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Volume 10, Number 4, 2005 - American Biological Safety Association

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<strong>Volume</strong> <strong>10</strong>, <strong>Number</strong> 4, <strong>2005</strong>


213<br />

214<br />

216<br />

258<br />

Journal of the <strong>American</strong> <strong>Biological</strong> <strong>Safety</strong> <strong>Association</strong><br />

<strong>Volume</strong> <strong>10</strong>, <strong>Number</strong> 4, <strong>2005</strong><br />

Letter to the Editors<br />

President’s Page<br />

Articles<br />

Comparison of the Canadian Industrial Security Manual and the United States National<br />

Industrial Security Program Operating Manual<br />

Andrew Hammond .......................................................................................................................216<br />

The Infectious Dose of Francisella tularensis (Tularemia)<br />

Rachael M. Jones, Mark Nicas, Alan Hubbard, Matthew D. Sylvester, and Arthur Reingold .....227<br />

High-Dose Ultraviolet C Light Inactivates Spores of Bacillus Atrophaeus and Bacillus Anthracis<br />

Sterne on Nonreflective Surfaces<br />

Marie U. Owens, David R. Deal, Michael O. Shoemaker, Gregory B. Knudson,<br />

Janet E. Meszaros, and Jeffery L. Deal.....................................................................................240<br />

Autoclave Testing in a University Setting<br />

Richard N. Le, Amy L. Hicks, and Janice Dodge..........................................................................248<br />

Operating a BSL-4 Laboratory in a University Setting<br />

Tradeline Publications ..................................................................................................................253<br />

Special Features<br />

Use of Multiple SOP Styles to Increase Personnel Compliance and <strong>Safety</strong><br />

Within a BSL-2/BSL-3 Animal Facility<br />

Andrea Mitchell, Jeri Ellis, and Tim Ruddy..................................................................................258<br />

Book Review—Revenge of the Microbes by Abigail A. Salyers and Dixie D. Whitt<br />

Reviewed by George A. Pankey.....................................................................................................265<br />

Book Review—Biodefense: Principles and Pathogens Edited by Michael S. Bronze<br />

and Ronald A. Greenfield<br />

Reviewed by Michael P. Owen......................................................................................................266<br />

(continued on page 2<strong>10</strong>)


(continued from page 209)<br />

273<br />

2<strong>10</strong><br />

Ask the Experts—HEPA Filtered Supply Air for BSL-3 Laboratories?<br />

John H. Keene...............................................................................................................................268<br />

Biosafety Tips—Lymphocytic Choriomeningitis Virus—A Hazard in Rodent Animal Colonies<br />

Karen B. Byers ...............................................................................................................................270<br />

ABSA News<br />

<strong>2005</strong> ABSA Conference Photos.................................................................................................273<br />

<strong>2005</strong> ABSA Service Award Recipients......................................................................................274<br />

New ABSA Members for 2006 ...................................................................................................277<br />

<strong>2005</strong> ABSA Conference Sponsors.............................................................................................279<br />

Calendar of Events .......................................................................................................................280<br />

ABSA Journal Subscription Information ...................................................................................281<br />

ABSA Anthology Books Information and Order Form.............................................................282<br />

ABSA Chapters, Affiliates, and Affiliated Organizations........................................................283<br />

About the Cover<br />

Fransicella tularensis is the causative agent of tularemia. Exposure to F. tularensis has resulted in numerous<br />

laboratory acquired infections, some of which may have been due to aerosol exposures. Read more about<br />

infectious dose modeling on pages 227-239, “The Infectious Dose of Francisella tularensis (Tularemia)” by<br />

Rachael M. Jones, Mark Nicas, Alan Hubbard, Matthew D. Sylvester, and Arthur Reingold.<br />

One natural reservoir for this zoonotic disease is the rabbit. It can be transmitted to humans by handling<br />

infected blood or tissue, or consuming undercooked infected meat. The tick, an arthropod vector, can transmit<br />

the disease through its bite. The symptoms developed depend on the type of exposure route.<br />

Images from the CDC Public Health Image Library are: D. variabilis tick photo, taken by Andrew Brooks<br />

of CDC; Tularemia lesion on the dorsal skin of right hand photo, taken by Dr. Brachman of the CDC; and<br />

F. tularensis colony characteristics when grown on Chocolate, Martin Lewis or Thayer-Martin medium at<br />

48-72 hours, courtesy of Larry Stauffer, Oregon State Public Health Laboratory.


Applied Biosafety: Journal of the <strong>American</strong> <strong>Biological</strong> <strong>Safety</strong><br />

<strong>Association</strong> (ISSN 1535-6760) is published quarterly by the <strong>American</strong><br />

<strong>Biological</strong> <strong>Safety</strong> <strong>Association</strong> (ABSA). ABSA members receive the<br />

journal as a benefit of membership. An additional annual subscription<br />

for members is $60. Nonmembers and institutions/libraries may<br />

subscribe at the annual rates of $92 and $122 respectively. Single issue<br />

rates are as follows: members $18; nonmembers $28; and institutions/<br />

libraries $35.<br />

Authorization to Copy: No part of this publication may be<br />

reproduced, stored in a retrieval system, or transmitted in any form or<br />

by any means, electronic, electrostatic, magnetic tape, photocopying,<br />

recording, or otherwise, without permission in writing from the<br />

copyright holder.<br />

Change of Address: A change of address notice should be sent at<br />

least 6 weeks in advance to the ABSA National Office to ensure that<br />

all mailings, including the journal and newsletter, will reach you.<br />

ABSA is not responsible for misrouted mail as a result of insufficient<br />

notification of an address change. Undelivered copies resulting from<br />

an insufficient address change notification will not be replaced, but<br />

issues may be purchased at the single issue price as detailed above.<br />

ABSA National Office<br />

<strong>American</strong> <strong>Biological</strong> <strong>Safety</strong> <strong>Association</strong><br />

1202 Allanson Road<br />

Mundelein, IL 60060-3808, USA<br />

847-949-1517 / Fax 847-566-4580<br />

E-mail: absa@absa.org<br />

Web Site: www.absa.org<br />

Advertising Rates<br />

Rates 1x 2x 4x<br />

Outside back cover $800 $720 $680<br />

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Color rates: $350 for first color (after black) and $300 each additional color.<br />

15% discount for agencies (orders must be supplied on agency letterhead).<br />

Mechanical Requirements Width Height<br />

Outside back cover (full bleed) 8-1/2” 11”<br />

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Submission Deadlines<br />

February 1 for Spring issue May 1 for Summer issue<br />

August 1 for Fall issue November 1 for Winter issue<br />

The publication of any advertisement by this journal is not an<br />

endorsement of the advertiser or of the products or services advertised.<br />

ABSA is not responsible for any claims made in any advertisement.<br />

ABSA Journal Editorial Board<br />

Co-Editors<br />

Barbara Johnson, Department of Defense, Arlington, VA<br />

Karen B. Byers, Dana Farber Cancer Institute, Boston, MA<br />

Associate Editor<br />

Elizabeth Gilman Duane, Wyeth, Cambridge, MA<br />

Lynn Harding, Biosafety Consultant, Chattanooga, TN<br />

Assistant Editors<br />

Richard Fink, Wyeth BioPharma, Andover, MA<br />

John H. Keene, Biohaztec Associates, Inc., Midlothian, VA<br />

Thomas A. Kost, GlaxoSmithKline, Research Triangle Park, NC<br />

Ed Krisiunas, WNWN International, Burlington, CT<br />

International Editors<br />

Allan Bennett, European <strong>Biological</strong> <strong>Safety</strong> <strong>Association</strong> (EBSA),<br />

