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A Mentorship Program to Develop Biorisk Manuals for Laboratories in Pakistan. 为巴基斯坦实验室制定生物风险手册的指导计划。
IF 1.5 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2022-12-01 Epub Date: 2022-11-23 DOI: 10.1089/apb.2022.0007
Samreen Sarwar, Miguel Martin N Moreno, Mashaal Chaudhri, Uzma Bashir Aamir, Aamer Ikram

Introduction: Institutions implementing a biorisk management system need to establish comprehensive guidance to support the implementation of biosafety and biosecurity practices. A biorisk manual describes how a biorisk management system will be implemented in an organization and includes topics such as facility-specific policies and procedures to safely and securely handle, store, and dispose of biological agents and toxins in adherence with international guidance.

Methods: To promote the adoption of biosafety and biosecurity in Pakistan, the Pakistan Biological Safety Association and Health Security Partners developed a biorisk manual writing project in 2019 in partnership with experts from the BioRisk Association of the Philippines 2015, Inc. This project helped 13 researchers and laboratory professionals in Pakistan develop biorisk manuals for their institutions. The project comprised two phases: an in-person group training on how to develop a laboratory biorisk manual, and 10 months of additional remote mentoring assistance for the development and finalization of the biorisk manual tailored to each institution's specific needs. By the end of the project, 12 of the 13 participants had customized biorisk manuals for their institutions in place. In January 2022, a survey was conducted among the workshop participants to learn how successful they were in implementing the developed manual in their institutions.

Results: Participants reported varying degrees of successful implementation. They also suggested that the biosafety and biosecurity associations should engage top management at institutions to strengthen administrative support and provide a sufficient workforce to promote implementation.

导言:实施生物风险管理体系的机构需要建立全面的指导,以支持生物安全和生物安保实践的实施。生物风险手册描述了如何在组织中实施生物风险管理系统,包括设施特定的政策和程序等主题,以便根据国际指导安全可靠地处理、储存和处置生物制剂和毒素。方法:为促进巴基斯坦采用生物安全和生物安保,巴基斯坦生物安全协会和卫生安全合作伙伴与菲律宾生物风险协会2015年的专家合作,于2019年制定了一个生物风险手册编写项目。该项目帮助巴基斯坦的13名研究人员和实验室专业人员为他们的机构编写了生物风险手册。该项目包括两个阶段:一个是关于如何制定实验室生物风险手册的现场小组培训,另一个是针对每个机构的具体需求,为制定和最终确定生物风险手册提供10个月的额外远程指导援助。到项目结束时,13个参与者中有12个已经为他们的机构定制了生物风险手册。2022年1月,在讲习班参与者中进行了一项调查,以了解他们在其机构中执行编制好的手册的成功程度。结果:参与者报告了不同程度的成功实施。他们还建议,生物安全和生物安全协会应该让机构的高层管理人员参与进来,加强行政支持,并提供足够的劳动力来促进实施。
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引用次数: 0
Scaling Biosafety Up During and Down After the COVID-19 Pandemic. 在COVID-19大流行期间和之后加强生物安全。
IF 1.5 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2022-12-01 Epub Date: 2022-11-23 DOI: 10.1089/apb.2022.0008
Dirk P Dittmer, Anthony B Eason, Angelica Juarez

Purpose: The aim of this work was to review and analyze changes to the practice of biosafety imposed by pandemics.

Methods: A narrative review of the COVID-19 pandemic that began in 2020 and prior pandemics from the perspective of a working virologist.

Results: By definition, pandemics, outbreaks, and other emergencies are transient phenomena. They manifest as waves of events that induce unforeseen needs and present unknown challenges. After a pandemic, the return to normality is as crucial as the scale-up during the exponential growth phase. The COVID-19 pandemic presents an example to study operational biosafety and biocontainment issues during community transmission of infectious agents with established pandemic potential, the propensity to induce severe disease, and the ability to disrupt aspects of human society.

Conclusions: Scaling down heightened biocontainment measures after a pandemic is as important as scaling up during a pandemic. The availability of preventive vaccines, and therapeutic drug regimens, should be considered in risk assessments for laboratory studies. There exists the need to preserve situational memory at the personal and institutional levels that can be served by professional societies.

