Biosafety Program Risk Assessment Supplement Effective Date: UPDATE – To Be Approved. Mayo Clinic: Administrative Services - Research Biosafety Rochester, MN 55905 Biosafety Program Risk Assessment Information Note: The lists included in this document are not all inclusive. Biohazardous Material Definitions – IBC Purview The categories and associated definitions below outline the areas of biosafety requiring review by the Mayo Clinic IBC. Should a Mayo investigator wish to use one or more of the biological agents listed below, the completion of a biosafety registration form and subsequent review must occur. Please contact the IBC or Biosafety Coordinator with questions. Biohazardous Categories Biohazardous Agent Risk Group 2 (and above) Microorganisms Viral vectors Definitions Any viable infectious, pathogenic, or toxin-producing agent, prion, toxin, or nucleic acid construct including genetic locus, gene combination, gene, nucleic acid sequence, gene vector, expressed foreign (recombinant-derived) protein, or transformed or otherwise genetically manipulated host that has potential to affect the health of humans, animals, plants, or ecosystems Agents associated with human disease that is rarely serious or for which preventive or therapeutic interventions are often available. Examples: Entamoeba sp., Salmonella sp., Adenovirus, Herpesvirus, Helicobacter pylori Modified viruses used to deliver genetic information to an cell or living organism. Modifications commonly involve the deletion of a portion of the genome that allows for viral replication. Examples: Adenovirus, Vaccinia, Measles virus, Lentivirus Recombinant DNA (rDNA) As defined by the NIH Guidelines for Research Involving Recombinant DNA Molecules (NIH Guidelines), recombinant DNA is • molecules that are constructed outside living cells by joining natural or synthetic DNA segments to DNA molecules that can replicate in a living cell, or • molecules that result from the replication of those described in (i). Infectious Agent A viable biological agent that presents to human health. Infectious agents are ranked in ascending order of biohazard so that agents that are considered to represent minimal risk are usually grouped in Risk Group 1, and agents that represent the greatest hazard are in Risk Group 4. Work with RG-4 agents is currently prohibited at the Mayo Clinic. Oncogenic Virus An oncogenic is a virus that can cause cancer. It refers to any virus with a DNA or RNA genome causing cancer and is synonymous with "tumor virus" or "cancer virus" Select Agents and Toxins Specific microbial agents or toxins that could be "weaponized" and that represent serious threat to human health or to agricultural commodities. See the complete select agent list at the National Select Agent Registry (NSAR) website. • Select Agents and Toxins – biological agents and toxins that have been determined to have the Master copies are retained online. Printed copies are considered current only on the date printed. Page 1 of 6 1/7/2013 Biosafety Program Risk Assessment Supplement Effective Date: UPDATE – To Be Approved. potential to pose a severe threat to human health, to animal health, to plant health, or to animal and plant products • Overlap Select Agents and Toxins – agents included on both the Health and Human Services list and the US Department of Agriculture list Toxins A poisonous substance that is a specific product of the metabolic activities of a living organism and is usually very unstable, notably toxic when introduced into the tissues, and typically capable of inducing antibody formation Prions A disease-causing form of a normal protein called cellular prion protein (PRPc) that is located primarily on the surface of central nervous system, resulting in transmissible spongiform encephalopathies (TSE) which are neurodegenerative diseases in mammals. Prions are neither bacterial nor fungal nor viral and contain no genetic material. Common Biological Agents Found in Primary Human/Animal Samples Specimen Type Blood Serum/Plasma CSF Saliva Urine Feces Semen Nasopharyngeal Respiratory sites Tissues Gastric lavage Wound/Skin lesion exudates Agents That Could Be Present HBV, HCV, HIV, SARS, WNV, Brucella, N. meningitidis, Francisella, Enteric pathogens, B. pertussis, Leptospira, other select agents such as B. anthracis, Y. pestis, Burkholderia mallei and B. pseudomallei WNV, Botulin toxin, HBV, HCV, HIV HBV, WNV, HIV, Brucella, N. meningitidis, Francisella, M. tuberculosis, B. anthracis, Y. pestis N. meningitidis, HBV, HIV HBV, HIV, SARS, Brucella, Francisella, Salmonella, STEC, M. tuberculosis, Y. pestis, Leptospira, B. anthracis Salmonella, Shigella, Campylobacter, Y. pestis, Vibrio species, H. pylori, STEC, HBV, SARS, Polio virus, B. anthracis, Botulism toxin Brucella, HBV, HIV N. meningitidis, B. pertussis, C. diphtheriae, H. pylori, Polio virus, SARS, HBV