Use Committee<br />

• IATA – International Air Transport<br />

Association<br />

• IBC – Institutional <strong>Biosafety</strong><br />

Committee<br />

• IRB – Institutional Review Board<br />

• NIH – National Institute <strong>of</strong> Health<br />

• OSHA – Occupational Health <strong>and</strong><br />

Safety Administration<br />

• PI – Principal Investigator<br />

• PP – Physical Plant<br />

• PPE – Personal Protective Equipment<br />

• PS – Pubic Safety<br />

• SD – <strong>San</strong> <strong>Diego</strong><br />

• USPS – U.S. Postal Service


Introduction<br />

The management <strong>of</strong> biological hazards through the<br />

proper application <strong>of</strong> engineered containment <strong>and</strong><br />

administrative controls is referred to as biosafety<br />

or biohazard control.<br />

<strong>Biosafety</strong> or biohazard control is a team effort<br />

involving the PI, research lab personnel, BSO,<br />

IBC, IRB, IACUC, EHS, PP <strong>and</strong> PS.


Regulatory Requirements <strong>and</strong><br />

Guidelines<br />

• NIH Guidelines for Research Involving<br />

Recombinant DNA Molecules (April 2002)<br />

• CDC/NIH <strong>Biosafety</strong> in Microbiological <strong>and</strong><br />

Biomedical Laboratories (May 1999)<br />

• CAL/OSHA Bloodborne Pathogen St<strong>and</strong>ard<br />

• CA Medical Waste Management Act<br />

• DOT Transportation <strong>of</strong> Hazardous<br />

Materials


SDSU <strong>Biosafety</strong> Requirements<br />

<strong>and</strong> Guidelines<br />

• Policies established by the Institutional <strong>Biosafety</strong><br />

Committee (IBC) that meet or exceed applicable<br />

guidelines <strong>and</strong> regulations for use <strong>of</strong> RG 2 <strong>and</strong><br />

RG 3 biohazardous materials or agents as well as<br />

non-exempt NIH Recombinant DNA research.<br />

• Policies established by Environmental Health <strong>and</strong><br />

Safety (EHS) that meet or exceed applicable<br />

regulations <strong>and</strong> guidelines for minimizing<br />

bloodborne pathogen exposure <strong>and</strong> disposal <strong>of</strong><br />

biohazardous wastes.


Biohazardous Material<br />

• Infectious microorganisms<br />

(bacteria, viruses, fungi,<br />

parasites, prions,<br />

rickettsiae, etc.) affecting<br />

humans <strong>and</strong> animals<br />

• Diagnostic (clinical)<br />

specimens<br />

• Recombinant DNA (viral<br />

vectors, gene therapy,<br />

cloning)<br />

• Genetically Modified<br />

Microorganisms<br />

(transgenic plants <strong>and</strong><br />

animals)<br />

• Human <strong>and</strong> non-human<br />

primate cells, cell culture<br />

(primary <strong>and</strong><br />

immortalized), tissues,<br />

blood (whole blood or any<br />

components) <strong>and</strong> body<br />

fluids<br />

• Animal or plant cells, cell<br />

cultures, fluids, tissues or<br />

derived wastes which<br />

may contain pathogens<br />

• Animals known to be<br />

reservoirs <strong>of</strong> zoonotic<br />

disease


Institutional <strong>Biosafety</strong> Committee<br />

<strong>and</strong><br />

Biological Use Authorization


Biological Use Authorization<br />

(BUA) Application<br />

• BSL 1, ABSL 1 <strong>and</strong> NIH-Exempt<br />

Reviewed <strong>and</strong> approved by BSO<br />

• BSL 2 or 3, ABSL 2 or 3 <strong>and</strong> NIH- Non-exempt<br />

Reviewed <strong>and</strong> approved by IBC<br />

Currently, no facilities at SDSU meet the<br />

minimum criteria for BSL 4; thus this type <strong>of</strong><br />

work is prohibited.


Submission <strong>of</strong> New BUA<br />

• New infectious agents<br />

• New cell lines<br />

• New vector system<br />

• Enhanced replication or infectivity<br />

• Expression <strong>of</strong> toxic products<br />

• Partial genomes increased to more than two-thirds<br />

thirds<br />

<strong>of</strong> whole genome<br />

• New or altered procedures that pose increased risk<br />

(e.g., aerosol or other type <strong>of</strong> exposure)<br />

• Work with non-human systems being changed<br />

into work with human system


SDSU <strong>Biosafety</strong> Approval<br />

Institutional <strong>Biosafety</strong> Committee (IBC)<br />

Protocol Review<br />

Biological Use Authorization (BUA) with<br />

respect to containment level (biosafety<br />

level)<br />

Training<br />

Inspection


Principal Investigator<br />

• Develops specific protocols to ensure the safe use<br />

<strong>of</strong> biohazardous materials.<br />

• Submits a BUA application <strong>and</strong> obtains approval<br />

from IBC prior to commencement <strong>of</strong> work.<br />

• Complies with specific biosafety protocols,<br />

practices <strong>and</strong> procedures described in the<br />

biohazard control manual.<br />

• Ensures that all laboratory staff are appropriately<br />

trained on biosafety.<br />

• Reports any significant problems, violations <strong>of</strong><br />

the policies, practices <strong>and</strong> procedures, or any<br />

significant research-related related accidents <strong>and</strong>/or<br />

laboratory acquired infection to the BSO<br />

immediately.


Laboratory Staff<br />

• Comply with the specific biosafety<br />

protocols, practices <strong>and</strong> procedures<br />

described in the biohazard control manual.<br />

• Report to the PI or the lab manager all<br />

problems, spills or violations in procedure<br />

immediately.


Risk Group<br />

<strong>and</strong><br />

<strong>Biosafety</strong> Level


Classification <strong>of</strong> Infective Agents<br />

by Risk Group<br />

• Pathogenicity<br />

• Infectious Dose<br />

• Mode <strong>of</strong> Transmission<br />

• Host Range<br />

• Availability <strong>of</strong> Effective Preventive<br />

Measures <strong>and</strong> Treatment


Classification <strong>of</strong> Infective Agents<br />

by Risk Group<br />

Risk Group 1 Risk Group 2 Risk Group 3 Risk Group 4<br />

Severity <strong>of</strong><br />

Disease<br />

unlikely to<br />

cause human<br />

or animal<br />

disease<br />

can cause disease,<br />

unlikely to be<br />

serious, effective<br />

treatment <strong>and</strong><br />

preventive measures<br />

available<br />

can cause serious<br />

disease, does not<br />

ordinarily spread<br />

from one person to<br />

another, effective<br />

treatment <strong>and</strong><br />

preventive measures<br />

usually available,<br />

exposure route:<br />

inhalation (<strong>of</strong>ten)<br />

likely to cause serious or<br />

lethal disease, can be<br />

readily transmitted from<br />

one individual to another,<br />

effective treatment <strong>and</strong><br />

preventive measures are<br />

not usually available,<br />

transmission: direct,<br />

indirect, inhalation<br />

Host Range<br />

human<br />

(healthy adult)<br />

<strong>and</strong> animals<br />

human (healthy<br />

adult) <strong>and</strong> animals<br />

human (healthy<br />

adult) <strong>and</strong> animals<br />

human (healthy adult) <strong>and</strong><br />

animals<br />

Individual<br />

Risk<br />

low<br />

moderate (potential<br />

hazard)<br />

high<br />

high<br />

Community<br />

Risk<br />

low low low high


Classification <strong>of</strong> Containment by<br />

<strong>Biosafety</strong> Levels<br />

• <strong>Practices</strong> <strong>and</strong> Procedures<br />

• Containment Equipment (Primary Barriers)<br />

• Containment Facility (Secondary Barriers)<br />

Note: CDC/NIH has 4 biosafety level classifications<br />

currently in use. Each level is appropriate for:<br />

Operations Performed<br />

Routes <strong>of</strong> Transmission (ingestion, inoculation,<br />

inhalation, mucous membrane exposure)<br />

Laboratory Function


Risk Group <strong>and</strong> <strong>Biosafety</strong> Level<br />

Classifications<br />

• Not appropriate to use risk group or<br />

biosafety level when assessing toxins.<br />

• Can be found in the American Biological<br />

Safety Association website:<br />

www.absa.org/resriskgroup<br />

• Risk Groups <strong>and</strong> <strong>Biosafety</strong> Levels are not<br />

always the same!