United Kingdom<br />

Maureen Best, International Biosafety Working Group (IBWG),<br />

Canada<br />

Otto Doblhoff-Dier, European <strong>Biological</strong> <strong>Safety</strong> <strong>Association</strong> (EBSA),<br />

Austria<br />

Betty Kupskay, ABSA Canada, Canada<br />

Ai Ee Ling, Asia Pacific Biosafety <strong>Association</strong> (APBA), Singapore<br />

Leila Oda, Associação Nacional de Biossegurança (ANBio), Brazil<br />

Production Editor<br />

Karen D. Savage<br />

Editorial Board<br />

Matthew J. Bankowski, ViroMed (LabCorp), Minnetonka, MN<br />

Franklin R. Champlin, Mississippi State University, Mississippi<br />

State, MS<br />

Mary L. Cipriano, Abbott Laboratories, Abbott Park, IL<br />

Robert P. Ellis, Colorado State University, Fort Collins, CO<br />

Glenn A. Funk, Lawrence Livermore National Laboratory,<br />

Livermore, CA<br />

Raymond W. Hackney, Jr., University of North Carolina, Chapel<br />

Hill, NC<br />

Philip Hagan, Georgetown University, Washington, DC<br />

Robert J. Hawley, Midwest Research Institute, Frederick, MD<br />

Richard Henkel, Centers for Disease Control and Prevention,<br />

Atlanta, GA<br />

Debra L. Hunt, Duke University, Durham, NC<br />

Peter C. Iwen, University of Nebraska Medical Center, Omaha, NE<br />

John H. Keene, Biohaztec Associates, Inc., Midlothian, VA<br />

Paul Michael Kivistik, University of Nevada, Reno, NV<br />

Joseph P. Kozlovac, USDA-ARS, Beltsville, MD<br />

Jens H. Kuhn, Harvard Medical School, Southborough, MA<br />

Margy S. Lambert, University of Wisconsin, Madison, WI<br />

R. Thomas Leonard, University of Virginia, Charlottesville, VA<br />

Paul J. Meechan, Merck Research Laboratories, West Point, PA<br />

Mark Nicas, University of California, Berkeley, CA<br />

Beryl J. Packer, Iowa State University, Ames, IA<br />

Tim Ravita, Constella Health Sciences, Atlanta, GA<br />

Richard Rebar, GlaxoSmithKline R&D, King of Prussia, PA<br />

Jonathan Y. Richmond, Jonathan Richmond & Associates, Inc.,<br />

Southport, NC<br />

Deanna S. Robbins, Department of Veterans Affairs, Baltimore, MD<br />

Richard J. Shaughnessy, University of Tulsa, Tulsa, OK<br />

Allan Showler, USDA-ARS, Weslaco, TX<br />

Cecil R. Smith, Ohio State University, Columbus, OH<br />

Gerard J. Spahn, The Salk Institute, La Jolla, CA<br />

Donald Vesley, University of Minnesota, Minneapolis, MN<br />

Catherine L. Wilhelmsen, United States Army Medical Research<br />

Institute of Infectious Diseases (USAMRIID), Fort Detrick, MD<br />

Linda B. Wolfe, Whitehead Institute for Biomedical Research,<br />

Cambridge, MA<br />

Jeffrey D. Wolt, Iowa State University, Ames, IA<br />

Alan G. Woodard, International Environmental Health Alliance,<br />

Gansevoort, NY


Vision<br />

212<br />

ABSA, the leader in the profession of biological safety.<br />

Mission Statement<br />

The <strong>American</strong> <strong>Biological</strong> <strong>Safety</strong> <strong>Association</strong> is dedicated to expanding biological safety awareness to<br />

prevent adverse occupational and environmental impact from biohazards.<br />

Goals<br />

• Expand professional and public awareness of biological safety through effective communication.<br />

• Participate in the development of biological safety and biosecurity standards, guidelines, and<br />

regulations.<br />

• Develop ABSA as the recognized resource for professional and scientific expertise in biological<br />

safety and biosecurity.<br />

• Advance biological safety as a scientific discipline through education, research, and professional<br />

development.<br />

ABSA Officers<br />

President<br />

Glenn A. Funk, Lawrence Livermore National Laboratory, Livermore, CA<br />

President-Elect<br />

Robert J. Hawley, Midwest Research Institute, Frederick, MD<br />

Secretary<br />

Rosamond Rutledge-Burns, National Institute Standards & Technology, Gaithersburg, MD<br />

Treasurer<br />

Leslie Delpin, University of Connecticut, Storrs, CT<br />

Past-President<br />

Elizabeth Gilman Duane, Wyeth, Cambridge, MA<br />

Council Members<br />

Robert P. Ellis, Colorado State University, Fort Collins, CO<br />

Joseph P. Kozlovac, USDA Agricultural Research Service, Beltsville, MD<br />

Patricia Olinger, Pharmacia Corporation, Kalamazoo, MI<br />

Chris Thompson, Greenfield, IN<br />

Executive Director<br />

Edward J. Stygar, Jr.


Letter to the Editors<br />

James J. Coogan<br />

Siemens Building Technologies, Buffalo Grove, Illinois<br />

Let me commend Allan Bennett et al. on valuable<br />

piece of research and an illuminating article<br />

entitled “Development of Particle Tracer Techniques<br />

to Measure the Effectiveness of High Containment<br />

Laboratories” in Applied Biosafety (<strong>Volume</strong> <strong>10</strong>, <strong>Number</strong><br />

3, <strong>2005</strong>). The facts and observations presented<br />

support some common engineering assumptions and<br />

challenge others. Both results are valuable.<br />

Definition of Laboratory Protection Factor and<br />

the test methods described advance our ability to<br />

discuss effective pressurization. The result that containment<br />

correlates more closely to infiltrating air<br />

flow than to pressure difference is intriguing. I expect<br />

it surprises many engineers as much as it does<br />

me.<br />

The explanation offered is that the air flowing<br />

inward through the door catches contaminants and<br />

prevents their escape while the door is open and a<br />

person walks through it. The authors themselves<br />

seem to find it unlikely that such low air velocity<br />

captures contaminants. (The air velocity reported<br />

through the open door is 0.14 m s-1 and lower:<br />

much less than the velocity of the swinging door or<br />

the walking person.)<br />

Perhaps it is appropriate to propose another explanation<br />

for the results. Consider the effect that the<br />

Editorial Note<br />

Letters to the Editors (approximately 400 words)<br />

discuss information published in Applied Biosafety in<br />

the past nine months or discuss topic areas of general<br />

interest in the biosafety profession. Letters can<br />

Applied Biosafety, <strong>10</strong>(4) p. 213 © ABSA <strong>2005</strong><br />