目的:这项工作的目的是审查和分析流行病给生物安全实践带来的变化。方法:从工作病毒学家的角度对2020年开始的COVID-19大流行和之前的大流行进行叙述性回顾。结果:根据定义,大流行、疫情和其他突发事件是短暂现象。它们表现为一波又一波的事件,引发不可预见的需求,并提出未知的挑战。大流行过后,恢复正常与指数增长阶段的扩大同样重要。COVID-19大流行为研究具有确定的大流行潜力、诱发严重疾病的倾向以及破坏人类社会各个方面的能力的传染病在社区传播期间的操作生物安全和生物控制问题提供了一个例子。结论:在大流行之后缩减加强的生物防护措施与在大流行期间加强同等重要。在进行实验室研究的风险评估时,应考虑到预防性疫苗和治疗性药物方案的可得性。在个人和机构层面上保存情境记忆是有必要的,这可以由专业团体来提供。
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引用次数: 0
Engineering Controls and Technologies to Enhance Safety in the COVID-19 Pandemic Landscape: Lessons for Laboratories and Non-Laboratories. 在COVID-19大流行环境中加强安全的工程控制和技术:实验室和非实验室的经验教训。
IF 1.5 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2022-12-01 Epub Date: 2022-11-23 DOI: 10.1089/apb.2022.0021
Cory Ziegler, Chris Kiley, Gilles Tremblay, Ryan Gregory, Ryan N Burnette

Introduction: The global SARS-CoV-2 pandemic ushered in a new way of life in a short time, with many lasting impacts that have yet to be fully realized. This pandemic threat landscape resulted in massive efforts to increase safety, minimize person-to-person transmission, and rethink how society approaches personal and collective health issues. The buildings and environments in which we live, work, and learn now became environments that pose new risks. As a result, many institutions began asking what improvements could be made to those environments to reduce the spread of infection of SARS-CoV-2 and other infectious diseases.

Methods: The authors conducted a review of past projects and emerging technologies to evaluate which applications in containment laboratories could represent an example of how engineering controls can improve safety by protecting the workers inside the laboratories as well as the public interfacing the laboratories.

Discussion: Engineering controls, technology, and safety systems are hallmarks of modern containment laboratories that may provide some context into extrapolating these elements into non-laboratory environments, providing there is coordination with a risk assessment methodology. In this study, the authors explore new technologies proposed for controlling SARS-CoV-2 in heating, ventilation, and air conditioning systems, and potential impacts to the operations and maintenance of those systems.

导语:全球新冠肺炎大流行在短时间内带来了一种新的生活方式,其许多持久影响尚未充分实现。在这种大流行威胁的形势下,人们做出了巨大努力,以加强安全,最大限度地减少人与人之间的传播,并重新思考社会如何处理个人和集体卫生问题。我们生活、工作和学习的建筑和环境现在变成了带来新风险的环境。因此,许多机构开始询问可以对这些环境进行哪些改进,以减少SARS-CoV-2和其他传染病感染的传播。方法:作者对过去的项目和新兴技术进行了回顾,以评估在密闭实验室中的哪些应用可以代表工程控制如何通过保护实验室内的工作人员以及实验室的公共接口来提高安全性的一个例子。讨论:工程控制、技术和安全系统是现代密闭实验室的标志,如果与风险评估方法相协调,可以为将这些要素外推到非实验室环境中提供一些背景。在本研究中,作者探讨了在供暖、通风和空调系统中控制SARS-CoV-2的新技术,以及对这些系统运行和维护的潜在影响。
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引用次数: 0
Innovations and Best Practices in Biosafety: A Workshop. 生物安全的创新和最佳实践:研讨会。
IF 1.5 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2022-12-01 Epub Date: 2022-11-23 DOI: 10.1089/apb.2022.0030
Rocco Casagrande
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引用次数: 0
Short-Term Use Biocontainment Bubbles: Innovative Source Containment of Potentially Infectious SARS-CoV-2 Aerosols. 短期使用生物遏制气泡:潜在传染性SARS-CoV-2气溶胶的创新源头遏制。
IF 1.5 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2022-12-01 Epub Date: 2022-11-23 DOI: 10.1089/apb.2022.0010
Benjamin Fontes, Tessa Landgraf, Jeremy Stoddard, Neil Velasquez

Introduction: This article will review the processes utilized to develop simple effective containment engineering controls. Short-Term Use Biocontainment Bubbles-Yale (STUBB-Ys), as Yale refers to them, were designed, built, tested, and implemented to protect members of the Yale University community from exposure to SARS-CoV-2 aerosols. STUBB-Ys were designed and created in conjunction with end users, constructed by Environmental Health and Safety (EHS) or partner groups, and tested onsite after installation to verify effective operation and containment.