Bloodborne Pathogen<br />

St<strong>and</strong>ard


Introduction<br />

• California Code <strong>of</strong> Regulations, Title 8, Sec 5193<br />

• Applies to all employees who could “reasonably<br />

anticipate” as a result <strong>of</strong> performing their job tasks<br />

contact with blood <strong>and</strong> other potentially infectious<br />

material (OPIM) i.e., body fluids, unfixed tissues<br />

or organs<br />

• Limit occupational exposure to blood <strong>and</strong> OPIM<br />

which could result in transmission <strong>of</strong> bloodborne<br />

pathogens i.e., Hepatitis B virus (HBV), HIV<br />

• Requires a written Exposure Control Plan


Elements <strong>of</strong> an Exposure Control<br />

Plan<br />

• Exposure Determination<br />

• Method <strong>of</strong> Compliance<br />

• HIV, HBV <strong>and</strong> HCV Research Laboratories<br />

• Hepatitis B Vaccination <strong>and</strong> Post-Exposure<br />

Evaluation <strong>and</strong> Follow-Up<br />

• Hazard Communication<br />

• Record Keeping<br />

• Evaluation <strong>of</strong> Exposure Incidents<br />

• Sharps Injury Log


Exposure Determination<br />

• Exposure evaluation based upon the job<br />

description.<br />

• Exposure evaluation based upon reasonably<br />

anticipated contact (skin, eye, mucous<br />

membrane, parenteral contact, etc.) with<br />

blood or other potentially infectious<br />

materials resulting from performing the<br />

assigned tasks.


Method <strong>of</strong> Compliance<br />

• Universal Precaution – treating all human blood <strong>and</strong><br />

certain human body fluids as if infectious for bloodborne<br />

pathogens<br />

• Engineering <strong>and</strong> Work Practice Controls<br />

<br />

<br />

<br />

<br />

<br />

Needleless system or needles/sharps with engineered sharps injury<br />

protection<br />

Needles <strong>and</strong> other sharps shall not be recapped, bent or broken<br />

Needles <strong>and</strong> other sharps shall be disposed in rigid, puncture-<br />

pro<strong>of</strong>, leak resistant <strong>and</strong> properly labeled sharps container<br />

Sharps container shall be closed immediately prior to removal or<br />

replacement to prevent spillage or protrusion <strong>of</strong> contents during<br />

h<strong>and</strong>ling or transport<br />

Specimens <strong>of</strong> blood or OPIM shall be placed in a closable,<br />

leakpro<strong>of</strong>, properly labeled red bag prior to h<strong>and</strong>ling, collection n or<br />

transport<br />

• Personal Protective Clothing <strong>and</strong> Equipment


Hepatitis B Vaccination <strong>and</strong><br />

Post-Exposure Follow-Ups<br />

• Hepatitis B vaccination shall be provided at<br />

no cost to employee who has a potential for<br />

becoming exposed to blood or OPIM.<br />

• Post-exposure follow-ups shall be provided<br />

if an occupational exposure occurs.


Hazard Communication<br />

1. Signs <strong>and</strong> Labels<br />

• Signs shall be posted at the entrance to the work areas<br />

which shall bear:<br />

Name <strong>of</strong> infectious agent<br />

International symbol for biohazard in fluorescent<br />

orange-red<br />

red<br />

Special requirements for entering the area<br />

Name <strong>and</strong> telephone number <strong>of</strong> lab director or other<br />

responsible person<br />

Warning labels shall be affixed to containers <strong>of</strong><br />

infectious wastes, refrigerators <strong>and</strong> freezers<br />

containing blood or OPIM, or other containers used<br />

to store or transport blood or OPIM.<br />

• Labels shall have the international symbol for biohazard<br />

in fluorescent orange-red<br />

red<br />

2. Training


Pathogenic Microbiology


Bacterial Laboratory Acquired<br />

Infections<br />

• 76% <strong>of</strong> exposures occurred in clinical labs;<br />

6% in vaccine manufacturing facilities; 8%<br />

in research labs.<br />

• Exposure modes: 60% inhalation, other<br />

exposure modes included ingestion<br />

(intentional, poor technique such as mouth<br />

pipetting, smoking <strong>and</strong> eating in the lab)<br />

<strong>and</strong> secondary transmission.


Viral Laboratory Acquired<br />

Infections<br />

• >70% associated with research labs; 32% <strong>of</strong> all<br />

viral LAIs associated with animals<br />

• 18% <strong>of</strong> total were Hantavirus; <strong>of</strong> these, 8% were<br />

working with known infectious material or rodents<br />

- others thought they were working with<br />

uninfected rodents<br />

• 16% were in clinical labs; rest were in production<br />

or field work<br />

• Major exposure modes: inhalation, percutaneous<br />

(especially from animals)


Rickettsial Laboratory Acquired<br />

Infections<br />

• All rickettsial LAIs were associated with research<br />

laboratories<br />

• 95% <strong>of</strong> overt infections were by Coxiella burnetii;<br />

remainder were Murine typhus<br />

• All Q fever cases by inhalation; all infected staff<br />

worked with or were in close proximity to sheep<br />

• Remaining cases were by percutaneous,<br />

inhalation, mucous membrane or unknown<br />

exposure modes


Molecular Biology


It’s a Matter <strong>of</strong> Perspective<br />

• The investigators who submit IBC protocols<br />

want to perform their experiments safely.<br />

• However, their perception <strong>of</strong> the risks<br />

involved will not necessarily be the same as<br />

that <strong>of</strong> a biosafety pr<strong>of</strong>essional.


Risk Assessment<br />

The following risk assessment will identify the<br />

biological containment system to be used:<br />

Properties <strong>of</strong> the donor organism<br />

Nature <strong>of</strong> the DNA sequences that will be<br />

transferred<br />

Properties <strong>of</strong> the recipient organism<br />

Properties <strong>of</strong> the environment


Biological Expression System<br />

Most routine genetic engineering experiments<br />

can be performed safely in E. coli<br />

K12/pUC18 at BSL 1 provided the inserted<br />

foreign DNA sequences do not require a<br />

higher BSL.


Donor Organism <strong>and</strong> Cloned DNA<br />

Insertion <strong>of</strong> well-characterized DNA sequences that<br />

are unlikely to be involved in pathogenicity may<br />

not require additional safety measures.<br />

In cases where these sequences are not characterized,<br />

a situation that is typically encountered when a<br />

library <strong>of</strong> genomic DNA <strong>of</strong> an organism is being<br />

established, a higher BSL will be required.<br />

Cloning <strong>of</strong> genes coding for proteins that have<br />

potential pharmacological activity such as toxins<br />

may therefore require higher BSL.


Viral Vectors for Gene Transfer<br />

Although viral vectors used in gene therapy or<br />

gene transfer are replication-defective, they<br />

should be h<strong>and</strong>led at the same BSL as the<br />

parent viral vector from which they are<br />

derived since the virus stocks may be<br />

contaminated with replication-competent<br />

competent<br />

viruses, which are generated by rare<br />

spontaneous recombination events in the<br />

complementing cell line.


Transgenic <strong>and</strong> “Knock-Out”<br />

Animals<br />

Animals carrying foreign genetic information<br />

(transgenic animals) should be h<strong>and</strong>led in the<br />

containment level appropriate to the characteristics<br />

<strong>of</strong> the products <strong>of</strong> the foreign genes. For each new<br />

line <strong>of</strong> transgenic animal, the routes by which the<br />

animals can be infected, the inoculum size<br />

required for infection, <strong>and</strong> the extent <strong>of</strong> the virus<br />

shedding by the infected animal must be<br />

determined.<br />

Animals with targeted deletions <strong>of</strong> specific genes<br />

(“knock-out” animals) do not generally present<br />

particular biological hazards.


Human <strong>and</strong> Other Primate<br />

Cells <strong>and</strong> Tissues


Human Source Material<br />

• Blood <strong>and</strong> blood products<br />

• Vaginal secretions<br />

• Semen<br />

• Amniotic fluid<br />

• Unfixed tissues<br />

• Cerebrospinal, synovial,<br />

pleural, pericardial <strong>and</strong><br />

peritoneal fluids<br />

• Cell cultures<br />

• Saliva<br />

• Urine<br />

• Tears<br />

• Sputum<br />

• Feces<br />

• Vomit<br />

• Other excretions <strong>and</strong><br />

secretions<br />

Second column not covered in Bloodborne Pathogen St<strong>and</strong>ard, possibly not<br />

occupationally related.


