________________________ Community Liaison Committee (CLC) National Emerging Infectious Diseases Laboratories (NEIDL) Boston University Medical Center (BUMC) ________________________ MEETING NOTES Tuesday, August 26, 2008 9:00 am. * Evans Seminar Room Attending Glen Berkowitz, Christopher Brayton, Sandra Silver, Joan Geisbert (Associate Director, NEIDL), Horatio Frydman (Associate Director, Vector Transmitted Infectious Disease Core, NEIDL), Rebecca Robich (Post Doctorate Fellow, Frydman Lab), Kevin Tuohey (BUMC Executive Director of Operations & Public Safety), Carla Richards (BUMC Director, of Community Relations) Research & Training Dr. Frydman introduced his assistant, Rebecca Robich, and gave an overview of his background and current work. Frydman currently works in a BSL-2 laboratory housed on the BU Charles River Campus and serves as Associate Director for the Vector Transmitted Infectious Disease Core (BSL-3) at the NEIDL. Frydman stated that the Vector Transmitted Infectious Disease Core is dedicated to the study of how vectors (e.g., mosquitoes, ticks) are responsible for the transmission of pathogens in humans. He added that mosquitoes are responsible for more human deaths than any other living creature. In fact, nearly half of the world’s population is infected with at least one Vector Transmitted Infectious Disease. This problem is likely to get bigger due to aggravating factors such as increasing global travel and climate change. Frydman stated that the goals for the Vector Transmitted Infectious Disease Core are: 1. Develop novel strategies to interrupt pathogen transmission at the vector level: Eliminate vector and/or pathogen, and Eliminate vector competence for pathogen transmission. 2. Natural infection and transmission studies 3. Vector competence experiments to determine what insects are capable of transmitting the microorganism Berkowitz asked about the advantages of conducting Vector Transmitted Infectious Disease work at the NEIDL versus conducting it in his existing lab on the Charles River Campus or at some other location and wondered whether another facility could be constructed for him to do his work. Frydman noted that his current lab does not have the infrastructure to conduct research at a higher containment level and the NEIDL offers additional opportunities in terms of physical and intellectual collaboration with some of the world’s most renowned scientists. Robich added that, to her knowledge, there is only one other BSL-3 laboratory with vector containment capabilities in the Boston area. Silver mentioned that even if there are Vector Transmitted Infectious Disease laboratories, they likely have existing work and projects associated with them. Tuohey added that while another facility could possibly be retrofitted to meet the needs of Frydman’s work, the cost would be prohibitive and the infrastructure may not be available at that location to support it. Berkowitz asked for clarification on potential interaction between Frydman’s work and the work at the BSL-4 in the NEIDL. Frydman stated that in terms of mosquitoes, there are currently no known diseases transmitted that require BSL-4 containment. However, in the future mosquitoes could transmit something that requires BSL-4 containment and this would then become a very important public health issue. In terms of ticks, there are diseases transmitted currently that require BSL-4 containment so there might be opportunities for collaboration with researches like Mark Klempner that are working in this area. Operations Tuohey mentioned that BUMC is in the process of meeting with the City’s Inspectional Services Department to obtain a Certificate of Occupancy and that BUMC hopes to conduct simulated training exercises and extensive systems testing in the NEIDL. No research would take place during this period of time. Berkowitz inquired why a Certificate of Occupancy was needed for the entire building when the training facility is located on the first floor and Tuohey noted that the Certificate of Occupancy would allow for exercises throughout the NEIDL to test responses in real time situations (e.g., fire at lab, heart attack victim). Berkowitz inquired why BUMC had not applied for a permit to open and operate the BSL-2 and BSL-3 portions of the NEIDL and Tuohey stated that the permits required for laboratory operations do not distinguish between BSL-2, BSL-3 or BSL-4 work being conducted at the NEIDL and that any such permits will be addressed once all other issues related to performing research at the NEIDL are addressed. Regulatory Affairs Berkowitz debriefed the group on the July 16, 2008 NIH Blue Ribbon Panel meeting at NIH in Bethesda where he and four other community members presented. Berkowitz thought the meeting was a good experience and gave the Blue Ribbon Panel a good sense of the challenges facing Boston. Silver disagreed and stated she felt that the community representation at the Blue Ribbon Panel meeting was not an accurate representation of community sentiment because it was skewed in opposition to the lab. Tuohey noted that the next steps in the Blue Ribbon Panel process may include an additional public meeting in Boston. Silver said that in the past, public meetings of that nature have not been productive and at times have been counter productive. Silver stated that in her opinion the CLC meetings have provided the best opportunity for learning and discussion about the NEIDL. 11:00 a.m. Meeting adjourned 2