Methods: A wide variety of devices in different settings were developed and installed. STUBB-Ys were used at COVID-19 indoor test centers, laboratories, and clinics. The devices were pursued to create infection prevention measures where existing processes could not be utilized or were inadequate. Each STUBB-Y was tested with a C-Breeze Condensed Moisture Airflow Visualizer to generate smoke and a Fluke 985 Particle Counter, which gives the particle counts from 0.3 to 10 μm to measure particle escape visually and quantitatively. Airflow rates were also tested where applicable with a TSI VelociCalc 9525 Air Velocity Meter.

Results: Students and faculty were able to safely continue vital research or clinical study in the targeted areas with the addition of these simple containment devices to confine aerosols.

Conclusion: From a biorisk management point of view, EHS was able to confine aerosols at their potential source using simple designs and equipment and adhering to the hierarchy of controls. This article demonstrates how a straightforward design process can be used to enhance worker protection during a pandemic.

简介:本文将回顾用于开发简单有效的密封工程控制的过程。耶鲁大学称其为“耶鲁生物遏制气泡”(STUBB-Ys),其设计、制造、测试和实施是为了保护耶鲁大学社区成员免受SARS-CoV-2气溶胶的影响。stubb - y是与最终用户共同设计和创建的,由环境健康与安全(EHS)或合作伙伴团队建造,并在安装后进行现场测试,以验证有效的操作和密封。方法:开发和安装了各种不同设置的设备。STUBB-Ys用于COVID-19室内测试中心、实验室和诊所。这些装置是为了在现有程序不能利用或不充分的情况下制定预防感染的措施。每个STUBB-Y都使用C-Breeze冷凝湿度气流可视化仪和Fluke 985颗粒计数器进行测试,该计数器可以提供0.3至10 μm的颗粒计数,以直观和定量地测量颗粒逃逸。在适用的情况下,还使用TSI VelociCalc 9525风速计测试了气流速率。结果:通过添加这些简单的密封装置来限制气溶胶,学生和教师能够安全地在目标区域继续进行重要的研究或临床研究。结论:从生物风险管理的角度来看,EHS能够使用简单的设计和设备并坚持控制层次,将气溶胶限制在其潜在来源。本文演示了如何使用简单的设计过程来加强大流行期间的工人保护。
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引用次数: 0
Food and Drug Administration Guidance on Design of Clinical Trials for Gene Therapy Products with Potential for Genome Integration or Genome Editing and Associated Long-Term Follow-Up of Research Subjects. 具有基因组整合或基因组编辑潜力的基因治疗产品临床试验设计指南及相关研究对象的长期随访。
IF 1.5 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2022-12-01 Epub Date: 2022-11-23 DOI: 10.1089/apb.2022.0022
Daniel Eisenman, Scott Swindle

Introduction: With the burgeoning growth of the gene therapy industry, the Food and Drug Administration (FDA) has produced various guidance documents intended to help gene therapy manufacturers design their preclinical testing and clinical trials to facilitate the process of obtaining marketing approval.

Discussion: Biosafety professionals and institutional biosafety committees (IBCs) with oversight of clinical trials or biopharmaceutical manufacturing stand to benefit from understanding how these guidance documents set the standard for writing the clinical research protocols that are reviewed by IBCs. Although the FDA guidance documents are typically meant for manufacturers (either pharmaceutical companies serving as research sponsors or investigators at academic institutions), much of the content is useful for biosafety professionals and IBCs during the IBC review process.

Conclusion: This article specifically addresses guidance documents pertaining to gene therapy vectors capable of genomic integration, testing for replication competent retrovirus, genome editing, and long-term follow-up of research subjects.

导语:随着基因治疗行业的蓬勃发展,美国食品和药物管理局(FDA)已经制定了各种指导文件,旨在帮助基因治疗制造商设计他们的临床前测试和临床试验,以促进获得市场批准的过程。讨论:监督临床试验或生物制药生产的生物安全专业人员和机构生物安全委员会(IBCs)将从理解这些指导文件如何为IBCs审查的临床研究方案的编写设定标准中受益。尽管FDA指导文件通常是针对制造商(作为研究赞助商的制药公司或学术机构的调查人员),但在IBC审查过程中,大部分内容对生物安全专业人员和IBC有用。结论:本文专门讨论了与能够基因组整合的基因治疗载体、复制能力强的逆转录病毒测试、基因组编辑和研究对象的长期随访有关的指导文件。
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引用次数: 0
Establishing a Health Information Technology for the Vaccination of National Institutes of Health Staff. 建立国家卫生机构工作人员接种卫生信息技术。
IF 1.5 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2022-12-01 Epub Date: 2022-11-23 DOI: 10.1089/apb.2022.0011
Jon Walter McKeeby, Christopher M Siwy, Jordan Southers, Derek A Newcomer, Samantha Hughes, Jeffery M Sano, Jharana J Patel, Falguni Kanthan, Marilyn Farinre, Megan Morgan Brose, Rebecca V Anderson, Judy Chan, Heike Bailin, Michael R Bell, John S McLamb, Stephen Novak, Dennis J House, Mary J Sparks, Michael Nansel, Seth D Carlson, Yenshei Liu, Cory Stephens, Erin Tsui, Patricia S Coffey, Jessica McCormick-Ell

Introduction: Healthcare organizations faced unique operational challenges during the COVID-19 pandemic. Assuring the safety of both patients and healthcare workers in hospitals has been the primary focus during the COVID-19 pandemic.