Human Source Material<br />

• May transmit infectious agents<br />

• Imperfect knowledge <strong>of</strong> infectious status<br />

Incubation period (asymptomatic)<br />

No test for every pathogen<br />

• Most tissues <strong>and</strong> body fluids<br />

Bloodborne Pathogens (HBV, HCV, HIV,<br />

HTLV-1)<br />

Pathogens causing Malaria, Syphilis,<br />

Babesiosis, Brucellosis, Leptospirosis,<br />

Arboviral infections, Relapsing fever,<br />

Creutzfeldt-Jacob disease <strong>and</strong> viral<br />

hemorrhagic fever


Cell Culture Risks<br />

• Contaminating pathogenic agents<br />

natural (<strong>of</strong>ten zoonotic) or inadvertent<br />

~20 LAIs from primary cultures in last 30 years<br />

e.g., Herpes B (CHV-1), prions<br />

• Oncogenic potential<br />

could be oncogene or oncogenic agent<br />

e.g., HPV-18, MPMV genomes in HeLa cells<br />

• Unexpected (adventitious) agents<br />

e.g., SIV, STLV, SV5 in primate cells, HHV-8<br />

in BCBL-1 1 cells<br />

• Hazardous chemicals added to culture medium


Cell Culture under Bloodborne<br />

Pathogen St<strong>and</strong>ard<br />

• ABSA requested OSHA’s s interpretation in 1994:<br />

Do human cell cultures fall under the<br />

Bloodborne Pathogen (BBP) St<strong>and</strong>ard<br />

• Response:<br />

All primary human cell cultures (explants) <strong>and</strong><br />

subsequent in vitro passages fall under the<br />

BBP St<strong>and</strong>ard<br />

To be exempted from the BBP requirements,<br />

cell strains <strong>and</strong> lines must undergo testing <strong>and</strong><br />

characterization (documented) for bloodborne<br />

pathogens (not just HBV, HCV <strong>and</strong> HIV)


Cell Culture Safety<br />

• Extend Universal/St<strong>and</strong>ard Precautions to all<br />

human <strong>and</strong> animal cell cultures<br />

Consider working at BSL 2 (most work<br />

there already to protect the cell cultures)<br />

H<strong>and</strong>le all cultures in a biosafety cabinet<br />

If human origin <strong>and</strong> not demonstrated to<br />

be free <strong>of</strong> human bloodborne pathogens,<br />

adhere to requirements <strong>of</strong> the BBP St<strong>and</strong>ard<br />

Wear PPE appropriate to human source<br />

material


Summary<br />

Human Source Materials<br />

• May be regulated<br />

• Can be biohazardous<br />

• Use Universal Precautions at<br />

all times<br />

• Visible blood means<br />

increased risk<br />

• Don’t t consider “normal”<br />

source<br />

Human <strong>and</strong> Non-<br />

human Primate Cell<br />

Cultures<br />

• Treat human cultures as<br />

possible biohazards<br />

• Beware <strong>of</strong> non-human<br />

primate cells<br />

• Beware <strong>of</strong> CNS, corneal,<br />

pituitary cells<br />

• Some cells may be OK at<br />

BSL 1


Animals <strong>and</strong> Allergens


Risk Assessment for Work with<br />

Research Animals<br />

• Risks associated with the research agent used in<br />

the animal<br />

chemical, physical, biological<br />

• Risks associated with the species <strong>of</strong> animal used<br />

zoonotic agents<br />

• Risks associated with animal maintenance<br />

ergonomic factors, bites, scratches, allergens


Risks Associated with the Agent<br />

Used<br />

• Chemical agents<br />

carcinogens, mutagens<br />

toxic chemicals<br />

anesthetics<br />

• Physical agents<br />

radiation<br />

heat<br />

sound


Risks Associated with the Agent<br />

Used<br />

• Potentially biohazardous agents<br />

deliberate use <strong>of</strong> an infectious agent in<br />

animals for research purposes<br />

maintenance <strong>of</strong> infected animal for<br />

duration <strong>of</strong> experiment<br />

sacrifice, necropsy <strong>and</strong> harvesting <strong>of</strong><br />

agent or infected tissue


Transmission <strong>of</strong> Biohazards<br />

During Work with Animals<br />

Airborne<br />

• Release <strong>of</strong> infectious aerosols by animal by<br />

sneezing, coughing<br />

• Release during nasal infection or aerosol<br />

challenge<br />

• Aerosolization from bedding <strong>and</strong> excreta<br />

• During surgical procedures<br />

• During birthing


Transmission <strong>of</strong> Biohazards<br />

During Work with Animals<br />

Direct Inoculation<br />

• Needlesticks during injection/inoculation<br />

process<br />

• Bites <strong>and</strong> scratches from infected animal


Transmission <strong>of</strong> Biohazards<br />

During Work with Animals<br />

Direct exposure <strong>of</strong> mucous membranes<br />

(by splash or splatter)<br />

• During surgical procedures<br />

• During injection<br />

• During necropsy


Transmission <strong>of</strong> Biohazards<br />

During Work with Animals<br />

Indirect transmission <strong>and</strong> ingestion<br />

• From contaminated h<strong>and</strong>s or gloves to mouth<br />

• Facial contamination directly from animal<br />

• Transfer <strong>of</strong> parasites by animal h<strong>and</strong>ling<br />

Indirect transmission with eye or mucous<br />

membrane exposure<br />

• Dust from bedding<br />

• Splash during cage washing<br />

• “Dirty” environment


Risk Reduction: Containment <strong>of</strong><br />

Infectious Agent<br />

• Containment must include:<br />

Primary containment<br />

Enclosed filtered caging system<br />

<strong>Biosafety</strong> cabinets<br />

Safety equipment<br />

PPE<br />

Secondary containment<br />

The containment facility<br />

• Negative pressurization<br />

• Nonrecirculated air supply<br />

• Ventilation must consider wellbeing <strong>of</strong> animal


Containment Caging Systems<br />

• No Containment<br />

Open (st<strong>and</strong>ard) cage<br />

• Some Containment<br />

Filter top cage<br />

(microisolator cage)<br />

• Full Containment<br />

Fully enclosed in<br />

ventilated rack


Containment Caging Systems<br />

• Microisolator Cage<br />

works like a Petri dish<br />

open gaps around lid edge allow limited air<br />

exchange<br />

may lead to more labor intensive husb<strong>and</strong>ry due<br />

to moisture <strong>and</strong> ammonia buildup


Containment Caging Systems<br />

• Individual cages sealed into rack with<br />

supplied air under negative pressure<br />

• Both supply <strong>and</strong> exhaust usually HEPA<br />

filtered<br />

• Ventilation must control humidity <strong>and</strong><br />

buildup <strong>of</strong> ammonia


Containment Caging Systems<br />

• Can install cages in class III biosafety<br />

cabinet<br />

• Cages are completely contained with glove<br />

port access<br />

• Very motion-limiting<br />

• Transfer in <strong>and</strong> out may be an issue


Containment Caging Systems<br />

• BioBubble (Ft. Collins, CO) makes s<strong>of</strong>t-<br />

wall ventilated enclosures<br />

• Can be containment or barrier style<br />

• Large equipment can be surface-mounted in<br />

wall


Special Animal Housing Situations<br />

• Barrier colonies<br />

Special breeds - <strong>of</strong>ten immunocompromised,<br />

“fragile”,, expensive (SCID-Hu, nude athymics)<br />

Transgenics - <strong>of</strong>ten even more fragile <strong>and</strong><br />

expensive (knockouts, microinjected, combos)<br />

Specific pathogen-free (SPF) - bred <strong>and</strong> raised<br />

to be missing certain specific microorganisms<br />

• Isolation colonies<br />

Extensive SPFs <strong>and</strong> defined flora animals<br />

Gnotobiotes (an entirely different animal!)


