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13348_Basics of Biosafety

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    Basics of Biosafety

    Working Safely with Biological Materials

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    Principles and practices employed to protect

    laboratory personnel and the environment from

    exposure or infection while working with livingorganisms, biological materials, or agents.

    Included are any materials that may be potentially

    infectious.

    Includes recombinant DNA research

    What is Biosafety?

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    The agent is the what creates risk

    Risks to the worker or environment are

    often unknown

    Determining acceptable risk?

    Agents and Risks

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    There is always risk!

    The risk must be identifiedThe risk is evaluated

    The risk must be measured

    Plan to minimize the risk

    Assessing Risk

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    Assessment is conducted by a Biosafety

    Professional in partnership with and based

    on information provided by theP

    rincipalInvestigator

    The assessment is presented to the

    Institutional Biosafety Committee (IBC) for

    approval

    Who Determines Acceptable Risk?

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    Understand the biology of the agent

    Susceptibility and transmission within the

    host

    Hazards associated with equipment and

    procedures Goal:

    Provide the highest practical protection and

    the lowest practical exposure

    Identifying Risk

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    Worst case scenario -What might happen?

    Likelihood of an event

    Seriousness of the incident

    Actions needed to resolve the problems

    Evaluating Risk Acceptability

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    Since there is no such thing as no risk

    Safe means risk has been judged acceptable

    Judging risk is a subjective- humans make

    decisions

    Measuring risk is objective- use available

    guidelines, data, and documentation Keep records of how determinations were made

    due to subjective nature of the process

    What is Acceptable Risk?

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    Agents Assigned Risk Groups

    RG-1 Unlikely to cause disease in humans or animals

    low individual or community risk

    RG-2 May cause disease but typically not serious

    individual risk, low community risk, treatable

    RG-3 May cause serious disease, usually treatable High individual but low community risk, serious respiratory agents

    RG-4 Serious or fatal, often not treatable,

    Easy transmission, high individual and community risk

    WHO-World Health Organization

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    Different than the Risk Groups!!

    Risk groups used in risk assessment

    BSL are used in risk management

    BSL are ways to control the agent

    facilities, safety equipment, practices, PPE, etc.

    Once risk is assessed then the appropriate BSL

    is determined

    Biosafety Levels (BSL)

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    Well characterized, non-pathogenicorganisms or agents

    Open bench- no containment

    Use good laboratory practices, wastedisposal, and aseptic techniques

    Example: E. coli K-12 strains

    BioSafety Level 1

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    Agents of moderate hazard to personnelor environment

    Basic lab, but restricted access, containment during

    certain processes (i.e. aerosols, large volumes, etc.)

    Autoclave and Biological Safety Cabinet desired

    Use good laboratory practices, waste disposal, andaseptic techniques

    Example: most non-respiratory, non lethal, agents

    BioSafety Level 2

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    Agents of high hazard to personnel or environment

    Respiratory exotic or indigenous agents which areeasily transmissible causing serious or lethal disease

    All work is contained, engineering controls and

    controlled environments we currently do not have thefacilities to handle.

    Example: Mycobacterium tuberculosis, SARS, etc.

    BioSafety Level 3

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    FORGET ABOUT IT!!!

    Hemorrhagic fever, deadly viruses, etc.

    Total containment, airtight labs, submarinedoors, air pumps, water treatment, HEPA

    filtration, etc.

    Positive pressure moonsuits

    BioSafety Level 4

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    Bacterial:76% from clinical labs

    8% from research labs

    Exposure:

    60% acquired from inhalation

    Other exposures include:

    digestion, sharps, splashes, direct and indirect contact

    Laboratory Acquired Infections (LAI)

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    Viral

    16% from clinical labs

    70% from research labs

    32% from animal related activities

    Laboratory Acquired Infections (LAI)

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    Biohazardous/Medical Waste

    Waste that is potentially infectious to

    humans, animals or plants. It includes:

    Medical Waste according to MMWRA

    Regulated Waste by MIOSHA

    Regulated Waste by CDC/NIH

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    Michigan Medical Waste Regulatory Act

    (MMWRA)

    Defines medical waste

    Requirements for waste handling and

    disposal Requires generators to register with

    DEQ and implement a Medical WasteManagement Plan

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    Michigan Medical Waste Regulatory Act

    (MMWRA)

    Defines medical waste

    Requirements for waste handling and

    disposal Requires generators to register with

    DEQ and implement a Medical WasteManagement Plan

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    Biohazardous Waste Management Plan

    Must outline how generating facility

    complies with the MMWRA:

    Types of wastes generated Storage and disposal of wastes

    Contingency plans

    Training

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    Biohazardous Waste Categories

    Cultures and stocks of infectious

    agents and associated biologicals

    laboratory waste biological production waste

    discarded live and attenuated

    vaccines

    culture dishes and related materials

    contaminated PPE

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    Biohazardous Waste Categories

    Liquid human and animal waste liquid or semi-liquid blood and blood

    products and body fluids

    contaminated items that wouldrelease blood or items that are cakedwith blood or other potentiallyinfectious materials; NOT includingurine or materials stained with bloodor body fluids

    infectious animal waste (research)

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    Biohazardous Waste Categories

    Pathological waste

    tissues

    body parts other than teeth

    products of conception

    fluids removed by trauma or during

    surgery or autopsy/necropsy or other

    medical procedure and not chemicallyfixed.