infiltrating air flow has on contaminant concentrations<br />

while the door is closed before and after entry<br />

or exit. Just inside the door, contaminated air is continuously<br />

replaced by the clean infiltrating air. This<br />

lowers the concentration near the door. When entry<br />

or exit occurs, certainly some air leaves the room,<br />

but this air is cleaner than it would be with a lower<br />

infiltrating air flow rate, so less contaminant leaves<br />

the room. After the entry or exit is complete and the<br />

door is closed, some quantity of contaminant lingers<br />

outside the room. A portion of it is picked up by the<br />

particle counters, but presumably, some of it is<br />

drawn back into the room by the on-going infiltration.<br />

In short, the supposition is that infiltrating air<br />

flow has a continuous cleaning effect near the door,<br />

and that this on-going effect (rather than several seconds<br />

of infiltration at very low velocity during entry<br />

or exit) increases the Laboratory Protection Factor.<br />

Do the authors have more information that will<br />

help us choose one mechanism or the other to explain<br />

the results? In some cases, the question is<br />

moot. Containment is the issue and the mechanism<br />

may be unimportant, but there are ventilation systems<br />

where the distinction is crucial.<br />

be submitted electronically to Karen D. Savage,<br />

Production Editor, at ksavage@covad.net or by mail<br />

to ABSA National Office, Applied Biosafety, 1202<br />

Allanson Road, Mundelein, IL 60060. Letters published<br />

in part or whole are subject to editing for clarity<br />

and special formatting.<br />

213


I suspect every new organization president wrestles<br />

with questions like “What do I want to achieve<br />

during my presidency?” and “Where do I want to<br />

lead the organization during the next year?” These<br />

are weighty issues that focus on the best interests of<br />

the membership in general and the institution in<br />

particular. They’re made especially challenging by<br />

the outstanding leadership and successes provided<br />

by recent past presidents. I have, appropriately, a<br />

very high standard to uphold.<br />

With 1,500 members representing 30 different<br />

countries and 16 Affiliates and affiliated organizations,<br />

ABSA is no longer a small club of friends. We<br />

are gaining the mass to be noticed, to be listened to,<br />

to be asked for advice and help, and to make a difference<br />

in the realms of science we impact. It would<br />

be easy for me to suggest that we grow the organization<br />

because as we grow larger, we grow stronger and<br />

we have a louder voice. There is truth in this, and<br />

growing ABSA is a worthy goal that we should pursue.<br />

However, at this point, I believe it is also important<br />

to “grow our profession”—to bring more highly<br />

qualified scientists into our ranks, to strengthen our<br />

knowledge base, and to provide additional ABSA<br />

members who will enrich our organization. I believe<br />

there are many scientists and health and safety professionals<br />

who are unaware of the challenges and<br />

rewards of biosafety as a career, or of the need for<br />

highly skilled biosafety professionals in the scientific<br />

community.<br />

To keep our profession attractive to others and<br />

respected within the scientific community, we must<br />

maintain, strengthen, and continue to demonstrate<br />

the high professional standards to which we adhere<br />

every day. Each of us must set the Gold Standard for<br />

professionalism, for technical competency, for cus-<br />

214<br />

President’s Page<br />

Glenn A. Funk<br />

Gualala, California<br />

Applied Biosafety, <strong>10</strong>(4) pp. 214-215 © ABSA <strong>2005</strong><br />

tomer service, and for flexibility and adaptability to<br />

meet the varied and often unanticipated needs of<br />

our customers. We must not simply continue to be<br />

the best of the best; we must continually get better at<br />

what we do. As “Neutron Jack” Welch, ex-CEO of<br />

General Electric, used to say, “You can’t just talk the<br />

talk; you’ve also got to walk the walk.”<br />

One of the things we do best in ABSA is share<br />

our knowledge through networking, seminars, training<br />

sessions, and professional courses. ABSA is your<br />

organization, and I urge you to use the opportunities<br />

it offers to improve your skills as a biosafety professional.<br />

Meanwhile, your ABSA Council and I will<br />

continue to make ABSA better for you. The management<br />

consultants who helped us restructure our<br />

business model also helped us identify important<br />

areas for Task Force study; we held off implementing<br />

these during the first year in order to focus on the<br />

business infrastructure. This year we’ll put Task<br />

Forces to work defining the parameters of the biosafety<br />

profession, enhancing the value and benefits<br />

of professional Registration and Certification, and<br />

determining the feasibility and usefulness of an<br />

ABSA Emergency Response capability to provide<br />

assistance during national and international emergencies<br />

that involve biosafety. If you have an interest<br />

in serving on one of these Task Forces, please let me<br />

know (gafunk@absa.org).<br />

One other effort soon to be underway is a renewed<br />

push to catalog the ABSA Historical Collection<br />

and transfer it to safe archival storage. Once<br />

that’s done, we can look at ways to make it accessible<br />

to members through, for example, displays at meetings<br />

and articles in this Journal. Ultimately, I’d like<br />

to see at least parts of the collection available online.<br />

In future columns I’ll discuss other ideas for


moving ABSA forward. As always, I greatly appreciate<br />

your volunteer efforts to help make ABSA what<br />

it is. We wouldn’t be here today if it weren’t for the<br />

active and positive participation of our many talented<br />

members. As President, my door is open to<br />

Corrections and Clarifications<br />

G. A. Funk<br />

you. Please send me e-mails with your ideas and suggestions.<br />

We’ll talk about them, I’ll take the great<br />

ideas to Council, and together we’ll continue to<br />

make ABSA better and stronger.<br />

Special Features, Ask the Experts: “USDA BSL-3 Facility Requirements: What’s the<br />

Concern?” authorship attribution in the Table of Contents is incorrect (<strong>Volume</strong> <strong>10</strong>, <strong>Number</strong><br />

3, page 133). It should be: John H. Keene.<br />

EPA Pesticide Program Update from EPA’s Office of Pesticide Programs<br />

<strong>10</strong>/11/05: EPA Approves New Non-Chemical Control for Corn Rootworm<br />

www.epa.gov/pesticides<br />

After an intensive, multi-year scientific analysis, EPA has approved applications submitted by Mycogen<br />

Seeds (c/o Dow AgroSciences, LLC) and Pioneer Hi-Bred International, Inc. for the use of a new corn<br />

plant-incorporated protectant (PIP) designed to control corn rootworm. Corn rootworm is a widespread<br />

and destructive insect pest responsible for the single largest use of conventional insecticides in the United<br />

States. The new product is the second PIP to offer protection against corn rootworm and is expected to<br />

result in a further reduction of chemical insecticide use by growers.<br />

The new corn plant-incorporated protectant, Event DAS-59122-7 Corn, produces its own insecticide<br />

within the corn plant derived from Bacillus thuringiensis (Bt), a naturally occurring soil bacterium. The Bt<br />

proteins used in this product, called Cry34Ab1 and Cry35Ab1 (Cry 34/35), control corn rootworm.<br />

To reduce the likelihood of corn rootworm developing resistance to Bt, EPA is requiring Mycogen and<br />

