Shipping of Suspect EVD Specimens to PHO Laboratories

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Ebola Virus Disease (EVD)
Guidance Document: Shipping of
Suspect EVD Specimens to PHO Laboratories
July 29, 2015
This document has been updated as of July 29, 2015, based on the best available evidence at that time.
Please refer to the Ebola Test Information Sheet on the Public Health Ontario website for the most recent
version.
THIS DOCUMENT PROVIDES:
Specific instructions for the secure and safe shipping of suspect EVD specimens to the Public Health
Ontario Laboratories (PHOL) Toronto.
SHIPPING GUIDANCE:
1. First, the submitting site must obtain PHOL’s approval for EVD testing. PHOL will assist with
coordination of shipping of samples for testing.
a. Contact the PHOL Customer Service Centre at 416-235-6556 or 1-877-604-4567 (Monday to
Friday 7:30 a.m. – 7:00 p.m., Saturday 8:00 a.m. – 3:45 p.m.), or the PHOL Duty Officer afterhours at 416-605-3113.
b. If the testing is approved, PHOL will alert the National Microbiology Laboratory (NML) that
the submitter will contact them to activate an Emergency Response Activation Plan (ERAP).
c. PHO will provide the shipper with the PHOL-Toronto address, the name of the recipient at
PHOL and a PHOL phone number that will be answered by a person with knowledge of the
shipment if there is a problem, as required for the ERAP shipment to PHOL.
2. Second, the submitting site must call the NML Operations Centre Director (OCD) at 1-866-262-8433
to request activation of the ERAP.
3. Third, a Transportation of Dangerous Goods (TDG) certified shipper at the submitting site must:
a. Make arrangements with a courier who is TDG certified and will transport an ERAP agent.
b. Prepare packages for shipment to PHOL. Note: The ERAP number and activation number
must be included on the shipping documents. (http://www.tc.gc.ca/eng/tdg/clear-tofc211.htm)
i. Specimens must be packaged in a Type 1A container (e.g. STP 100 or equivalent)
that includes: the specimen test tubes in separate sealable plastic biohazard bags, a
watertight secondary container with absorbent material, and outer packaging.
ii. To facilitate purchase of Type 1A containers, a list of vendors can be accessed at:
http://www.tc.gc.ca/eng/tdg/moc-infectious-type1a-349.html
iii. Specimens must be shipped on cold packs using the Type 1A container. Cold packs
are placed in the secondary orange top container.
c. Prepare the shipping documents for the shipment to PHOL:
i. If submitted by land – Shipping Document for Surface Transport
ii. If submitted by air – Shippers Declaration for Dangerous Goods - must be printed in
colour.
iii. Waybill (obtained from the courier)
d. Be prepared to provide four (4) Class 6.2 vehicle placards (10.75in X 10.75in) per courier
vehicle in case the courier does not have them available. These are displayed on 4 sides of
the vehicle transporting the ERAP shipment. Placards should have UN2814 printed on the
centre. Placards may be purchased from suppliers of dangerous good supplies in
preparation for a potential suspect case.
e. Ship the packages to PHOL Toronto, using the federal ERAP activation overseen by NML.
4. Should any issues arise during transportation, contact the PHOL Customer Service Centre at 416235-6556 or 1-877-604-4567 (Monday to Friday 7:30 a.m. – 7:00 p.m., Saturday 8:00 a.m. – 3:45
p.m.), or the PHOL Duty Officer after-hours 416-605-3113 for assistance.
5. PHOL will contact the submitter and the NML OCD via email (OCNML.director@phac-aspc.gc.ca) to
notify of the safe arrival of the package at PHOL.
6. In addition to conducting the test for Ebola, PHOL will send a second sample to NML for further
testing as required.
7. In the event of a spill during transport, immediately contact the OCNML Director at 1-866-262-8433.
Ebola Virus Disease (EVD) Guidance Document: Shipping of Suspect EVD Specimens to PHO Laboratories – July 29, 2015
2
Ebola PCR Request
(Including Malaria testing from patients under
investigation for EVD)
Sender to:

Notify Customer Service Centre of
request (416-235-6556/1-877-604-4567
Mon-Fri 7:30 am-7:00 pm and Saturday
8:00 am – 3:45 pm, Duty Officer (DO)
after hours 416-605-3113).
 Do not ship until approval received from
Public Health Ontario Laboratories
(PHOL)
 When approved by PHOL, call National
Microbiology Laboratory Operations
Centre Director (NML OCD) 24/7 line 1866-262-8433 and request ERAP
 Sample to be sent to PHOL-Toronto
National Microbiology
(NML) will:



Laboratory
Provide ERAP number and Activation
number
Make all ERAP notifications
Put ERAP on standby
TDG Certified Shipper at local hospital





Testing at PHOLToronto
PHOL-Toronto will send
samples to NML for
further testing as required
Make courier arrangements
Prepare package for shipment
Prepare all shipping documents
Provide 4 x UN2814 placards per vehicle
Ships package to PHOL using NML ERAP
PHOL - Toronto


Receive samples at PHOL- Toronto
Notify shipper and NML OCD of safe
arrival via email
(OCNML.director@phac-asps.gc.ca)
NML OCD calls off ERAP
Ebola Virus Disease (EVD) Guidance Document: Shipping of Suspect EVD Specimens to PHO Laboratories – July 29, 2015
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