Zoonoses<br />

• Zoonotic disease: : A disease <strong>of</strong> animals that<br />

can be transmitted under natural conditions<br />

<strong>and</strong> cause disease in humans<br />

Wild caught animals most hazardous<br />

R<strong>and</strong>om source animals (e.g., from a<br />

pound) are also a risk<br />

Purpose bred animals pose least risk


Some Animals <strong>and</strong> Their<br />

Zoonoses<br />

• Animal<br />

Macaque monkeys<br />

Sheep<br />

White mouse<br />

Dogs, cats, skunks,<br />

raccoons, bats<br />

Cattle, NHP<br />

Cats<br />

Parrots, macaws<br />

Chickens<br />

• Disease<br />

Herpes B virus<br />

Q fever<br />

Hantavirus<br />

Rabies<br />

Tuberculosis<br />

Toxoplasmosis<br />

Psittacosis<br />

Avian influenza


Rodent Zoonoses<br />

• Rat bite fever (Streptobacillus(<br />

moniliformis,<br />

Spirillum minus)<br />

transmission: direct contact (bites)<br />

• Lymphocytic choriomeningitis (LCM, a virus)<br />

transmission: inhalation<br />

• Leptospirosis (Leptospira(<br />

spp.)<br />

transmission: inhalation<br />

• Others include ringworm (fungal), scabies (mites,<br />

an ectoparasite)


Transmission <strong>of</strong> Zoonoses<br />

• Enteric route (fecal/oral)<br />

Salmonella, Shigella, Campylobacter,<br />

Giardia, Toxoplasma, Cryptosporidium,<br />

Entamoeba, , Hepatitis A<br />

• Respiratory route<br />

Q fever, Chlamydia, , Measles<br />

• Skin contact<br />

Ringworm (Tinea), Measles, Monkeypox


Control <strong>of</strong> Zoonoses<br />

• Get information on<br />

species <strong>and</strong> agent<br />

• Quarantine animals prior<br />

to use<br />

• Use Engineering controls<br />

<br />

facility construction <strong>and</strong><br />

secondary barriers<br />

• Consider the need for<br />

containment caging<br />

• Use Administrative<br />

controls<br />

<br />

• Use PPE<br />

<br />

written SOPs <strong>and</strong><br />

manuals<br />

additional protection for<br />

worker<br />

• Practice good facility <strong>and</strong><br />

personal hygiene<br />

• Provide staff training


Laboratory Acquired Allergies<br />

(LAA)<br />

• Significant occupational disease<br />

• Affects >30% <strong>of</strong> all personnel working with<br />

animals<br />

• No minimum safe exposure levels to allergens<br />

have been established<br />

• Animal allergens found in hair, d<strong>and</strong>er, urine,<br />

saliva, serum<br />

fel-d-l l cat allergen (in saliva <strong>and</strong> thus on skin)<br />

is one <strong>of</strong> the strongest allergens known for<br />

humans


Sources <strong>of</strong> Exposure to LAA<br />

• Hair <strong>and</strong> d<strong>and</strong>er shed<br />

from animal<br />

• Urine <strong>and</strong> feces dried<br />

in bedding<br />

• Particulates shed from<br />

bedding material<br />

• Animal saliva


Routes <strong>of</strong> Exposure to LAA<br />

• Inhalation <strong>of</strong> airborne allergens<br />

during cage changing<br />

during animal h<strong>and</strong>ling<br />

• Skin or eye contact<br />

usually indirect by touching skin, eyes<br />

• Percutaneous exposure<br />

animal bites (saliva)


Risk Factors for Development <strong>of</strong><br />

LAA<br />

• Exposure to allergens<br />

duration<br />

frequency<br />

intensity<br />

• Previous allergic conditions<br />

• Other predisposing conditions<br />

illness<br />

Immunocompromised<br />

pets


LAA: Exposure Control<br />

• Engineering Controls<br />

enclosure<br />

dilution ventilation<br />

• Administrative Controls<br />

reduce time with animals<br />

reduce density <strong>of</strong> animals<br />

housekeeping practices<br />

• Personal Protective Equipment<br />

respirators <strong>and</strong> clothing<br />

• Medical Surveillance


Disinfection


Why Disinfect<br />

• To reduce or eliminate exposure risk<br />

Biohazard waste disposal<br />

Spill cleanup<br />

Routine surface decontamination<br />

• To eliminate contamination risk<br />

Preparation <strong>of</strong> microbiological media <strong>and</strong><br />

supplies<br />

Preparation <strong>of</strong> work area for cleanliness-critical<br />

critical<br />

tasks


Resistance to Disinfectants<br />

• Prions<br />

• Bacterial spores<br />

• Coccidia<br />

(Cryptosporidium)<br />

• Mycobacterium<br />

• Nonlipid viruses (Hep A,<br />

Polio)<br />

• Fungi<br />

• Rickettsiae, Chlamydiae<br />

• Vegetative bacteria<br />

• Lipid-containing viruses


Classes <strong>of</strong> Disinfectants<br />

• Chlorine<br />

• Iodine<br />

• Alcohol<br />

• Phenolics<br />

• Quaternary Ammonium<br />

• Glutaraldehyde<br />

• Hydrogen peroxide


Factors Influencing Efficacy<br />

• Surface/Topography – uneven, cracked or pitted<br />

surfaces especially wooden surfaces can hide<br />

microorganisms <strong>and</strong> are difficult to disinfect<br />

• Temperature - elevated temperatures may<br />

enhance germicidal action but also evaporation<br />

rate<br />

• Relative Humidity – many disinfectants have<br />

optimal relative humidity range for maximum<br />

effectiveness<br />

• Water Hardness – some disinfectants may be less<br />

effective when diluted in hard water


• Organic Load<br />

Blood, sputum, milk, bedding, feed,<br />

manure<br />

Proteins physically protect <strong>and</strong> stabilize<br />

many microorganisms<br />

Adverse effect on action <strong>of</strong> many<br />

disinfectants


• Concentration<br />

In most cases, the higher the<br />

concentration, the more rapid the kill<br />

Consider potential damage to surfaces or<br />

tissues<br />

Reducing concentration to avoid<br />

damage will require additional contact<br />

time<br />

Ultimately, disinfectant will no longer<br />

be active enough to be useful


• Contact Time<br />

Disinfectants should be effective with a<br />

short contact time<br />

Manufacturer’s s recommended contact<br />

time may be unrealistic under in-use<br />

condition<br />

Contact time may depend on the method<br />

<strong>of</strong> application<br />

For surface applications, loss by<br />

evaporation may require frequent<br />

applications to achieve contact time


Some Other Factors<br />

• Dirt, grease <strong>and</strong> oils – all can protect the organism<br />

<strong>and</strong> will repel water based disinfectants<br />

• Types <strong>of</strong> microbes present – spores, vegetative<br />

cells, viruses<br />

• Dried spills (from media, buffers) can protect<br />

microorganisms from contact with the disinfectant<br />

• pH<br />

• Age <strong>of</strong> the product/solution<br />

• Method <strong>of</strong> application (spray vs. wipe)<br />

• Rate <strong>of</strong> application<br />

• Storage condition


Medical Waste Disposal<br />

(Biohazardous <strong>and</strong> Sharps Wastes)


Who Regulates Medical Waste<br />

• Federal<br />

EPA (40 CFR part 60.51c)<br />

DOT (49 CFR Part 173.134)<br />

OSHA (29 CFR Part 1920.1030b)<br />

USPS (39 CFR 111.1)<br />

• <strong>State</strong> CA Health <strong>and</strong> Safety Code<br />

• Local SD Code <strong>of</strong> Regulatory Ordinance


Medical Waste<br />

…biohazardous waste <strong>and</strong>/or sharps waste<br />

that is produced or generated as a result <strong>of</strong><br />

diagnosis, treatment or immunization <strong>of</strong><br />

human beings or animals; research<br />

pertaining thereto; production or testing <strong>of</strong><br />

biologicals or removal <strong>of</strong> regulated waste<br />

from a trauma scene.