Pioneer to ensure that buffer zones within the planted acreage be planted with corn that is not protected<br />

from corn rootworm to serve as a “refuge.” The insect populations in the refuges will help prevent<br />

resistance development when they cross-breed with insects in the Bt fields. This resistance management<br />

strategy was developed as a condition of the registration, and EPA will require routine monitoring and<br />

documentation that these measures are followed.<br />

The reduction in chemical pesticide use will benefit the environment directly and can mean less<br />

chemical exposure to people who apply pesticides to corn. The availability of multiple corn rootwormprotected<br />

corn products will also increase grower choice and price competition, resulting in lower seed<br />

prices for consumers and higher adoption rates. The product provides yet another way to combat corn<br />

rootworm, as well as indirect benefits such as energy savings resulting from reduced chemical insecticide<br />

use. As with similar products, EPA has approved Cry 34/35 for time-limited use, which will be subject to<br />

reevaluation in five years. For more information on EPA’s regulation of biopesticide products, see<br />

www/epa.gov/pesticides/biopesticides/.<br />

215


Abstract<br />

Because of the potential for use as a bioterrorism<br />

agent or bioweapon, many governments have imposed<br />

strict regulations regarding the possession, use, and<br />

transfer of “select” biological agents. Consequently,<br />

much of the information surrounding the possession and<br />

use of these agents is potentially classified, and those<br />

contractors and their employees who require access to<br />

this information must receive Facility (contractor) and<br />

Personnel (employees) clearances. Both Canada and<br />

the United States (U.S.) have produced industrial security<br />

manuals—the Industrial Security Manual (ISM)<br />

(Canadian and International Industrial Security Directorate,<br />

2004) and the National Industrial Security<br />

Program Operating Manual (NISPOM) (Defense<br />

Technical Information Center, 1995)—for use by<br />

cleared government contractors. These documents set<br />

forth the requirements, restrictions, and other safeguards<br />

that are necessary to prevent unauthorized disclosure<br />

of classified information and assets provided to<br />

or produced by private government contractors. This<br />

article compares and contrasts the requirements set<br />

forth in the ISM and the NISPOM. The results of this<br />

comparison present a valuable security management<br />

tool for private organizations that wish to engage in<br />

classified work for the Canadian, U.S., or both governments.<br />

216<br />

Article<br />

Introduction<br />

Applied Biosafety, <strong>10</strong>(4) pp. 216-226 © ABSA <strong>2005</strong><br />

