RECOGNIZING THE BIOSAFETY LEVELS Biosafety Levels AUTHORIZED PERSONNEL ONLY Prepared by : Debbra Marcel, Monoclonal Antibody Section, Veterinary Research Institute (VRI), Ipoh, Perak, Malaysia OBJECTIVE Define the major characteristics of each stage in Biosafety Levels. Relate the Risk Groups with the Biosafety Levels. Prepared by : Prepared by: Debbra Marcel, Monoclonal Antibody Section, MONOCLONAL ANTIBODY SECTION Veterinary Research Institute (VRI) WHY DO WE NEED TO HAVE KNOWLEDGE ABOUT THE BIOSAFETY LEVELS? Most of us are always dealing with a potentially harmful microbe. Precautions must be taken in the laboratory to make sure ourselves and others are not infected. Ask questions for better understanding… Where in the lab would you complete your work? What protective equipment and practices would you use? How would you contain the microbe to limit contamination or accidental infection? Prepared by: MONOCLONAL ANTIBODY SECTION DEFINITION What is Biosafety? - the application of safety precautions that reduce a laboratorian’s risk of exposure to a potentially infectious microbe and limit contamination of the work environment and, ultimately, the community. What are Biosafety Levels (BSLs)? - the level of safety from exposure to infectious agents; depends on work practices and safety equipment and facilities Prepared by: MONOCLONAL ANTIBODY SECTION BIOSAFETY LEVEL SPECIFIC CONTAINMENT CONTROLS Each level are required for the following: 1. Laboratory practices (esp. GLP) 2. Safety equipment (e.g PPE) 3. Facility construction (BSC) Prepared by: MONOCLONAL ANTIBODY SECTION 4 LEVELS OF BIOSAFETY High risk microbes EVERY LEVEL MUST FOLLOW THE STANDARD MICROBIOLOGICAL PRACTICES. Low risk microbes Prepared by: MONOCLONAL ANTIBODY SECTION STANDARD MICROBIOLOGICAL PRACTICES 1. 2. 3. Not eating, drinking, or applying cosmetics in the lab Washing hands after working with infectious materials and before leaving the lab Routinely decontaminating work surface Prepared by: MONOCLONAL ANTIBODY SECTION LEVELS OF CONTAINMENT ? The primary risks: 1. Infectivity 2. Severity of disease 3. Transmissibility 4. The nature of the work conducted 5. Origin of the microbe/agent in question 6. The root of exposure Prepared by: MONOCLONAL ANTIBODY SECTION BSL-1 (BIOSAFETY LEVEL 1) • Well-characterized agents with minimal potential hazard • Laboratories not necessarily separated from the general building • Work typically conducted on open bench tops • Specific training in the procedures conducted in the laboratory and must be supervised by a scientist with training in microbiology or a related science. • e.g non-pathogenic E. Coli Prepared by: MONOCLONAL ANTIBODY SECTION BSL-1 (BIOSAFETY LEVEL 1) 1. Laboratory practices Standard microbiological practices Work can be performed on an open lab bench or table. A 2. Safety equipment Personnel protection equipment (e.g lab coats, gloves, eye protection) are worn as needed. B 3. Facility construction Not required special design on containment facility Laboratory doors to separate the working space with the rest of the facility. A sink for hand washing Prepared by: MONOCLONAL ANTIBODY SECTION BSL-2 (BIOSAFETY LEVEL 2) builds upon bsl-1. the microbes pose moderate hazards to laboratorians and the environment laboratory personnel have specific training in handling pathogenic agents access to the laboratory is restricted when work is being conducted personnel are supervised by scientists competent in handling infectious agents and associated procedures microbes are typically indigeneous and associated with diseases of varying severity (e.g Staphylococcus aureus ) Prepared by: MONOCLONAL ANTIBODY SECTION BSL-2 (BIOSAFETY LEVEL 2) BSL-2 laboratories containment requirements: 1. Laboratory practices Access to the laboratory is restricted when work is being conducted. 2. Safety equipment Appropriate PPE is worn ( lab coats, gloves, eye protection, face shields, etc.) A All procedures that can cause infection from aerosols performed in a biosafety cabinet (BSC) B Autoclave/method of decontamination is available for proper disposals. 