Forms <strong>of</strong> Medical Waste<br />

• Solid<br />

Labware (flasks, tubes, plates, bottle, vials)<br />

Pipettes (could also be sharps)<br />

Lab waste (stocks, specimens, cultures, swabs,<br />

vaccines)<br />

Gloves, apparel, wipes<br />

• Liquid<br />

Aspirates, culture fluids, rinses, washes<br />

Sera, body fluids<br />

• Sharps<br />

Anything with a point or edge capable <strong>of</strong><br />

piercing or cutting


Medical Waste Does Not Include:<br />

• Waste generated in food processing<br />

• Urine, feces, saliva, sputum, nasal secretions,<br />

sweat, tears, or vomitus, unless it contains fluid<br />

blood<br />

• Medical solid wastes i.e., paper towels or empty<br />

specimen containers that are not biohazardous,<br />

b<strong>and</strong>ages/dressings containing dried blood<br />

• Hazardous waste, radioactive waste, household<br />

waste<br />

• Waste generated on agricultural or livestock<br />

practices on a farm or ranch


Biohazardous Waste<br />

• Laboratory Wastes<br />

Human or animal<br />

specimen cultures<br />

Cultures <strong>and</strong> stocks <strong>of</strong><br />

infectious agents<br />

Wastes from production <strong>of</strong><br />

biologicals, live <strong>and</strong><br />

attenuated vaccines,<br />

culture dishes <strong>and</strong> devices<br />

• Pharmaceuticals<br />

• Human surgery specimens or<br />

tissues, including those fixed<br />

in fixatives<br />

• Animal parts, tissues,<br />

fluids, or carcasses<br />

• Wastes containing<br />

recognizable fluid blood<br />

or blood products,<br />

containers with fluid<br />

blood, blood from animals<br />

• Wastes contaminated or<br />

containing<br />

chemotherapeutic agents


Sharps Waste<br />

… means any device having acute rigid corners,<br />

edges, or protuberances capable <strong>of</strong> cutting or<br />

piercing.<br />

• Needles, needles with syringes, contaminated<br />

syringes, blades, needles with attached tubing<br />

• Broken glass items i.e., Pasteur pipettes, blood<br />

vials contaminated with biohazardous waste


Mixed Waste<br />

… means mixtures <strong>of</strong> medical <strong>and</strong> nonmedical<br />

waste. Mixed waste is medical waste, except for<br />

all <strong>of</strong> the following:<br />

“Mixed Waste Hierarchy”


Biohazard Bag<br />

…means a disposable red bag that is<br />

impervious to moisture <strong>and</strong> has a strength<br />

sufficient to preclude ripping, tearing, or<br />

bursting under normal conditions <strong>of</strong> usage<br />

<strong>and</strong> h<strong>and</strong>ling <strong>of</strong> the waste-filled bag.


Containment <strong>and</strong> Storage<br />

Biohazardous Waste<br />

• Must be segregated from other types <strong>of</strong> wastes<br />

• Must be contained in “biohazard bags”<br />

Bags must be red.<br />

Bags must be labeled either with the word<br />

“Biohazardous” or with the biohazard symbol<br />

<strong>and</strong> the word “Biohazard”.<br />

Bags must also be labeled with the generator’s<br />

name, address <strong>and</strong> phone number.<br />

Bags must be securely tied to prevent leakage<br />

or expulsion <strong>of</strong> contents.<br />

Bags must be placed in a rigid container for<br />

storage, h<strong>and</strong>ling <strong>and</strong> transport.


• Containers<br />

Containers shall be leak resistant, have tight-fitting<br />

covers, kept clean <strong>and</strong> in good repair.<br />

Containers may be <strong>of</strong> any color <strong>and</strong> shall be labeled<br />

with the word “Biohazardous” or with the biohazard<br />

symbol <strong>and</strong> the word “Biohazard” on the lid <strong>and</strong> on the<br />

sides so as to be visible on any lateral direction.<br />

• Reusable containers shall be washed <strong>and</strong> decontaminated<br />

unless protected from contamination by disposable liners<br />

or bags.<br />

• Reusable containers shall be washed to remove visible soil<br />

<strong>and</strong> decontaminated by:<br />

Exposure to hot water (180°F) for 15 secs.<br />

Exposure to the following sanitizer for 3 mins.<br />

Hypochlorite soln. (500 ppm avail. Chlorine)<br />

Phenolic soln. (500 ppm active agent)<br />

Iod<strong>of</strong>orm soln. (100 ppm avail. Iodine)<br />

Quaternary ammonium soln. (400 ppm active agent)


Sharps Container<br />

…means a rigid puncture resistant container<br />

that, when sealed, is leak resistant <strong>and</strong><br />

cannot be reopened without great difficulty.


Containment <strong>and</strong> Storage<br />

Sharps Waste<br />

• Must be segregated from other types <strong>of</strong> wastes.<br />

• Must be contained in “sharps container”.<br />

• Tightly close or tape closed the lid <strong>of</strong> a full sharps<br />

container ready for disposal.<br />

• Store sharps container ready for disposal for not<br />

more than 7 days.<br />

• Label sharps container with the word “Sharps<br />

Waste” or the biohazard symbol <strong>and</strong> the word<br />

“Biohazard”.<br />

• Must also be labeled with the generator’s s name,<br />

address <strong>and</strong> phone number that is legible <strong>and</strong><br />

easily visible on the outside <strong>of</strong> the container.


Disposal<br />

• Take biohazard bag <strong>and</strong> sharps container to<br />

designated Accumulation Sites:<br />

Life Science, Room 14<br />

Student Health Service, outside shed<br />

Generators at other locations may call EHS at<br />

(619) 594-6778 for biohazard waste pick-ups<br />

• A biowaste vendor will collect biohazard bag <strong>and</strong><br />

sharps container for disposal on a weekly basis<br />

from Life Science <strong>and</strong> Student Health Services.<br />

• Biohazardous <strong>and</strong> sharps wastes will be<br />

autoclaved while animal carcasses will be<br />

incinerated.


Solid Medical Waste Collection<br />

Must be rigid, puncture-pro<strong>of</strong>, leak-pro<strong>of</strong><br />

Not acceptable in CA<br />

Labels have to be affixed on all 4 sides <strong>of</strong> the container.


Sharps Waste Collection<br />

Sharps containers


What’s Wrong with these<br />

Pictures<br />

Left: Sharps sticking out <strong>of</strong> Sharps Waste container.<br />

Right: Sharps Waste container past full line. No generator label.


What’s Wrong with these<br />

Pictures<br />

Left: Bottle not labeled.<br />

Right: Cardboard box is not allowed for liquid waste. No labels. No lid.


What’s Wrong with these<br />

Pictures<br />

Left <strong>and</strong> Right: Cardboard box is not an appropriate Sharps Waste container.<br />

No labels. No lids.


What’s Wrong with these<br />

Pictures<br />

Left: Red bag should be inside the secondary container. Cardboard box is not an acceptable<br />

secondary container.<br />

Right: Bag must be red. Secondary container does not have to be red. No biohazard label.<br />

Red bag on floor ready for disposal must be transported to the accumulation site immediately.


What’s Wrong with these<br />

Pictures<br />

Left: Do not fill red bags completely. Replace more <strong>of</strong>ten.<br />

Right: No biohazard label. Red bag on floor ready for disposal must be<br />

transported to the accumulation site immediately.


What’s Wrong with these<br />

Pictures<br />

Left: Do not deface container. Incorrect label placed on container (need generator label).<br />

Right: Red bag must be transported in a secure secondary container to the accumulation<br />

site. Red bag must have biohazard label <strong>and</strong> generator label.


What’s Wrong with these<br />

Pictures<br />

Left: Proper Sharps Waste container not used. No generator label.<br />

Right: Generator label should be on the outside <strong>of</strong> the red bag. Secondary container needs<br />

biohazard label on all visible sides including top. Use appropriately sized red bag for<br />

secondary container.


What’s Wrong with these<br />

Pictures<br />

Left: Incorrect label placed on container (need generator label). Keep lid closed when not in<br />

use.<br />

Right: No lid. Use appropriately sized red bag for secondary container. Secondary container<br />

needs biohazard label on all visible sides including top.