Comparison of the Canadian Industrial Security<br />

Manual and the United States National<br />

Industrial Security Program Operating Manual<br />

Andrew Hammond<br />

Constella Health Sciences, Atlanta, Georgia<br />

As a result of the October 2001 anthrax letter<br />

attacks, both the United States and Canada enacted<br />

new laws imposing additional restrictions on certain<br />

hazardous biological agents and toxins. The U.S.<br />

enacted the Public Health Security and Bioterrorism<br />

Preparedness and Response Act of 2002 (Public Law<br />

<strong>10</strong>7-188) (U.S. Government Printing Office, 2002)<br />

and Canada passed the Public <strong>Safety</strong> Act, 2002<br />

(Parliament of Canada, 2002). Because of the potential<br />

for “select” biological agents and toxins being<br />

used as bioterrorism agents or in a bioweapons program,<br />

both Acts impose strict regulations regarding<br />

their possession, use, and transfer. Consequently,<br />

much of the information surrounding the possession<br />

and use of these agents is potentially classified (or<br />

confidential), and those organizations and their employees<br />

who require access to this information must<br />

receive Facility (organization) and Personnel<br />

(employee) clearances. Both Canada and the U.S.<br />

have produced industrial security manuals—Industrial<br />

Security Manual (ISM) (Canadian and International<br />

Industrial Security Directorate, 2004) and the National<br />

Industrial Security Program Operating Manual<br />

(NISPOM) (Defense Technical Information Center,<br />

1995)—for use by cleared government contractors.<br />

These documents set forth the requirements, restrictions,<br />

and other safeguards that are necessary to prevent<br />

unauthorized disclosure of classified information<br />

(and assets) provided to or produced by private


government contractors and to control the authorized<br />

disclosure of classified information (and assets)<br />

released by the governments to their contractors.<br />

United States—National Industrial<br />

Security Program Operating Manual<br />

Security Classifications<br />

An original classification decision at any level<br />

can be made only by a U.S. Government official<br />

who has been delegated this authority in writing.<br />

Contractors may make derivative classification decisions<br />

based on the guidance provided by the Contract<br />

Security Classification Specification that is issued<br />

with each classified contract. Derivative classification<br />

is the act of classifying a specific item of information<br />

or material on the basis of an original classification<br />

decision already made by an authorized<br />

original classification authority. The source of authority<br />

for derivative classification ordinarily consists<br />

of a previously classified document or a classification<br />

guide issued by an original classification authority.<br />

Top Secret<br />

Top secret information or material is that information<br />

or material whose unauthorized disclosure<br />

could be reasonably expected to cause exceptionally<br />

grave damage to the national security that the original<br />

classification authority is able to identify or describe.<br />

Examples include armed hostilities against the<br />

United States or its allies, disruption of foreign relations<br />

vitally affecting the national security, and the<br />

disclosure of scientific or technological developments<br />

vital to national security.<br />

Secret<br />

Secret information or material is that information<br />

or material whose unauthorized disclosure<br />

could be reasonably expected to cause serious damage<br />

to the national security that the original classification<br />

authority is able to identify or describe. Examples<br />

of serious damage include significant impairment<br />

of a program or policy directly related to the<br />

national security and compromise of significant scientific<br />

or technological developments relating to national<br />

security.<br />

A. Hammond<br />

Confidential<br />

Confidential information or material is that information<br />

or material whose unauthorized disclosure<br />

could be reasonably expected to cause damage to<br />

the national security that the original classification<br />

authority is able to identify or describe. Examples<br />

include documents relating to clearance or assignment<br />

of personnel who will have knowledge of, or<br />

access to, classified information or materials or details<br />

pertaining to features of routes and schedules of<br />

shipments of confidential materials.<br />

Facility Security<br />

Facility Clearances<br />

A facility security clearance (FCL) is an administrative<br />

determination that a facility is eligible for access<br />

to classified information at the same or lower<br />

classification category as the clearance being granted.<br />

Contractors are eligible for custody of classified material,<br />

if they have an FCL and storage capability approved<br />

by the Cognizant Security Agency (CSA).<br />

A procuring activity of the Government or<br />

cleared contractor may request a facility clearance for<br />

a contractor or prospective contractor/<br />

subcontractor when a definite, classified procurement<br />

need has been established. Also, the contractor<br />

must be organized and existing under the laws of any<br />

of the 50 states, the District of Columbia, or Puerto<br />

Rico, and be located in the U.S. and its territorial<br />

areas or possessions.<br />

Meetings<br />

Classified disclosure at a meeting (e.g., conference,<br />

seminar, symposium, exhibit, convention,<br />

training course, or other such gathering) which<br />

serves a government purpose and at which adequate<br />

security measures have been provided in advance<br />

may be conducted by a cleared contractor provided<br />

the meeting is authorized by a Government Agency<br />

that has agreed to assume security jurisdiction. The<br />

Government Agency must approve security arrangements,<br />

announcements, attendees, and the location<br />

of the meeting. (Classified meetings shall be held<br />

only at a Federal Government installation or a<br />

cleared contractor facility where adequate physical<br />

security and procedural controls have been ap-<br />

217


proved.) Contractors wishing to conduct classified<br />

meetings shall submit their requests to the Government<br />

Agency having principal interest in the subject<br />

matter of each meeting.<br />

Personnel Security<br />

Security Officers<br />

The Facility Security Officer (FSO) shall be a<br />

U.S. citizen employee appointed by the contractor<br />

who is cleared as part of the facility clearance. The<br />

FSO will supervise and direct security measures necessary<br />

for implementing the NISPOM and related<br />

Federal requirements for classified information.<br />

The senior management official and the FSO<br />

must always be cleared to the level of the Facility<br />

Clearance (FCL). Other officials, as determined by<br />

the CSA, must be granted a Personnel Clearance<br />

(PCL) or be excluded from classified access.<br />

Personnel Clearances<br />

An industrial personnel security clearance is an<br />

administrative determination that an industrial employee<br />

is eligible for access to classified information.<br />

This determination is based on investigation and<br />

review of available personal data and a finding that<br />

access is clearly consistent with national interests.<br />

An individual may be processed for a personnel<br />

security clearance only when employed by a cleared<br />

contractor in a job requiring access to classified information.<br />

As an exception, a candidate for employment<br />

may be processed for a PCL provided a written<br />

commitment for employment that prescribes a fixed<br />

date for employment within the ensuing 180 days<br />

has been made by the contractor, and the candidate<br />

has accepted the employment offer in writing.<br />

Under rare circumstances, a non-U.S. citizen<br />

may be issued a Limited Access Authorization for<br />

access to classified information. Specific criteria and<br />

limitations are provided in the NISPOM.<br />

Contractors have no authority to grant, deny, or<br />

revoke personnel clearances for their employees.<br />

This authority is reserved by the U.S. Government.<br />

Subcontracting<br />

Before a prime contractor may release, disclose<br />

classified information to a subcontractor, or cause<br />

218<br />

Comparison of the Canadian Manual and the U.S. Manual<br />

classified information to be generated by a subcontractor,<br />

he or she must determine the security requirements<br />

of the subcontract and determine clearance<br />

status of prospective subcontractors. The prime<br />

contractor shall verify the clearance status and safeguarding<br />

capability of the subcontractor from the<br />

CSA. If a prospective subcontractor does not have<br />

the appropriate FCL or safeguarding capability, the<br />

prime contractor shall request the CSA of the subcontractor<br />

to initiate the necessary action.<br />

The prime contractor shall ensure that a Contract<br />

Security Classification Specification is incorporated<br />

in each classified subcontract. The contractor<br />

shall also review the security requirements during<br />

the different stages of the subcontract and provide<br />

the subcontractor with applicable changes in these<br />

security requirements. Upon completion of the subcontract,<br />

the subcontractor may retain classified material<br />

received or generated under the subcontract<br />

for a 2-year period, provided the prime contractor or<br />

GCA does not advise to the contrary.<br />

Education, Training, and Briefings<br />

Contractors shall provide all cleared employees<br />

with security training and briefings commensurate<br />

with their involvement with classified information.<br />

Contractors shall also be responsible for ensuring<br />

that the FSO, and others performing security duties,<br />

complete security training deemed appropriate by<br />

the CSA. (Training, if required, should be completed<br />

within 1 year of appointment to the position<br />

of FSO.) The contractor is responsible for providing<br />

all cleared employees with some form of security<br />

education and training at least annually.<br />

The SF 312 is an agreement between the United<br />

States and an individual who is cleared for access to<br />

classified information. An employee issued an initial<br />