Methods: The NIH Vaccine Program (VP) with the Vaccine Management System (VMS) was created based on the commitment of NIH leadership, program leadership, the development team, and the program team; defining Key Performance Indicators (KPIs) of the VP and the VMS; and the NIH Clinical Center's (NIH CC) interdisciplinary approach to deploying the VMS.

Results: This article discusses the NIH business requirements of the VP and VMS, the target KPIs of the VP and the VMS, and the NIH CC interdisciplinary approach to deploying an organizational VMS for vaccinating the NIH workforce. The use of the DCRI Spiral-Agile Software Development Life Cycle enabled the development of a system with stakeholder involvement that could quickly adapt to changing requirements meeting the defined KPIs for the program and system. The assessment of the defined KPIs through a survey and comments from the survey support that the VP and VMS were successful.

Conclusion: A comprehensive program to maintain a healthy workforce includes asymptomatic COVID testing, symptomatic COVID testing, contact tracing, vaccinations, and policy-driven education. The need to develop systems during the pandemic resulted in changes to build software quickly with the input of many more users and stakeholders then typical in a decreased amount of time.

导言:在COVID-19大流行期间,医疗保健组织面临着独特的运营挑战。在2019冠状病毒病大流行期间,确保医院患者和医护人员的安全一直是首要重点。方法:在NIH领导、项目领导、开发团队和项目团队的共同承诺下,建立NIH疫苗项目(VP)和疫苗管理系统(VMS);定义副总裁和VMS的关键绩效指标(kpi);以及美国国立卫生研究院临床中心(NIH CC)部署VMS的跨学科方法。结果:本文讨论了NIH副总裁和VMS的业务需求,副总裁和VMS的目标kpi,以及NIH CC跨学科方法,以部署组织VMS为NIH工作人员接种疫苗。DCRI螺旋敏捷软件开发生命周期的使用使涉众参与的系统开发能够快速适应不断变化的需求,满足计划和系统定义的kpi。通过调查和来自调查的评论对定义的kpi进行评估,支持VP和VMS是成功的。结论:维持健康劳动力队伍的综合规划包括无症状COVID检测、有症状COVID检测、接触者追踪、疫苗接种和政策驱动教育。大流行期间开发系统的需要导致了快速构建软件的变化,需要更多的用户和利益相关者的投入,而不是通常在更短的时间内。
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引用次数: 0
Undergraduate Teaching During COVID-19. 新冠肺炎期间的本科教学。
IF 1.5 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2022-09-01 DOI: 10.1089/apb.2022.0023
Claudia Gentry-Weeks, Dell Rae Ciaravola, Marc Barker, Kelly Long, Lori Lynn, Heather Pidcoke, Kenneth Quintana, Benjamin Withers

Introduction: Universities were challenged during the COVID-19 pandemic to continue providing quality education for their students while navigating the uncertainties of the SARS-CoV-2 virus.

Objectives: The goal of this article is to describe strategies used by Colorado State University (CSU) to mitigate SARS-CoV-2 transmission among faculty, staff, and students and to describe procedures used in microbiology teaching laboratories.

Methods: Information concerning CSU's pandemic response was gathered via email communications to the CSU community, town hall meetings, and interviews with leaders, researchers, and staff who spearheaded public health initiatives.

Results: To date, there have been no known cases of transmission of SARS-CoV-2 in the classroom. Early strategies that contributed to this success included social norming of safe public health behaviors, development of low-cost, rapid screening and surveillance methods, an online COVID-19 reporting system, contact tracing and quarantine, rearranging classrooms to reduce the capacity by 50%, increasing air flow, enhanced cleaning and production of sanitizer, and flexible instructors who quickly changed their courses for remote delivery or launched extra risk management procedures for face-to-face delivery of laboratory, performance, or studio classes.

Conclusion: Intense collaboration among the CSU community, open and frequent communication, coordination of efforts, flexible instructors, and the willingness to follow safe public health behaviors allowed CSU to continue face-to-face teaching in courses that required hands-on learning or demanded in-person instruction. It is the hope of the authors that this information can provide both a historical account and useful information for others dealing with the COVID-19 pandemic.