Containment Equipment <strong>and</strong><br />

Facilities


Biocontainment<br />

• The principle <strong>of</strong> holding or being capable <strong>of</strong><br />

holding or including within a fixed limit or<br />

area<br />

• Preventing the unintentional release <strong>of</strong><br />

biological agents through a combination <strong>of</strong><br />

laboratory practices, containment<br />

equipment (primary barrier) <strong>and</strong> laboratory<br />

facility design (secondary barrier)


Primary Barrier<br />

• Primary barriers contain the agent at the<br />

source<br />

• Equipment/Engineering Control<br />

Biological safety cabinet, fumehood,<br />

glove box, animal housing, centrifuge,<br />

fermenter


Secondary Barrier<br />

• Secondary barrier is the structure<br />

surrounding the primary barrier<br />

• Facility/Engineering Control<br />

Rooms, building<br />

• Types <strong>of</strong> Facilities<br />

Basic laboratory<br />

Containment laboratory


Primary Barriers - Equipment<br />

• Personnel Protection<br />

Any aerosol generated within the cabinet is<br />

contained <strong>and</strong> kept away from the researcher<br />

• Product Protection<br />

Air within the work space <strong>of</strong> the cabinet has<br />

been filtered so that is is virtually free <strong>of</strong><br />

airborne particles <strong>and</strong> organisms; thus<br />

protecting the work from outside contamination<br />

• Environmental Protection<br />

Aerosols generated within the unit are removed<br />

from the air before the air is discharged


Ventilation Equipment<br />

Classes <strong>and</strong> Types


Chemical Fume Hood<br />

• 100 fpm face velocity<br />

• Offer only personnel protection<br />

• Always exhaust air to the outside<br />

• Do not <strong>of</strong>fer protection to the product or the environment,<br />

as there is no filtration <strong>of</strong> intake <strong>and</strong> exhaust air<br />

(Sometimes air cleaning treatment is added to the exhaust.)<br />

• Do draw contaminants in the laboratory air directly over<br />

the product being worked on<br />

• Used for work with chemical hazards


Any Comments<br />

Fumehood - keep hood clean, sash should be closed when hood is not in<br />

use, equipment should be 9” from sash


Clean Bench / Laminar Flow Hoods<br />

• Provide product protection only<br />

• Product protection is provided by creating a unidirectional<br />

airflow generated through a HEPA filter<br />

• Discharge air goes directly into workroom<br />

• Applications<br />

– Any application where the product is not hazardous but<br />

must be kept contaminant free<br />

– Preparation <strong>of</strong> non-hazardous intravenous mixtures <strong>and</strong><br />

media<br />

– Particulate free assembly <strong>of</strong> sterile equipment <strong>and</strong><br />

electronic devices<br />

• Eliminate Clean Bench in containment laboratory


Biological Safety Cabinets<br />

• Designed to contain biological hazards<br />

• Inward airflow for personnel protection<br />

• HEPA filtered exhaust air for environmental protection<br />

• Supply air HEPA filter for product protection (except<br />

Class I)<br />

• Separated into Classes <strong>and</strong> Types<br />

– Class I<br />

– Class II<br />

• Type A1, A2<br />

• Type B1, B2<br />

– Class III<br />

• Microbiological studies, cell cultures, pharmaceutical<br />

research <strong>and</strong> procedures…


Class I Cabinet<br />

• 75 fpm face velocity<br />

• Provides personnel <strong>and</strong> environmental protection<br />

• No product protection<br />

• Requires an exhaust blower to pull the air through<br />

- usually to the outdoors<br />

• Applications<br />

– Housing centrifuges, fermenters<br />

– Cage dumping in an animal lab<br />

– Aerating cultures


Class II Cabinets<br />

• Ventilated cabinet<br />

• Provides personnel, product, <strong>and</strong> environmental<br />

protection<br />

• Open front with inward airflow for personnel<br />

protection<br />

• Downward HEPA filtered laminar airflow for<br />

product protection<br />

• HEPA filtered exhaust air for environmental<br />

protection


Any Comments<br />

BSC - remove unnecessary objects, keep grill at front <strong>of</strong> cabinet unobstructed


Primary Barriers<br />

Personnel<br />

Product<br />

Environment<br />

Chemical Fumehood<br />

x<br />

Laminar Flowhood<br />

x<br />

Class I <strong>Biosafety</strong> Cabinet x x<br />

Class II <strong>Biosafety</strong> Cabinet x x x<br />

Class III <strong>Biosafety</strong> Cabinet x x x<br />

Isolators x x x


Types <strong>of</strong> <strong>Biosafety</strong> Cabinets<br />

NSF/ANSI St<strong>and</strong>ard 49 – 2002<br />

Type<br />

Face velocity<br />

(lfpm)<br />

Airflow Pattern<br />

Radionuclides/<br />

Toxic Chemicals<br />

<strong>Biosafety</strong><br />

Level(s)<br />

Product<br />

Protection<br />

Class I 75 In at front; rear <strong>and</strong> top through<br />

HEPA filter<br />

No 2, 3 No<br />

Class II<br />

Type A1<br />

75<br />

70% recirculated through HEPA;<br />

exhaust through HEPA<br />

No 2, 3 Yes<br />

Class II<br />

Type A2<br />

100<br />

30% recirculated through HEPA;<br />

exhaust via HEPA <strong>and</strong> hard ducted<br />

Yes (Low<br />

levels/volatility)<br />

2, 3 Yes<br />

Class II<br />

Type B1<br />

100<br />

No recirculation; total exhaust via<br />

HEPA <strong>and</strong> hard ducted<br />

Yes 2, 3 Yes<br />

Class II<br />

Type B2<br />

100<br />

Same as B1, but plena under<br />

negative pressure to room <strong>and</strong><br />

exhaust air is ducted<br />

Yes 2, 3 Yes<br />

Class III<br />

NA<br />

Supply air inlets <strong>and</strong> exhaust<br />

through 2 HEPA filters<br />

Yes 3, 4 Yes


Biological Safety Cabinet<br />

Certification<br />

• First Certification<br />

• Annually<br />

• When moved<br />

• When filter is changed<br />

• When repaired or modified<br />

Note: Certification is paid by the researcher, not EHS


Other Primary Barriers-<br />

Engineering Control<br />

• Gasketed blenders, homogenizers<br />

• Cotton plugs, filters for flasks in shakers<br />

• Filtered pipette tips<br />

• HEPA <strong>and</strong> hydrophobic vacuum line filters<br />

• Plasticware substituted for glassware<br />

• Gas burners with shield, microincinerator<br />

• Centrifuges<br />

Interlock, solid cover, safety buckets, O-ringsO


Secondary Barrier- Facilities<br />

Laboratory <strong>Biosafety</strong> Level 2<br />

• Lockable doors (a must for restricted agents)<br />

• Sink<br />

• Bench tops impervious <strong>and</strong> easily cleaned<br />

• Biological safety cabinet (if applicable)<br />

• Eyewash<br />

• Inward airflow (desirable)


<strong>Biosafety</strong> <strong>Practices</strong> <strong>and</strong><br />

Procedures


Hierarchy <strong>of</strong> Controls<br />

• Administrative Control<br />

• Engineering Control<br />

• Work <strong>Practices</strong><br />

• Personal Protective Clothing or Equipment


Administrative Controls<br />

• Substitution<br />

• Authorization/Approval<br />

• Written biosafety procedures required for the<br />

experimental procedures <strong>and</strong> equipment including<br />

inventory <strong>of</strong> biological agents or materials<br />

• Laboratory personnel biosafety training<br />

• Medical Surveillance (BSL 2 <strong>and</strong> above)<br />

Health history<br />

Medical screening<br />

Immunization<br />

Serum storage<br />

Post-exposure prophylaxis


Engineering Controls<br />

• Biological safety cabinets, glove boxes<br />

• Animal containment caging systems<br />

• Safety equipment (filtered or sealed<br />

equipment)<br />

• Ventilation system<br />

• Containment facilities


Personal Protective Clothing <strong>and</strong><br />

Equipment<br />

• Provides barrier against skin, mucous<br />

membrane or respiratory exposure to<br />

infectious agents during procedures<br />

• Prevent spread <strong>of</strong> contamination<br />

• Does not eliminate the hazard<br />

• Integrity wanes with use (i.e., change gloves<br />

frequently)