PCL must execute an SF 312 prior to being granted<br />

access to classified information. The employee must<br />

also receive an initial security briefing that includes a<br />

Threat Awareness Briefing, a Defensive Security<br />

Briefing, an overview of the security classification<br />

system, employee reporting obligations and requirements,<br />

and security procedures and duties applicable<br />

to the employee’s job.<br />

Contractors shall debrief cleared employees at<br />

the time of termination (discharge, resignation, or


etirement); when an employee’s PCL is terminated,<br />

suspended, or revoked, and upon termination of the<br />

FCL.<br />

Visits<br />

The contractor must determine that the visit is<br />

necessary and that the purpose of the visit cannot be<br />

achieved without access to, or disclosure of, classified<br />

information. All classified visits require advance<br />

notification to, and approval of, the organization<br />

being visited. In urgent cases, visit information may<br />

be furnished by telephone provided that it is followed<br />

up in writing. The contractor shall issue a<br />

Visit Authorization Letter (VAL) to the organization<br />

being visited that shall include the following:<br />

• Contractor’s name, address, and telephone number,<br />

assigned CAGE Code, and certification of the<br />

level of the FCL<br />

• Name, date, place of birth, and citizenship of the<br />

employee intending to visit<br />

• Certification of the proposed visitor’s PCL and<br />

any special access authorizations required for the<br />

visit<br />

• Name of person(s) to be visited<br />

• Purpose and sufficient justification for the visit<br />

to allow for a determination of the necessity of the<br />

visit<br />

• Date or period during which the VAL is to be<br />

valid<br />

Contractors shall maintain a record of all visitors<br />

to their facility who have been approved for access<br />

to classified information.<br />

Document Security<br />

General Marketing<br />

All classified material shall be marked on the<br />

face of the document to show the name and address<br />

of the facility responsible for its preparation and the<br />

date of preparation. The highest level of classified<br />

information contained in a document is its overall<br />

marking. The overall marking shall be conspicuously<br />

marked or stamped at the top and bottom on the<br />

outside of the front cover, on the title page, on the<br />

first page, and on the outside of the back cover. Interior<br />

pages of classified documents shall be marked at<br />

A. Hammond<br />

the top and bottom with the highest classification of<br />

the information appearing thereon or marked UN-<br />

CLASSIFIED if all the information on the page is<br />

UNCLASSIFIED. The major components of complex<br />

documents are likely to be used separately.<br />

Therefore, each major component shall be marked<br />

as a separate document. Also, each section, part,<br />

paragraph, or similar portion of a classified document<br />

shall be marked to show the highest level of its<br />

classification, or that the portion is unclassified. Unclassified<br />

subjects and titles shall be selected for classified<br />

documents, if possible. If a classified subject or<br />

title must be used, it shall be marked with the appropriate<br />

symbol—(TS), (S), or (C)—placed immediately<br />

following and to the right of the item.<br />

All classified information shall be marked to<br />

reflect the source of the classification and declassification<br />

instructions. This required information shall<br />

be placed on the cover, first page, title page, or in<br />

another prominent position.<br />

General Storage<br />

Cognizant security officials shall work to meet<br />

appropriate security needs according to the intent of<br />

the NISPOM and at an acceptable cost.<br />

TOP SECRET material shall be stored in a<br />

GSA-approved security container, an approved vault,<br />

or an approved Closed Area. Supplemental protection<br />

is required.<br />

SECRET material shall be stored in the same<br />

manner as TOP SECRET material without supplemental<br />

protection.<br />

CONFIDENTIAL material shall be stored in the<br />

same manner as TOP SECRET or SECRET material<br />

except that no supplemental protection is required.<br />

Reproduction<br />

Contractors shall establish a reproduction control<br />

system to ensure that reproduction of classified<br />

material is held to the minimum consistent with<br />

contractual and operational requirements. Classified<br />

reproduction shall be accomplished by authorized<br />

employees knowledgeable about the procedures for<br />

classified reproduction. The use of technology that<br />

prevents, discourages, or detects the unauthorized<br />

reproduction of classified documents is encouraged.<br />

219


All reproductions of classified material shall be<br />

conspicuously marked with the same classification<br />

markings as the material being reproduced.<br />

Domestic Transmission Standards<br />

(Outside of Facility)<br />

Top Secret<br />

• Written authorization of the Government Contracting<br />

Activity (GCA)<br />

• Sealed, opaque inner and outer covers with the<br />

inner cover being a wrapper or envelope plainly<br />

marked with the assigned classification and addresses<br />

of both sender and addressee<br />

• A receipt that identifies the sender, the addressee,<br />

and the document shall be attached to or<br />

enclosed in the inner cover<br />

• Via:<br />

a. Defense Courier Service (DCS), if authorized<br />

by GCA<br />

b. A designated courier or escort cleared for<br />

access to TOP SECRET information<br />

c. By electrical means over CSA-approved secured<br />

communications security circuits provided<br />

such transmission conforms with the<br />

NISPOM, the telecommunications security<br />

provisions of the contract, or is authorized<br />

by the GCA<br />

Secret<br />

• Sealed, opaque inner and outer covers with the<br />

inner cover being a wrapper or envelope plainly<br />

marked with the assigned classification and addresses<br />

of both sender and addressee<br />

• A receipt that identifies the sender, the addressee,<br />

and the document shall be attached to or<br />

enclosed in the inner cover<br />

• Via:<br />

a. TOP SECRET methods<br />

b. USPS Express or Registered mail<br />

c. A cleared “Commercial Carrier”<br />

d. A cleared commercial messenger service engaged<br />

in the intracity/local area delivery<br />

(same day delivery only) of classified material<br />

e. A commercial delivery company approved by<br />

the CSA<br />

f. Other methods as directed, in writing, by<br />

the GCA<br />

220<br />

Comparison of the Canadian Manual and the U.S. Manual<br />

Confidential<br />

• Packaged by SECRECT material methods except<br />

that a receipt is required only if the sender deems it<br />

necessary<br />

• Via:<br />

a. SECRET methods<br />

b. USPS Certified mail<br />

International Transmission Standards<br />

Top Secret<br />

• Domestic requirements<br />

• Via:<br />

a. Defense Courier Service<br />

b. Department of State Courier System<br />

c. Courier service authorized by GCA<br />

Secret and Confidential<br />

• Domestic requirements<br />

• Via:<br />

a. Registered mail through U.S. Army, Navy,<br />

or Air Force postal facilities<br />

b. Appropriately cleared contractor employee<br />

c. U.S. civil service employee or military person<br />

designated by the GCA<br />

d. U.S. and Canadian registered mail with registered<br />

mail receipt to and from Canada and<br />

via a U.S. or Canadian government activity<br />

e. As authorized by the GCA<br />

Destruction<br />

Contractors shall destroy classified material in<br />

their possession as soon as possible after it has<br />

served the purpose for which it was intended.<br />

Classified material may be destroyed by burning,<br />

shredding, pulping, melting, mutilation, chemical<br />

decomposition, or pulverizing. Pulpers, pulverizers,<br />

or shedders may be used only for the destruction of<br />

paper products. Residue shall be inspected during<br />

each destruction to ensure that classified information<br />

cannot be reconstructed. Crosscut shredders<br />

shall be designed to produce residue particle size not<br />

exceeding 1/32 inch in width by 1/2 inch in length.<br />

Public destruction facilities may be used only<br />

with the approval of the CSA, and classified material<br />

removed from a cleared facility for destruction shall<br />

be destroyed on the same day it is removed.<br />

Destruction shall be performed only by appropri-


ately cleared employees of the contractor. For destruction<br />

of TOP SECRET material, two persons are<br />

required. For destruction of SECRET and CONFI-<br />

DENTIAL material, one person is required.<br />

Destruction records that indicate the date of<br />

destruction, identify the material destroyed, and are<br />

signed by the individuals designated to destroy and<br />

witness the destruction are required for TOP SE-<br />

CRET material.<br />

Information System Security<br />

Information systems (IS) that are used to capture,<br />

create, store, process, or distribute classified<br />

information must be properly managed to protect<br />

against unauthorized disclosure of classified information<br />

and loss of data integrity, and to ensure the<br />

availability of the data and system.<br />

Protection requires a balanced approach including<br />

IS security features to include. but not limited<br />

to, administrative, operational, physical, computer,<br />

communications, and personnel controls. Protective<br />

measures commensurate with the classification of<br />

the information, the threat, and the operational requirements<br />

associated with the environment of the<br />

IS are required.<br />

The requirements outlined in the NISPOM apply<br />

to all information systems processing classified<br />

information. Additional requirements for high-risk<br />

systems and data are covered in the NISPOM Supplement.<br />

The CSA is the Designated Accrediting/<br />

Approving Authority (DAA) responsible for accrediting<br />

information systems used to process classified<br />

information in industry. A formal certification and<br />

accreditation (C&A) occurs after the protection<br />

measures have been implemented and any required<br />

IS protection documentation has been approved.<br />

Certification validates that the protection measures<br />