3. Facility construction The laboratory has self-closing doors. A sink and eyewash are readily available. Prepared by: MONOCLONAL ANTIBODY SECTION BIOHAZARD !!! • Mandatory Warning Sign • Designate Biosafety Level • Special Entry Procedures – Immunizations – PPE • Contact Information Prepared by: MONOCLONAL ANTIBODY SECTION BSL-3 (BIOSAFETY LEVEL 3) builds upon BSL-2. clinical, diagnostic, teaching, research, or production facilities. Work indigenous or exotic agents (serious or potentially lethal disease) ~ inhalation route exposure. Laboratory personnel MUST receive specific training in handling pathogenic & potentially lethal agents. Must be supervised by competent scientists. BSL-2 + procedures involving the manipulation of infectious materials must be conducted within BSCs. The microbes indigenous/exotic and can cause serious or potentially lethal disease through respiratory transmission. e.g Mycobacterium tuberculosis, the bacteria that causes tuberculosis. Prepared by: MONOCLONAL ANTIBODY SECTION BSL-3 (BIOSAFETY LEVEL 3) 1. Laboratory practices 1. Under medical surveillance and might receive immunizations for microbes they work with. Access to the laboratory is restricted and controlled at all times. 2. Safety equipment Appropriate PPE must be worn, and respirators might be required. A All work with microbes must be within an appropriate BSC. B 3. Facility construction A hands-free sink and eyewash near the exit. The laboratory must have special engineering and design features directional airflow C (drawing air from clean areas towards potentially contaminated areas). Entrance = two sets of self-closing and locking doors. C Prepared by: MONOCLONAL ANTIBODY SECTION BSL-4 (BIOSAFETY LEVEL 4) builds upon BSL-3 (the highest level of biological safety) = very few. The microbes are dangerous and exotic, high risk of aerosoltransmitted infections (frequently fatal and without treatment or vaccines). Identical agents must be handled at BSL-4 until sufficient data obtained. All laboratory staff and supervisor must: 1. Have specific and thorough training (handling extremely hazardous infectious agents). 2. Understand the primary and secondary containment functions of standard and special practices, containment equipment, and laboratory design characteristics. 3. Competent in handling agents and procedures requiring BSL-4 containment. e.g Marburg and Ebola viruses (high individual risk of lifethreatening disease, aerosol transmission, or related agent with unknown risk of transmission). c Prepared by: MONOCLONAL ANTIBODY SECTION BSL-4 (BIOSAFETY LEVEL 4) 1. Laboratory practices Change clothing before entering, shower upon exiting, decontaminate all materials before exiting. 2. Safety equipment • Must be performed within an appropriate Class III BSC , or by wearing a full body, air-supplied, positive pressure suit. A 3. Facility construction The laboratory is isolated and restricted zone. The laboratory has dedicated supply and exhaust air, vacuum lines and decontamination systems. Access to the laboratory is controlled by the laboratory supervisor (Institutional Policies). Two types of laboratory providing absolute separation of the worker from the infectious agents = Suit Laboratory & Cabinet Laboratory Prepared by: MONOCLONAL ANTIBODY SECTION SUMMARY Relation of biosafety levels, practices and equipments to the risk group: BIOSAFETY LEVEL LABORATORY TYPE Basic: BSL-1 Basic teaching, research GMT Primary health services; diagnostic services, research GMT plus protective clothing, biohazards sign Open bench plus BSC for aerosols Containment: BSL-3 Special diagnostic services, research Level 2 + special clothing, access control, directed airflow BSC and/or other primary devices for all activities Max. containment: BSL-4 Dangerous pathogen units Level 3 + airlock entry, shower exit, special waste disposal Class III BSC, or positive pressure suites with class II BSCs, double ended autoclave Basic: BSL-2 LABORATORY PRACTICES SAFETY EQUIPMENT RISK GROUP None; open bench work EXAMPLE 1 canine hepatitis, nonpathogenic E. coli, some cell cultures & noninfectious bacteria 2 Staphylococcus aureus, Lyme disease, Salmonella, mumps, measles 3 Mycobacterium tuberculosis, Brucella sp., rabies virus, Chikungunya 4 Marburg virus, Ebola virus, Nipah virus GMT = Good microbiological techniques ; BSC = Biosafety cabinet Prepared by: MONOCLONAL ANTIBODY SECTION REFERENCES: CDC website: http://www.cdc.gov/ (e-learning, quick lessons, many interactive resources) Wikipedia: http://en.wikipedia.org/wiki/Biosafety_level Biosafety in Microbiological and Biomedical Laboratories (BMBL) 5th Edition: e-book http://www.cdc.gov/biosafety/publications/bmbl5/index.htm Prepared by : Debbra Marcel, Monoclonal Antibody Section, Veterinary Research Institute (VRI)