导语:在2019冠状病毒病大流行期间,大学面临着继续为学生提供优质教育的挑战,同时应对SARS-CoV-2病毒的不确定性。目的:本文的目的是描述科罗拉多州立大学(CSU)用于减轻教职员工和学生之间SARS-CoV-2传播的策略,并描述微生物学教学实验室中使用的程序。方法:通过与CSU社区的电子邮件通信、市政厅会议以及与领导、研究人员和带头开展公共卫生倡议的工作人员的访谈,收集有关CSU大流行应对的信息。结果:到目前为止,尚未发现教室中传播SARS-CoV-2的病例。促成这一成功的早期战略包括:安全公共卫生行为的社会规范、低成本、快速筛查和监测方法的开发、COVID-19在线报告系统、接触者追踪和隔离、重新安排教室以减少50%的容量、增加空气流量、加强清洁和生产消毒剂、灵活的教师迅速改变他们的课程,以便远程授课,或者为实验室、表演或工作室课程的面对面授课启动额外的风险管理程序。结论:CSU社区之间的紧密合作,开放和频繁的沟通,协调努力,灵活的教师以及遵循安全公共卫生行为的意愿,使CSU能够继续在需要动手学习或需要亲自指导的课程中进行面对面教学。作者希望这些信息可以为其他应对COVID-19大流行的人提供历史描述和有用的信息。
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引用次数: 0
Themed Issue: Building Preparedness and Resilience in Preparation for Future Public Health Crises 主题议题:为未来公共卫生危机做好准备和恢复力建设
IF 1.5 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2022-09-01 DOI: 10.1089/apb.2022.29008.intro
Barbara Johnson, K. Byers, S. Patlovich, David R Gillum
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引用次数: 0
Professional Student Education and Training During the COVID-19 Pandemic. COVID-19大流行期间的专业学生教育和培训。
IF 1.5 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2022-09-01 DOI: 10.1089/apb.2022.0017
Matthew Philpott, Kathy O'Reilly, Luiz Bermudez, Helio de Morais, Theresa M Filtz

Introduction: The ongoing COVID-19 pandemic has presented numerous challenges to education at all levels, but has been particularly challenging for professional schools and other educational sectors that require intensive hands-on training. Those institutions have had to deploy and continuously adapt new learning strategies in response to an ever-changing pandemic landscape over the past two years, while at the same time meeting the rigorous proficiency standards for their students.

Methods: This communication describes how two professional schools at Oregon State University, the College of Pharmacy and the Carlson College of Veterinary Medicine, pivoted in response to the COVID-19 pandemic to ensure continuity in student training. The adaptations included technological solutions, physical distancing, barriers, reduced group size and scheduling changes in the curriculum, and enhanced personal protective equipment.

Results: The available evidence suggest that the biosafety measures implemented to reduce the risk of COVID-19 in the hands-on educational setting appear to have been effective in preventing transmission during classroom and experiential learning activities. Professional licensing exam scores for the students of both colleges remain as high as pre-pandemic values, suggesting that the implemented changes in instruction did not have a detrimental impact on student learning. The scores will need to be monitored for several more years before firm conclusions can be drawn.

Discussion: Both colleges implemented creative solutions to the delivery of hands-on pedagogy that sought to balance risk of infection and the necessity to master critical skills that can only be acquired by active learning.

导语:持续的2019冠状病毒病大流行给各级教育带来了诸多挑战,但对于需要强化实践培训的专业学校和其他教育部门来说,挑战尤其大。在过去两年中,这些机构不得不部署和不断调整新的学习战略,以应对不断变化的大流行病形势,同时满足其学生严格的熟练程度标准。方法:本通信描述了俄勒冈州立大学的两所专业学院,药学院和卡尔森兽医学院如何应对COVID-19大流行,以确保学生培训的连续性。适应措施包括技术解决方案、物理距离、障碍、减少小组规模和课程安排的变化,以及增强个人防护装备。结果:现有证据表明,在动手教学环境中为降低COVID-19风险而实施的生物安全措施似乎有效地防止了课堂和体验式学习活动中的传播。两所学院的学生的专业执照考试分数仍然与大流行前的值一样高,这表明实施的教学变化并未对学生的学习产生不利影响。在得出确切的结论之前,还需要对这些分数进行数年的监测。讨论:两所学院都实施了创造性的解决方案,以提供动手教学法,寻求平衡感染风险和掌握只有通过主动学习才能获得的关键技能的必要性。
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引用次数: 4
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