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    And More Biohazardous

    Waste Categories

    Animal and plant pathogen waste

    Recombinant DNA waste

    Sharps

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    Biowaste vs. Trash

    3 basic questions to differentiate:

    1. Is it contaminated with viable

    biological material?2. Can blood or other regulated

    body or biological fluids bereleased?

    3. Is it a sharps hazard?

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    #1

    Is it contaminated with

    viable biologicalmaterial?

    Examples:

    Contaminated lab waste

    Personal protective equipmentused for handling potentiallyinfectious materials (includinghandling infected animals or theirproducts)

    Wastes from infectious diseaseresearch (carcasses, bodyfluids)

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    #2

    Can blood or other(regulated) body fluids or

    viable biological materials bereleased?

    Some Examples

    Tubes of blood

    Vacuum flasks containing body

    fluids or cell line waste

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    Managing Liquid Biohazardous Waste

    Storage:

    Label and secure bulk vesselsif not disposed of immediately

    Treatment: Chemical disinfection OR

    Autoclave

    Disposal: THEN

    Flush to sewer

    Use proper PPE!

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    10% bleach solution good for general disinfection

    High organics use 20%

    Needs to be made weekly

    Test contact time Ethanol

    Use 70% solution (most effective)

    Longer contact time and flammable

    *Should research and know effectiveness and contact time for thebest disinfectant against your agent!

    Disinfection

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    WRAPPERS/NON-

    ABSORBE

    NT MATE

    RIAL

    SCONTAMINATED WITH

    BLOOD

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    BANDAGES/OTHER

    ABSORBENTS

    SATURATED OR CRUSTED

    WITH BLOOD

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    STAINED?.

    or SATURATED?

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    Managing Non-Sharp Biohazardous Waste

    labeledcontainer

    lined with abiohazardouswaste bag

    equipped with a

    lid.

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    Managing Non-SharpBiohazardous Waste

    Securely tie bags fortransport totreatment/collection

    site. When moving wastes,

    use secondarycontainment; avoid

    using public halls andelevators.

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    Breakable Non-sharps Biowaste

    Store in labeled containersthat are puncture-resistant,closable and will captureleakage, BUT.

    Do NOT use

    SHARPS containers!

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    Effective Waste Autoclaving

    Leave bag open duringautoclaving or loosely closed

    Add waterto bag prior toautoclaving if primarily drymaterials

    Steam must contactmaterials

    Place bag in autoclavabletray with sides

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    Treated Waste Bag Disposal

    Allow waste bag to cool

    Use fume hood to reduceodors

    Securely tie bag shut Place bag in a non-

    transparent black bag forregular disposal

    Remember: NO ORANGE

    BAGS IN DUMPSTER!

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    #3

    Is it a sharps hazard?

    Examples:

    needles

    syringes scalpels

    all biologically contaminated objects thatcan easily penetrate skin (Pasteur pipettes,

    razor blades, etc.)Place sharps in approved sharps container

    for disposal!

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    Sharps Containers

    Containers must be leak-proof,puncture-resistant, closable & labeledwith the biohazard symbol.

    Proper sharps containersmust be used forboth clinic andfield work.

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    ProperUse of Sharps Containers

    Place tops on containers before useon lab bench

    Dont forget to date the containerwhen first put into use

    Remember: sharpscontainers are a

    one-way disposalsystem

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    ProperUse of Sharps Containers

    Use sharps containers for sharpsONLY!

    No solid biohazardous waste (i.e.

    gauze, un-broken pipettes, gloves)

    No mercurythermometers

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    Whats wrong with this picture?

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    Sharps Container Disposal

    Containers must be permanently closedand disposed of through the animal facilitymanager:

    Within 90 days

    of first use When full

    Disposal methods:

    Landfill

    Incineration

    We use waste hauler

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    Safety Notes on Sharps Use

    Do not re-cap sharps

    Keep sharps container inclose proximity to point of

    use (i.e. limit handling) foreasy disposal

    Do not leave needles in

    pockets of coveralls orsmocks

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    Carcasses and Body Parts Human tissues

    Unfixed tissues are medical waste

    Make waste unrecognizable!

    Animal tissues, carcasses When generated in infectious disease or recombinant

    DNA research, these are medical waste

    These items must be stored in biolabeled,leakproof containers for incineration.

    Waste service- see Audrey Brown

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    Managing All That Other Waste

    Drain bottles of non-hazardous

    materials before disposal in trash

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    Managing All That Other Waste

    Do NOT discardmedications in thetrash.

    Return to source fordisposal or seekassistance fromyour campus wastegroup.

    See Jaime Stock!


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