Biosafety Committee & Safety and Risk Services Biosafety Module Directions: Read through information, complete competency assessment at end of module. Remove competency assessment and return to: Safety and Risk Services MSC07 4100, 1 University of New Mexico Albuquerque, NM 87131-0001 Keep the rest of the module for your reference. At the end of module, there is a list of references and telephone numbers so you may contact any of the departments and services noted. If you have any questions about Biosafety, contact Judi Pointer (272-8001) You may obtain documentation of your training at the following email address http://shea.unm.edu/ Introduction What is the Biosafety Committee? A UNM committee Reviews protocols using Level 3 biohazardous agents and certain R-DNA experiments Develops policies to enhance biosafety Evaluates suspected violations of protocols, external regulations or UNM policies Where can I get more information about biosafety? The Principal Investigator of the laboratory BioSafety Committee Part 1 What is Biosafety What is the purpose of Biosafety? To protect lab employees from hazards associated with biohazardous agents To ensure biohazardous activities are conducted according to nationally accepted standards. What are biohazardous agents? Infectious/pathogenic agents with potential for causing disease in healthy people, animals or plants Agents are classified as Class 2,3,4, and 5 in the following categories: - bacterial - fungal - parasitic - viral - rickettsial - chlamydial Is special training needed to work in a biosafety lab? Every employee who handles biohazardous materials will receive: - A basic orientation of the UNM Biosafety program (this module) - Bloodborne Pathogens training (if occupational exposure to blood or body fluids exist) - Training on specific protocols used in the laboratory, e.g. animal use - Employees also need an initial medical history and/or physical through Employee Occupational Health Services 2 What other terms should I know about? Aerosols: liquid or solid particles suspended in air Bloodborne Pathogens: pathogenic microrganisms present in human or animal blood capable of causing disease in humans CDC: Centers for Disease Control and Prevention Decontamination: to remove, inactivate or destroy living organisms so they are incapable of transmitting infectious particles Disinfection: a process by which viable biohazardous agents are reduced to a level unlikely to produce disease in healthy people, plants or animals Sharps: any object with rigid corners, edges or protuberances capable of cutting or piercing including needles/syringes, blades, broken glass and plastic items Sterilize: the use of a physical or chemical procedure to destroy all microbial life Part 2 General Biosafety Practices What preventive measures can we take to protect ourselves? Microbiological practices Standard precautions Warning signs and labels Engineering controls Personal Protective Equipment (PPE) What are microbiological practices? Practices that apply to all laboratories using infectious agents Access to lab is limited or restricted Employees wash hands after removing gloves following handling infectious materials Eating, drinking or smoking is not allowed Food is stored outside the work area Mouth pipetting is not allowed Procedures are used to minimize aerosols or inhalation hazards Appropriate PPE is used Work surfaces are decontaminated at least once a day or after any spill Use of sharps is minimized Only needle-locking or disposable needles are used Broken glassware is not handled directly by hand Blood or infectious material specimens are handled as infectious Warning labels and signs are used The universal biohazard symbol is displayed An insect and rodent control program is in effect 3 When and how are warning signs used? A hazard warning sign must be posted on the access door for: - All Biosafety Level 2 labs - All Biosafety Level 3 labs Hazard warning sign must include universal biohazard symbol (see left) Are warning labels also used? Warning labels are used on all containers of: - infectious waste - refrigerators and freezers containing or contaminated with infectious agents - any other object containing or contaminated with infectious agents Labels must display the universal biohazard symbol What is meant by engineering controls? Measures used to eliminate or minimize employee risk Biological Safety Cabinets and splash guards serve as containment devices Mechanical pipettes are used in place of mouth pipetting How is Personal Protective Equipment (PPE) used? To provide a protective barrier between employee and infectious agent To help maintain a sterile environment in laboratory PPE will be provided to all employees at risk Employees will receive training on how to wear PPE PPE is removed prior to leaving work area and put in appropriate container PPE includes: - gloves - lab coats, coveralls or scrub suits - eye protection with, at a minimum, side shields - closed-toe or covered shoes - respiratory protection Part 3 Biosafety Level What is a biosafety level? A number assigned to a lab or area with potential hazards for persons working with biohazardous agents The higher the biosafety level, the higher the hazard Protective measures correspond with level of hazard How many biolevels are there? Five biosafety levels exist Levels are described/ identified according to hazard 4 Biosafety Level 1 (BL1 ) Involves minimal or no known hazard to lab personnel or environment Wear lab coat, gloves, closed-toe shoes and safety glasses with side shields if there is splash potential No special hood or cabinet requirements Examples of agents involved include: bacillus cereus, canine distemper, Newcastle virus, influenza virus or lactobacillus acidophilus Biosafety Level 2 (BL2) Involves agents of moderate potential hazard to personnel or environment Wear long sleeved lab coat, gloves, safety glasses w/ side shields, closed-toe shoes Use Class I or II Biological Safety Cabinet for procedures with high aerosol potential Examples of agents include: bacillus anthracis, salmonella, streptpcoccus pyogenes, penicillium marneffei, toxascaris or hepatitis Biosafety Level 3 (BL3) Involves indigenous or exotic agents which may