SARS, Brucella, B. anthracis, M. tuberculosis, B. pertussis, Legionella, Francisella, Burkholderia mallei, B. pseudomallei, Y. pestis SARS, Polio virus, WNV, Brucella, M. tuberculosis, Campylobacter, Leptospira, B. mallei, B. pseudomallei M. tuberculosis, H. pylori Francisella, B. anthracis, Burkholderia mallei, Burkholderia mallei Master copies are retained online. Printed copies are considered current only on the date printed. Page 2 of 6 1/7/2013 Biosafety Program Risk Assessment Supplement Master copies are retained online. Printed copies are considered current only on the date printed. Effective Date: UPDATE – To Be Approved. Page 3 of 6 1/7/2013 Biosafety Program Risk Assessment Supplement Effective Date: UPDATE – To Be Approved. Biohazard Characteristics of Common Biological Agents Biological Agent Hepatitis B Potential mode of transmission Percutaneous or mucocutaneous Recommended Containment BSL-2 for handling body fluid and tissue specimens Hepatitis C Infective Dose Not known, however, 1 mL of infected blood may contain from 102109 HBV particles 102-103 particles/ml Percutaneous, rarely mucocutaneous HIV 100-104 paticles/ml Percutaneous or mucocutaneous Influenza Viruses Varies by strain Inhalation of aerosols; mucocutaneous BSL-2 for handling body fluid and tissue specimens BSL-2 for handling body fluid and tissue specimens H1N1: Splash protection if performing rapid immunoassay; biosafety cabinet if performing IFA, DFA, culture or molecular assays SARS-Corona virus Unknown Inhalation of aerosols West Nile Virus Unknown Brucella species Campylobacter species Coxiella burnetii Escherichia coli O157:H7 Francisella tularensis 10 to 100 orgs 500 orgs or less Inhalation of aerosols; percutaneous or mucocutaneous Inhalation of aerosols Ingestion due to cross-contamination 10 orgs 10 to 100 orgs Inhalation of aerosols Ingestion due to cross-contamination BSL-3 for manipulation of cultures BSL-2 Aerosols: 5 to 10 orgs Ingestion: 108 orgs 1 to 10 orgs Inhalation of aerosols BSL-3 for manipulation of cultures Inhalation of aerosols BSL-3 for manipulation of cultures Not known Inhalation of aerosols Salmonella species 105 to 109 orgs Ingestion due to cross-contamination Shigella species Staphylococcus aureus 10 to 100 orgs Virulence varies greatly between strains Ingestion due to cross-contamination Inhalation of aerosols; percutaneous or mucocutaneous Sterile sites isolates should be manipulated in biological safety cabinet BSL-2 for non-typhi; BSL-3 recommended for manipulation of Salmonella Typhi if aerosols are likely BSL-2 BSL-2 Mycobacterium tuberculosis Neisseria meningtidis Master copies are retained online. Printed copies are considered current only on the date printed. HPAI: requires BSL-3 conditions Untreated specimens processed in biological safety cabinet BSL-3 for manipulation of cultures BSL-3 for manipulation of cultures BSL-2 Page 4 of 6 1/7/2013 Biosafety Program Risk Assessment Supplement Effective Date: UPDATE – To Be Approved. Laboratory Activities Associated with Potential Exposures Laboratory Activity Causes Aerosols Splashes Ingestion Due to Splashes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Needle Stick/Sharp Injury General Procedure Types Centrifuging Vortexing Manual Pipetting Aliquoting (Pouring) Diluting Shaking/Mixing Capping/Uncapping Blending Homogenizing Sonicating Lyophilizing Grinding Microtoming/Cryostating Cutting/Grossing Sawing/Drilling Harvesting of Tissues Using Sharps – Glass/Blades Using Sharps - Needles Specific Procedure Types Aspirating fluid from a sealed bottle Withdrawing needles from stopper Inoculating culture plates with fluid from a syringe Disposal of contaminated syringes Using a swab to make a bacterial suspension Pouring or decanting fluids Aspirating Using autoinoculater for automated identification systems Inoculating identification cards using vacuum systems Inoculating suspension onto plate with swab Opening plate to observe growth “Sniffing” plate as part of bacterial identification Flaming loop with bacterial growth on it Cooling loop in culture plate Manipulating bacterial growth with hot loop or needle Roughly discarding bacterial suspensions Roughly discarding culture plates or specimens into receptacle Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Master copies are retained online. Printed copies are considered current only on the date printed. Yes Yes Yes Page 5 of 6 1/7/2013 Biosafety Program Risk Assessment Supplement Effective Date 4/19/2012 Version 001 1/7/2012 002 Effective Date: UPDATE – To Be Approved. Synopsis of Change Created supplement including definitions of biohazardous material. Approved by IBC on 6/21/2012. Added Categories and Definitions for “Risk Group 2 (and above) Microorganisms” and “Viral vectors” Master copies are retained online. Printed copies are considered current only on the date printed. Page 6 of 6 1/7/2013