described in the System Security Plan (SSP) have<br />

been implemented on the system and that the protection<br />

measures are functioning properly. Accreditation<br />

is the approval by the CSA for the system to<br />

process classified information.<br />

A. Hammond<br />

Canada—Industrial Security Manual<br />

Security Classifications<br />

The originator of the information and assets<br />

determines the classification level.<br />

Top Secret<br />

TOP SECRET refers to information and assets<br />

related to the national interest that may qualify for<br />

an exemption or exclusion under the Access to Information<br />

Act or Privacy Act and that the compromise<br />

of which would reasonably be expected to cause<br />

exceptionally grave injury to the national interest.<br />

Secret<br />

SECRET refers to information and assets related<br />

to the national interest that may qualify for an exemption<br />

or exclusion under the Access to Information<br />

Act or Privacy Act and that the compromise of<br />

which would reasonably be expected to cause serious<br />

injury to the national interest.<br />

Confidential<br />

CONFIDENTIAL refers to information and<br />

assets related to the national interest that may qualify<br />

for an exemption or exclusion under the Access<br />

to Information Act or Privacy Act and that the compromise<br />

of which would reasonably be expected to<br />

cause injury to the national interest.<br />

Protected “C”<br />

PROTECTED “C” refers to information and<br />

assets related to other than the national interest that<br />

may qualify for an exemption or exclusion under the<br />

Access to Information Act or Privacy Act that could<br />

reasonably be presumed to cause extremely serious injury,<br />

such as loss of life, if compromised.<br />

Protected “B”<br />

PROTECTED “B” refers to information and<br />

assets related to other than the national interest that<br />

may qualify for an exemption or exclusion under the<br />

Access to Information Act or Privacy Act that could<br />

reasonably be expected to cause serious injury if compromised.<br />

221


Protected “A”<br />

PROTECTED “A” refers to information and<br />

assets related to other than the national interest that<br />

may qualify for an exemption or exclusion under the<br />

Access to Information Act or Privacy Act that could<br />

reasonably be presumed to cause injury if compromised.<br />

Facility Security<br />

Facility Clearances<br />

A Facility Security Clearance is an administrative<br />

determination that an organization is eligible, from a<br />

security viewpoint, for access to CLASSIFIED and<br />

PROTECTED information and assets of the same<br />

or lower classification level as the clearance being<br />

granted.<br />

There are three types of Facility Security Clearances<br />

each of which may be authorized at the classification<br />

level of CONFIDENTIAL, SECRET, or TOP<br />

SECRET:<br />

1. Personnel Assigned (PA). This is the most basic<br />

type of Facility Security Clearance which involves<br />

security screening of the organization’s Key Senior<br />

Officials and employees. There is NO requirement<br />

to evaluate the physical security status of the organization’s<br />

facilities. The organization is not authorized<br />

to possess or store CLASSIFIED information and<br />

assets.<br />

2. Document Safeguarding Capability (D.Sc.). In addition<br />

to the security screening of the organization’s<br />

Key Senior Officials and employees, the physical security<br />

of the organization’s facilities is assessed to<br />

ensure safeguarding requirements are met. The organization<br />

is authorized to possess and store CLAS-<br />

SIFIED information and assets.<br />

3. Production (PROD). This includes all of the elements<br />

of a Document Safeguarding Facility Security<br />

Clearance. In addition, the security of the manufacturing,<br />

repairing, modifying, or otherwise working<br />

on CLASSIFIED components or items is assessed to<br />

ensure government security requirements are met.<br />

A Designated Organization Screening (at the PRO-<br />

TECTED level) is an administrative determination<br />

that an organization is eligible, from a security viewpoint,<br />

for access to PROTECTED information and<br />

assets of the same or lower level as the clearance be-<br />

222<br />

Comparison of the Canadian Manual and the U.S. Manual<br />

ing granted. The three types of Designated Organization<br />

Screening are equivalent to the three types of<br />

Facility Security Clearances except they pertain only<br />

to PROTECTED information and assets. Each of<br />

the three types may be authorized at one of the following<br />

levels: PROTECTED “A,” PROTECTED<br />

“B,” or PROTECTED “C.”<br />

An organization is eligible to obtain an organization<br />

security screening/clearance only if it is sponsored<br />

by an authorized sponsor in support of an existing<br />

or impending contract or bid solicitation<br />

which calls for access to CLASSI-<br />

FIED/PROTECTED information, assets, and/or<br />

certain restricted work sites.<br />

Meetings<br />

(No provisions are established within the Canadian<br />

Industrial Security Manual.)<br />

Personnel Security<br />

Security Officers<br />

All organizations that require a Designated Organization<br />

Screening or a Facility Security Clearance<br />

shall appoint a Company Security Officer. The Company<br />

Security Officer shall be appointed by the<br />

Chief Executive Officer (CEO) or the designated Key<br />

Senior Official (KSO) of the organization. The CSO<br />

must be a Canadian citizen employee, report to a<br />

designated KSO, and be security screened or cleared<br />

to the Reliability Status level or Facility Security<br />

Clearance level of the facility. The appointment of<br />

the Company Security Officer must be approved by<br />

the Canadian and International Industrial Security<br />

Directorate (CIISD).<br />

When a facility-cleared Canadian parent organization<br />

owns one or more cleared subsidiaries in Canada,<br />

a Corporate Company Security Officer (CCSO)<br />

should be appointed to oversee government industrial<br />

security matters for the entire corporation.<br />

Personnel Clearances<br />

Personnel Security Screening must be carried<br />

out according to the highest sensitivity level of information<br />

and assets that will be accessed during the


contracting process and/or required for access to<br />

restricted work sites. Access to PROTECTED information,<br />

assets, and restricted work sites requires that<br />

an individual has Reliability Status, and access to<br />

CLASSIFIED information, assets, and/or restricted<br />

work sites requires a Security Clearance at the appropriate<br />

level of sensitivity.<br />

Only individuals employed or under a contract<br />

to commence employment within 60 days by a private<br />

sector organization on a contract/subcontract<br />

requiring access to CLASSIFIED/PROTECTED<br />

information, assets, and/or certain restricted work<br />

sites may be security screened. Non-Canadian citizens<br />

may be security cleared with access limitations.<br />

The limitations include denying access to CLASSI-<br />

FIED/PROTECTED information and assets which<br />

are not of Canadian origin, do not come from the<br />

country of which the person is a citizen, or are not<br />

releasable to his/her nation of origin.<br />

Contractors have no authority to deny or revoke<br />

Personnel Security Clearances for employees. This<br />

authority is reserved by the Canadian Government.<br />

The contractor may suspend the access of an individual,<br />

while notifying CIISD of the circumstances.<br />

Subcontracting<br />

Contractors shall subcontract work only to companies<br />

holding a current Designated Organization<br />

Screening or a Facility Security Clearance of the type<br />

and at the level appropriate to the work to be performed<br />

under the subcontract. CIISD approval of<br />

the subcontractor must be obtained before award of<br />

the subcontract and the Designated Organization<br />

Screening or Facility Security Clearance for the proposed<br />

subcontractor(s) must be verified by CIISD<br />

before issue of bid solicitation documents. Contractors<br />

shall not assign a subcontract to organizations<br />

located outside of Canada without the prior written<br />

approval of CIISD and the Public Works and Government<br />

Services Canada (PWGSC) contracting authority.<br />

The prime contractor shall ensure the security<br />

safeguarding of work placed with subcontractors.<br />

Education, Training, and Briefings<br />

A major objective of the Company Security<br />

Officer in conducting a Security Education Program<br />

A. Hammond<br />

involves working closely with management, from the<br />

top down, to ensure proper company security. Managers<br />

and supervisors at all levels are responsible not<br />

only for their own personal security measures, but<br />

also for ensuring that proper security procedures are<br />

followed by all employees in the organization. An<br />

initial security briefing, reinforced by an ongoing Security<br />

Education and Awareness Program, is essential<br />

to the maintenance of an effective security program.<br />

Upon receiving a Personnel Security Clearance<br />

an employee acknowledges his or her responsibilities<br />

by reading and signing the Security Screening Certificate<br />

and Briefing Form, TBS/SCT 330-47 Rev.<br />

2002/06. A briefing from the Company Security<br />

Officer, which details the individual’s specific responsibilities<br />

and duties relative to security in the<br />

facility, must be presented. (New employees, even<br />

though not yet security-screened and therefore prohibited<br />

from access to CLASSIFIED information<br />

and assets, should be given a security briefing appropriate<br />

to their duties.)<br />

Visits<br />

A Visit Clearance Request (VCR) (submitted to<br />

CIISD via a Request for Visit form) is required<br />

when a security-cleared individual must visit a government/commercial<br />

organization in Canada or<br />

abroad, for the purpose of having access to CLASSI-<br />

FIED information and assets or where access to the<br />

installation is restricted in the interest of national<br />

security. Visitors must not proceed with CLASSI-<br />

FIED visits without prior visit clearance authorization<br />

from CIISD. The host organization shall deny<br />

access to CLASSIFIED information and assets or<br />

access to certain restricted work sites until the visitors’<br />