cause serious or potentially lethal disease as a result of the inhalation route Wear front or wrap around gowns, coveralls or scrub suits, gloves, safety glasses with side shields, covered shoes and appropriate respirator Use Class I or II Bilogical Safety Cabinets for all procedures Examples of agents include: Mycobacterium bovis or tuberculosis, sheep pox virus, arboviruses, hanta or rabies street virus Biosafety Level 4 (BL4 ) The use of these agents is not allowed at UNM Involves agents extremely hazardous or have potential to cause serious epidemic Use Class III Biological Safety Cabinets Examples of agents include: ebola fever, tick borne encephalitis or herpesvirus simiae Biosafety Level 5 (BL5) The use of these agents is not allowed at UNM Involves foreign animal pathogens excluded/restricted from the United States by law Use Class III Biological Safety Cabinets Examples of agents include: African swine fever, pox viruses or rhinoviruses Part 4 R-DNA What is R-DNA? Recombinant DNA: Molecules constructed outside living cells Done by joining natural or synthetic DNA segments to DNA molecules Can replicate in living cells Includes DNA molecules resulting from process described above 5 Do we need special authority to work with R-DNA? Approval from the Biosafety Committee is sometimes needed Required for any R-DNA project using: - pathogenic agents - human subjects - plants - live animals - release of R-DNA organisms into the environment Part 5 Select Agents What are select agents? Certain or “select” biological agents/toxins whose release may have severe and adverse public health consequences More stringent controls required by CDC UNM must monitor and register all acquisition, use, transfer and disposal All work with select agents at UNM must be registered with the Biosafety Committee prior to possession and use What are some examples of select agents? Viruses include Ebola, Yellow Fever, Equine Morbillivirus Rickettsiae includes Coxiellaburnetii, Rickettsia rickettsii Bacteria include Bacillus anthracis, Clostridium botulinum, Yersinia pestis Toxins include Ricin, Tetrodoxin, Staphylococcal enterotoxins Also includes genetically modified organisms or genetic elements from the above organisms which are shown to produce or encode a factor associated with disease Part 6 Emergency Procedures What do we do in a spill situation? Procedures depend on the specific biosafety level Also depend on the location of the spill Spill in a Biological Safety Cabinet Keep the cabinet running! Put on protective clothing Put paper towels (or absorbent material ) over spill area Apply disinfectant along walls, work surfaces and trough Do not clean the HEPA filter or internal parts Allow disinfectant to set for 15-20 minutes 6 Wipe or absorb all excess disinfectant Dispose of all paper towels into a red bag Apply detergent solution to all exposed surfaces Disinfect all materials used in cabinet by wiping surfaces with disinfectant Do not try to disinfect cardboard or items which absorb liquid (dispose of in red bag) If cabinet was exposed to extremely excessive amounts of contaminants: Stop and call Judi Pointer at 272-8001 Spill in a BL1 Laboratory Wear disposable gloves, lab coat and water resistant shoes Use paper towels to contain spill Pour disinfectant over spill area Put paper towels in red bag for disposal Reapply disinfectant Put down more paper towels Dispose of paper towels in red bag Spill in a BL2 Laboratory Evacuate laboratory Close laboratory doors Account for all personnel Wait for potential aerosols to settle Put on protective clothing Enter laboratory and place paper towels (or absorbent material) over spill area Pour disinfectant around edges and then onto spill Allow disinfectant to set for 20 minutes Use more paper towels to wipe up spill Clean area with fresh soaked in disinfectant Put all used paper towels into a red bag Remove protective clothing and segregate for disposal or cleaning Wash hands prior to leaving the area Spill in a BL3 Laboratory Evacuate laboratory Close laboratory doors Account for all personnel Call BioSafety Office at 272-8001 The BioSafety Office will evaluate spill and determine actions needed How do we disinfect? Use appropriate chemical disinfectant (e.g. 10% bleach ) Wear personal protective equipment Allow sufficient contact time after applying disinfectant Allow extra time for concentrated materials or uneven surfaces Rinse cleaned area with distilled water to remove disinfectant residue 7 When should we seek medical attention? When you develop signs/ symptoms associated with exposure to a biohazardous agent When you are involved in a needlestick, cut, spill, animal bite or other occurrence resulting in possible exposure to biohazardous agents What do we do if we are exposed? Wash area with soap and water Do not use abrasive soap Notify your Principal Investigator Report to EOHS during regular working hours 272-8043 Report to University Hospital Emergency Department after hours 8 BioSafety Evaluation Date:__________________________ 1. Name: ______________________________ 2. Department: __________________________________________________________ 3. Building and lab number:________________________________________________ 4. Laboratory Principal Investigator or Supervisor:______________________________ 5. I work in a Biosafety Level ___________ laboratory. 6. I work with the following agents: _________________________________________ ________________________________________________________________________ 7. I use the following PPE: ________________________________________________ 8. If there is a spill in my lab, the first steps I should take are: Step one: ____________________________________________________________ Step two: ____________________________________________________________ Step three: ___________________________________________________________ Step four: ____________________________________________________________ Step five: ____________________________________________________________ 9. I should seek medical attention if:_________________________________________ Upon completion return your assessment to: Safety and Risk Services MSC07 4100, 1 University of New Mexico Albuquerque, NM 87131-0001 9