Attachment B. Infectious Agents General Project Title: YES N/A Does your research involve potential human, animal or plant pathogens or infectious agents? If “Not Applicable”, please skip Attachment B and proceed to the next applicable attachment. If “YES” continue below. i. Infectious Agent Summary Please check all that apply. RG 1 RG 2 RG 3 RG 4 Infectious Agents will be used. We will be introducing Microbial Agents in vivo. We will be introducing microbial agents into animals or plants. (Complete Attachment G) We will be introducing microbial agents into other microbes We will be introducing microbial agents into cell cultures, organs, or tissues. (Complete Attachment C) We will be deliberately transferring microbes into one or more human research participants.(Complete Attachment I) We will be collecting environmental samples that contain microbial agents. (Also complete Attachment J) Procedures will be performed with microbial agents that may be associated with an increased potential risk of exposure to personnel. Please explain below. We will be using cell lines (or modifications of cell lines) that may be perceived to significantly diverge from standard practices in our field. Please explain below. We will be performing (or directing others to perform) practices that may be perceived to significantly diverge from standard practices in our field. Please explain below. We will be handling or culturing more than or equal to 10 liters at any one time. (Complete Attachment H) Provide additional information from the checked box above. Briefly summarize the overall goal and specific objectives of the work with these materials. (e.g. inserting viral vectors encoded with antibiotic resistance into gram positive bacteria) ii. Microbial Agents Microbe Source (Genus, species, strain) If using viral vectors, include answers for both the original virus and your recombinant vector Select Agent* RG Replication Competent Route of Transmission Yes Yes Yes Virulence or Toxicity Susceptibility and Resistance No No No Microbial Agents in Cells/Animals If not applicable, check here Microbe Source Disease or Toxins Produced (specify species) (humans, animals, plants) Yes No Yes No Yes No * If yes, please complete Attachment E. iii. Host Range of Agent Procedures Performed Recipient of rDNA Yes Yes Yes Yes EHS, SDSU Rev. 04/2014 Cells Infected Animal/Plant Species Used Max Conc. . Max Volume Method of Delivery Route of Shedding/Excretion & Interval No No No No 1/2 Attachment B of General BUA Application iv. Exposure Prophylaxis For each microorganism, consider the consequences of an accidental exposure (e.g., mucosal splash, inhalation, or inoculation) which might occur during experimental handling. Consider that organisms normally not pathogenic for healthy humans may become so when the natural barriers to infection are circumvented. Prepare a response procedure. It could be a simple matter of washing the wound with soap and water. If antibiotic treatment is recommended, please include information about the antibiotic of choice and its availability. The exposure response plan should be posted in the laboratory and a copy kept the in the laboratory Biosafety Binder. Microbe Symptoms Incubation Period Period of Communicability Response Procedure Prophylaxis Submission Submit completed Attachment B with General BUA Application to IBC Gateway 3519, MC 1933 and an electronic copy to ibc@mail.sdsu.edu. EHS, SDSU Rev. 04/2014 2/2 Attachment B of General BUA Application