BSL 1: Work <strong>Practices</strong> <strong>and</strong><br />

Procedures<br />

• Applications<br />

Non-infectious agent <strong>and</strong> tissue culture, media<br />

preparation<br />

• Prevent Cross Contamination<br />

Keep cultures covered<br />

Flame instruments <strong>and</strong> containers<br />

Use sterile media <strong>and</strong> equipment<br />

Keep h<strong>and</strong>s or face away from cultures


BSL 1: Work <strong>Practices</strong> <strong>and</strong><br />

Procedures<br />

• <strong>Biosafety</strong> Procedures<br />

Work with agents may be conducted on open<br />

bench<br />

Wash h<strong>and</strong>s <strong>of</strong>ten<br />

No mouth pipetting<br />

No eating or drinking in lab<br />

Minimize aerosol generation<br />

Decontaminate work surfaces<br />

Wear applicable PPE


BSL 2: Work <strong>Practices</strong> <strong>and</strong><br />

Procedures<br />

• Increasing emphasis on safety<br />

procedures <strong>and</strong> practices<br />

• Increasing need for staff training<br />

• Increasing need for competent<br />

supervision<br />

• Biohazard sign posted at entry door<br />

• Biohazard labels affixed on regulated<br />

waste containers<br />

• Use <strong>of</strong> personal protective equipment<br />

as a barrier to exposure: lab coat,<br />

gloves, eye <strong>and</strong> face protection<br />

• Some work on open bench allowed


BSL 2: Work <strong>Practices</strong> <strong>and</strong><br />

Procedures<br />

• Aerosol generating procedures<br />

performed in a biosafety cabinet:<br />

Homogenizing<br />

Vortexing<br />

Vigorous mixing<br />

Pipetting infectious liquids<br />

Sonication<br />

Pouring<br />

• If breach occurs:<br />

Evacuate lab, post spill sign<br />

With appropriate PPE <strong>and</strong><br />

disinfectant, decontaminate<br />

centrifuge, buckets, other<br />

items or areas


Correct Use <strong>of</strong> <strong>Biosafety</strong> Cabinets<br />

• Start Up<br />

<br />

<br />

<br />

<br />

Turn <strong>of</strong>f ultraviolet light (if so<br />

equipped) as soon as you enter the<br />

room.<br />

Turn on all blowers <strong>and</strong> BSC<br />

illumination lights.<br />

Allow five minutes <strong>of</strong> operation to<br />

purge system; check flow alarm<br />

system audio <strong>and</strong> visual alarm<br />

function (if so equipped).<br />

Decontaminate readily accessible<br />

interior surfaces <strong>and</strong> items with a<br />

disinfectant (appropriate for the<br />

agents or suspected agents present)<br />

before loading <strong>and</strong> wait at least 10<br />

minutes prior to start <strong>of</strong> work.


Correct Use <strong>of</strong> <strong>Biosafety</strong> Cabinets<br />

• During Use<br />

Load supplies prior to<br />

work.<br />

Do not overload cabinet.<br />

Separate clean <strong>and</strong> dirty<br />

side.<br />

Work in center <strong>of</strong> work<br />

area.<br />

Do not block front or rear<br />

grills.<br />

Minimize disruption <strong>of</strong><br />

airflow (turbulence).<br />

Clean up spill promptly.<br />

Discard waste within the<br />

cabinet.


Correct Use <strong>of</strong> <strong>Biosafety</strong> Cabinets<br />

• Shut Down<br />

Decontaminate <strong>and</strong> remove all<br />

items from interior work area.<br />

Decontaminate readily<br />

accessible interior surfaces with<br />

a disinfectant appropriate for<br />

the agents or suspected agents<br />

present.<br />

Turn on ultraviolet light (if so<br />

equipped).<br />

Allow five minutes <strong>of</strong><br />

operation to purge system.<br />

Then wait at least 10<br />

minutes.<br />

Turn <strong>of</strong>f BSC blower.


Correct Use <strong>of</strong> <strong>Biosafety</strong> Cabinets<br />

• Moving/Installation<br />

BSCs must be decontaminated prior to moving. In order to<br />

ensure filter integrity, the equipment must be recertified after<br />

the BSC is installed at its final new location. Arrangements<br />

need to be made well in advance in order for contractors to<br />

meet your schedule. The PI is responsible for contacting the<br />

contractor or to schedule this work.<br />

• Decontamination<br />

Decontamination is usually performed by certified<br />

pr<strong>of</strong>essionals.<br />

• Certification<br />

All BSCs that are used for h<strong>and</strong>ling biohazardous materials<br />

must be recertified annually. SDSU has contracted with a<br />

specific contractor to provide a consistent level <strong>of</strong><br />

certification <strong>and</strong> maintenance service. Contact EHS at (619)<br />

594-6778 to obtain contractor information.


Correct Use <strong>of</strong> <strong>Biosafety</strong> Cabinets<br />

– Open Flames<br />

• DO NOT use Bunsen burners or open flames<br />

Fire hazard<br />

Can damage HEPA filter<br />

Interferes with proper air flow<br />

Microincinerator preferred<br />

Burner with pilot light not a good alternative<br />

Open flames react with disinfectants (flammables)


Safe Use <strong>of</strong> Centrifuge<br />

• Use sealed tubes, rotors, <strong>and</strong> safety cups/buckets that are sealed d with<br />

O-rings<br />

• Inspect tubes, O-rings O<br />

<strong>and</strong> rotors for wear, <strong>and</strong> buckets for cracks,<br />

chips, erosion, etc.<br />

• Do not use aluminum foil to cap centrifuge tubes<br />

• Clean <strong>and</strong> maintain gaskets <strong>and</strong> O-ringsO<br />

• Change O-rings O<br />

if compromised<br />

• Load/unload centrifuge tubes, rotors <strong>and</strong> accessories in BSC<br />

• Small, low speed centrifuges may be placed in a BSC; however, high<br />

speed centrifuges pose additional hazards<br />

• Do not overfill tubes<br />

• Balance buckets, tubes <strong>and</strong> rotors properly before centrifugation<br />

• Wait 5 minutes (or 30 mins. for high speed centrifuge) after each h run<br />

before opening<br />

• Do not decant or pour <strong>of</strong>f supernatant. Use a vacuum system with<br />

appropriate in-line reservoirs <strong>and</strong> filters


Safe Use <strong>of</strong> Blenders<br />

• Avoid use <strong>of</strong> glass blender jars, unless covered<br />

with polypropylene jar<br />

• Place disinfectant-moistened towel over the top <strong>of</strong><br />

the blender during use<br />

• Before opening the blender jar, allow the unit to<br />

rest at least 1 minute for aerosols to settle <strong>and</strong> then<br />

open in a BSC<br />

• Decontaminate promptly after use


Minimizing Aerosols<br />

• Use careful pipetting practices<br />

• Avoid drops onto hard surfaces<br />

• Wipe up spills promptly with appropriate<br />

disinfectant<br />

• For ejection <strong>of</strong> liquid from micropipette<br />

No blowout<br />

No pressure ejection<br />

Use wall contact<br />

• Use capped tubes when mixing, blending, or<br />

vortexing<br />

• Pour liquids carefully<br />

• Avoid bubbles


Careful Pipetting Techniques<br />

• Never blow out last drop in<br />

pipette<br />

• Use pipetting aids with filters<br />

• Never mix by suction <strong>and</strong><br />

expulsion (mix by sonication)<br />

• Discharge liquid down side<br />

<strong>of</strong> container, using tip-to<br />

to-wall<br />

contact<br />

• Deliver as close as possible to<br />

contents<br />

• Work over plastic-backed<br />

absorbent matting (ensure it<br />

doesn’t t slide forward or<br />

backward blocking air grill)


Use Extreme Care with Sharps<br />

• Use sharps if only absolutely<br />

required as part <strong>of</strong> a process<br />

• Percutaneous exposure risk<br />

Employ safe work practices<br />

Utilize safe sharp devices<br />

• Aerosol exposure risk<br />

Use biosafety cabinet for<br />

removal <strong>of</strong> air from needle<br />

• Use mechanical methods for<br />

needle removal<br />

• Never bend, recap or manipulate<br />

sharps by h<strong>and</strong><br />

• Keep h<strong>and</strong>s away from needle


Vacuum System Protection<br />

• In-line filter <strong>and</strong> disinfectant in collection <strong>and</strong><br />

overflow flasks


Signs <strong>and</strong> Labels


Biohazard Signs<br />

• Completely filled out biohazard sign must be<br />

displayed at entrances to laboratories where<br />

biohazards are present <strong>and</strong> tissue culture rooms<br />

• Features fluorescent orange-red red sign with lettering<br />

“biohazard” <strong>and</strong> the international biohazard symbol<br />

in contrasting color, name <strong>of</strong> biohazardous agent or<br />

material, special entry requirement <strong>and</strong> PI <strong>and</strong> BSO<br />

contact number<br />

• Available free <strong>of</strong> charge from EHS,<br />

call (619) 594-2865


Biohazard Label<br />

• Must be attached to containers <strong>of</strong> biohazards or<br />

biohazardous waste containers.<br />

• Features fluorescent orange-red red label with<br />

lettering “biohazard” <strong>and</strong> the international<br />

biohazard symbol in contrasting color.<br />

• Red bags <strong>and</strong> sharps containers must also have the<br />

generator address label affixed prior to use:<br />

<strong>San</strong> <strong>Diego</strong> <strong>State</strong> <strong>University</strong><br />

5500 Campanile Drive<br />

<strong>San</strong> <strong>Diego</strong>, CA 92182<br />

(619) 594-6778


Laboratory Moves


It is important that the laboratory is safe:<br />

• For custodians to clean<br />

• For contractors to work in<br />

• For the next group <strong>of</strong> laboratory personnel<br />

to occupy


Disposal <strong>and</strong> Decontamination <strong>of</strong><br />

Biohazardous Waste<br />

In preparation for moving, observe the following<br />

guidelines:<br />

• Label ALL biohazardous waste red bags <strong>and</strong><br />

sharps container<br />

• Dispose <strong>of</strong> all biohazardous waste red bags <strong>and</strong><br />

sharps containers at approved accumulation sites<br />

• EHS will not pick-up biohazardous waste except<br />

in unusual situations<br />

• Chemically disinfect biohazardous waste<br />

• Autoclave liquid biohazardous waste <strong>and</strong> dispose<br />

<strong>of</strong> down the drain


Moving the <strong>Biosafety</strong> Cabinet<br />

• Disinfect all BSC work surfaces prior to<br />

moving the BSC to a new facility. BSCs<br />

used for work with pathogenic organisms<br />

may require paraformaldehyde<br />

decontamination before being moved.<br />

• Each BSC must be recertified for correct<br />

airflow <strong>and</strong> filter integrity after it has been<br />

moved <strong>and</strong> placed in its final location.


Moving or Disposing <strong>of</strong><br />

Refrigeration Units<br />

• Clear all materials stored inside the<br />

refrigeration units.<br />

• Disinfect all refrigeration units prior to<br />

removal or disposal.<br />

• Obtain clearance notification from EHS<br />

prior to removal or disposal <strong>of</strong> refrigeration<br />

units.


Shipment <strong>and</strong> Transportation


To Whom are the Shipping <strong>and</strong><br />

Transportation Regulations Applicable<br />

Under IATA, DGR apply to anyone who h<strong>and</strong>les,<br />

<strong>of</strong>fers for transport, transports dangerous goods or<br />

causes dangerous goods to be transported.<br />

Under DOT, HMR apply to each person who<br />

performs, or causes to be performed, functions<br />

related to the transportation <strong>of</strong> hazardous materials<br />

such as determination <strong>of</strong>, <strong>and</strong> compliance with,<br />

basic conditions for <strong>of</strong>fering; filling packages;<br />

marking <strong>and</strong> labeling packages; preparing<br />

shipping papers; h<strong>and</strong>ling, loading, securing <strong>and</strong><br />

segregating packages within a transport vehicle,<br />

freight or cargo hold; <strong>and</strong> transporting hazardous<br />

materials.


Emergency Response to<br />

Biological Incidents<br />

Response to Biological Spills in<br />

the Laboratory<br />

(Intentional or Accidental)


Exposure Management<br />

For splash to eyes, mucous membranes, or<br />

broken area <strong>of</strong> the skin<br />

• Irrigate eyes with clean water, saline or<br />

sterile irrigants<br />

• Flush splashes to mouth, nose, <strong>and</strong> broken<br />

area <strong>of</strong> skin with water


Exposure Management<br />

For needlesticks or cuts with human blood, fluids,<br />

infectious agents or antibiotic resistant organism<br />

• Flush needlesticks <strong>and</strong> cuts with soap <strong>and</strong> water<br />

• Get medical evaluation ASAP<br />

• Inform PI, BSO <strong>and</strong> health pr<strong>of</strong>essional (required<br />

m<strong>and</strong>atory reporting <strong>of</strong> incident)<br />

• Public Health Service has recommendations for<br />

post-exposure follow-up


Spill Clean-Up<br />

You can clean-up a biological spill if:<br />

• You are aware <strong>of</strong> the hazards <strong>and</strong> clean-up<br />

procedures (training required)<br />

• There is no potential for personal or<br />

environmental damage<br />

• The appropriate spill clean-up equipment is<br />

available<br />

• One or two people can clean-up the spill<br />

thoroughly in less than an hour<br />

Note: Spill incident still needs to be reported to<br />

BSO/EHS. If spill is in gallons or liters, call<br />

BSO/EHS.


Biological Spill Clean-Up Kit-<br />

Basic<br />

• Nitrile gloves (double gloving), splash<br />

goggles, shoe covers<br />

• Small disposable broom with dustpan, tongs<br />

or forceps (for picking up sharps)<br />

• Paper towels or other absorbent in the lab<br />

• Sharps container <strong>and</strong>/or biohazard waste<br />

bags<br />

• Disinfectant agent suitable for the agents in<br />

the lab


Spill Clean-Up for BSL 1-2<br />

If there is a spill inside the biosafety cabinet:<br />

• Keep the BSC running during spill <strong>and</strong> clean-up to contain aerosol.<br />

• Place absorbent paper on spill <strong>and</strong> soak with disinfectant.<br />

• Allow 20 minutes <strong>of</strong> contact time. Wipe up spill, working from the e edges to<br />

the center. Clean spill areas with fresh paper towels soaked in disinfectant.<br />

• Disinfect the BSC interior <strong>and</strong> any other equipment in the BSC with<br />

disinfectant.<br />

• Discard contaminated disposable materials using appropriate biohazardous<br />

waste disposal procedures.<br />

• Place contaminated reusable items in biohazard bags or autoclavable pans<br />

before autoclaving.<br />

• Run BSC 10 minutes after clean-up before resuming work or turning BSC<br />

<strong>of</strong>f.<br />

Note: If you are working in a BSC <strong>and</strong> the power went <strong>of</strong>f in the room or the<br />

BSC fan stops blowing, IMMEDIATELY LEAVE THE ROOM.


Spill Clean-Up for BSL 1-2<br />

If the spill is in the laboratory but outside the biosafety cabine<br />

• Call the BSO if the material is RG 2 or greater.<br />

• Clear area <strong>of</strong> all personnel. Wait at least 30 minutes for aerosol ol to settle<br />

before entering spill area.<br />

• Remove any contaminated clothing <strong>and</strong> place in biohazard bag to be b<br />

autoclaved.<br />

• Put on disposable gown, safety glasses <strong>and</strong> gloves.<br />

• Initiate cleanup with disinfectant as follows:<br />

Place dry paper towels on spill then layer a second set <strong>of</strong> disinfectant<br />

soaked paper towels over the spill.<br />

Encircle the spill with additional disinfectant being careful to minimize<br />

aerosolization while assuring adequate contact.<br />

Allow at least a minimum <strong>of</strong> 20 minutes contact time to ensure germicid<br />

rmicid<br />

action <strong>of</strong> disinfectant. Wipe up spill, working from the edges to the<br />

center. Clean spill areas with fresh paper towels soaked in disinfectant.<br />

infectant.<br />

Decontaminate all items within the spill area.<br />

Discard contaminated disposable materials using appropriate<br />

biohazardous waste disposal procedures.


Spill Clean-Up for BSL 1-2<br />

If the spill is outside the laboratory, in transit:<br />

• To prevent a spill, transport labeled biohazardous<br />

material in an unbreakable, well-sealed primary<br />

container placed inside <strong>of</strong> a second unbreakable,<br />

lidded container (cooler, plastic pan or pail).<br />

• Should a spill occur in a public area, do not attempt<br />

to clean it up without appropriate PPE.<br />

• Secure the area, keeping all people clear <strong>of</strong> the<br />

spill.<br />

• Call the BSO to assist in the clean-up.<br />

• St<strong>and</strong> by during spill response <strong>and</strong> cleanup activity<br />

to provide information <strong>and</strong> assistance.


Biosecurity


Biosecurity vs. <strong>Biosafety</strong><br />

• Biosecurity refers to ensuring the security<br />

<strong>of</strong> biological materials to prevent theft,<br />

illicit use or release.<br />

• <strong>Biosafety</strong> focuses on reducing exposure to<br />

<strong>and</strong> release <strong>of</strong> biological materials.<br />

• Integrating biosecurity <strong>and</strong> biosafety<br />

programs is important for work with select<br />

agents.


Inspection


Inspection Elements<br />

• Laboratory Identification<br />

• Containment Facility/Equipment<br />

• Work <strong>Practices</strong><br />

• Hazard Communication<br />

• Biohazardous Waste H<strong>and</strong>ling<br />

• Laboratory Personnel

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