Personnel Security Clearance level and their<br />

need-to-know have been verified and confirmed by<br />

the CIISD through official visit protocol.<br />

Submission of a VCR initiates verification by<br />

CIISD that confirms:<br />

• The organization requesting the visit has an Facility<br />

Security Clearance to the required level<br />

• Each of the proposed visitors has a valid Personnel<br />

Security Clearance to the required level<br />

• Foreign disclosure limitations are identified and<br />

strictly observed<br />

Visit Clearance Request is approved when the<br />

223


equesting organization is notified by CIISD. Visitors<br />

must not proceed on CLASSIFIED visits without<br />

prior visit clearance authorization.<br />

Visit Clearance Request (VCR) requires strict<br />

lead-times imposed by the authorities of foreign nations.<br />

Every effort must be made to ensure that leadtimes<br />

are observed, as failure to do so will likely result<br />

in rejection of the RFV.<br />

Organizations shall maintain a record of all individuals<br />

who visit the facility for the purpose of having<br />

access to CLASSIFIED information. This record<br />

shall be separate from the record of unclassified visits.<br />

Document Security<br />

General Marketing<br />

All documents shall be marked on the outside of<br />

both the front and back covers with the highest level<br />

of classification and loose documents shall be<br />

marked on every sheet. Security markings should<br />

include the applicable classification/protection and<br />

the date or event at which declassification or downgrading<br />

is to occur. All covering or transmittal letters<br />

or forms or circulation slips must be marked to show<br />

the highest level of classification or protection of the<br />

attachments.<br />

For TOP SECRET information, mark the classification<br />

in the upper right corner of each document<br />

page and show the total number of pages on each<br />

page of the document.<br />

For SECRET information, mark the classification<br />

in the upper right corner of each document<br />

page.<br />

For CONFIDENTIAL information, mark the<br />

classification in the upper right corner of the face of<br />

the document.<br />

For PROTECTED information, mark the word<br />

“PROTECTED” in the upper right corner of the<br />

face of the document and, where required, with the<br />

letter “A,” “B,” or “C” to indicate the level of protection.<br />

General Storage<br />

PROTECTED B and PROTECTED C information<br />

and assets and all CLASSIFIED information<br />

must be stored in an approved security container.<br />

224<br />

Comparison of the Canadian Manual and the U.S. Manual<br />

PROTECTED A information and assets shall be<br />

stored in a locked container.<br />

CLASSIFIED or PROTECTED information<br />

and assets may be stored on open shelving in a secure<br />

room, only after inspection and approval by<br />

CIISD and only to the level approved by CIISD.<br />

Also, CLASSIFIED and PROTECTED information<br />

and assets shall not be stored in the same container<br />

as negotiable or attractive assets.<br />

Reproduction<br />

Reproduction of CLASSIFIED information<br />

shall be done only with the authorization of the<br />

Company Security Officer or an authorized Alternate<br />

Company Security Officer. Reproductions must<br />

be marked, registered, and accounted for in the<br />

same manner as for the originals. Reproductions of<br />

PROTECTED information must be marked in the<br />

same manner as the originals. TOP SECRET and<br />

PROTECTED C information shall NEVER be reproduced<br />

without written authorization from<br />

CIISD.<br />

Domestic Transmission Standards<br />

(Outside of Facility)<br />

Top Secret<br />

• Documents must be double enveloped (gum<br />

sealed, heavy duty) and sealed with government approved<br />

security tape.<br />

• A self-addressed receipt is enclosed in the inner<br />

envelope or wrapping and the inner envelope or<br />

wrapping is closed with an approved security tape.<br />

• Inner envelope or wrapping must bear the security<br />

marking and the recipient’s address.<br />

• Shipment must be recorded prior to leaving a<br />

Security Zone and the recipient must be notified in<br />

advance of shipment.<br />

• Documents are sent via a securitycleared/reliability-checked<br />

individual employed by<br />

the dispatching/receiving Facility Security Cleared<br />

Canadian organization.<br />

Secret, Confidential, and Protected “C”<br />

• Documents must be double enveloped (gum<br />

sealed, heavy duty) and sealed with government approved<br />

security tape.<br />

• A self-addressed receipt is enclosed in the inner


envelope or wrapping and the inner envelope or<br />

wrapping is closed with an approved security tape.<br />

• Inner envelope or wrapping must bear the security<br />

marking and the recipient’s address.<br />

• Via:<br />

a. Priority courier<br />

b. Registered mail<br />

c. A security-cleared/reliability-checked individual<br />

employed by the dispatching/receiving<br />

Facility Security Cleared Canadian organization<br />

Protected “A” and “B”<br />

• Single, gum-sealed, heavy duty envelope<br />

• Via:<br />

a. First class mail<br />

b. An individual employed with the organization<br />

c. Classified/Protected “C” methods<br />

International Transmission Standards<br />

Top Secret, Secret, Confidential, and Protected “C”<br />

• Double enveloped (gum sealed, heavy duty) and<br />

sealed with government approved security tape<br />

• Via CIISD<br />

Protected “B”<br />

• Single, gum sealed, heavy-duty envelope<br />

• Via CIISD<br />

Protected “A”<br />

• Single, gum sealed, heavy-duty envelope<br />

• Via first class mail, priority courier, or registered<br />

mail<br />

Destruction<br />

Unless otherwise specified, TOP SECRET, and<br />

PROTECTED “C” information and assets must be<br />

returned to CIISD for disposal.<br />

Unless otherwise specified, SECRET, CONFI-<br />

DENTIAL, and PROTECTED “A” and “B” information<br />

and assets of Canadian origin may be destroyed<br />

by the organization with the approval of<br />

CIISD.<br />

CLASSIFIED and PROTECTED information<br />

and assets which have been authorized for destruction<br />

must be disposed of in accordance with the<br />

following:<br />

A. Hammond<br />

• It must be destroyed only by approved destruction<br />

equipment, or at a facility authorized by CIISD.<br />

• Information awaiting destruction or in transit to<br />

destruction must be safeguarded in the manner prescribed<br />

for the most highly CLASSIFIED and PRO-<br />

TECTED information asset involved.<br />

• CLASSIFIED and PROTECTED information/assets<br />

awaiting destruction must be kept separate<br />

from other information/assets awaiting destruction.<br />

• An employee with a proper security clearance or<br />

with Reliability Status, as applicable, must be present<br />

to monitor the destruction of CLASSIFIED and<br />

PROTECTED information, respectively.<br />

• Surplus copies and waste that could reveal<br />

CLASSIFIED and PROTECTED information must<br />

be protected to the appropriate level and should be<br />

promptly destroyed.<br />

Information System Security<br />

The ISM establishes operational standards in<br />

Canadian industry for the safeguarding of Government<br />

information electronically processed, stored, or<br />

transmitted. This also applies to the safeguarding of<br />

technology assets. The administrative, organizational,<br />

physical, and personnel security standards as<br />

documented in the ISM also apply to the information<br />

technology environment.<br />

The Government Security Policy requires that<br />

the degree of safeguarding provided by industry be<br />

commensurate with the level of the information and<br />

assets and the associated threats and risks. The contracting<br />

authority is responsible for ensuring that the<br />

requirements of the Government Security Policy are<br />

met and that the security standards are applied by<br />

the private sector contractor. The security standards<br />

contained in the Government Security Policy, Information<br />

Technology Standards, are the minimum<br />

standards for security in the private sector. Assessments,<br />

advice, and guidance regarding these standards<br />

are available from the Canadian and International<br />

Industrial Services Directorate (CIISD) of<br />

Public Works and Government Services Canada<br />

(PWGSC).<br />

The prime contractor’s Information Technology<br />

Facility(s) must be approved by CIISD prior to processing<br />

government information.


Conclusions<br />

“It’s important to be responsible here and to be particularly<br />

careful after 9/11 that we’re not giving our<br />

enemies information or materials that would make<br />

their job easier.” (Chui, 2003)<br />

John H. Marburger III,<br />

Director, Office of Science & Technology Policy<br />

(and science adviser to President George W. Bush)<br />

To no surprise, the anthrax letter attacks of<br />

2001 led directly to national policy changes since<br />

they specifically targeted both lawmakers and media<br />

personnel at their workplaces. To better protect<br />

their citizens, the United States and Canadian governments<br />

established controls not only over the possession<br />

and use of hazardous biological agents, but<br />

also over the information pertaining to their possession<br />

and use. Legislation is now in place that forbids<br />

the disclosure of information that may identify<br />

which biological agents are possessed, who possesses<br />

that agent(s) and where, and any safeguard and security<br />

measures used to protect unauthorized access to<br />

the agent(s). Because of the genuine threat of bioterrorism,<br />

biodefense research has become a vital and<br />

necessary component of an overall national security<br />

program. The United States alone has committed<br />

billions of dollars towards biodefense research and<br />

development. To protect biodefense information<br />

and assets, organizations working on projects<br />

deemed to be “classified” (for the sake of national<br />

security) must follow precise requirements, restrictions,<br />

and safeguards established by their federal government.<br />

For Canada and the United States, these<br />

requirements are conveyed in the Canadian Industrial<br />

Security Manual (ISM) and the U.S. National Industrial<br />

Security Program Operating Manual (NISPOM). These<br />

manuals provide guidance in implementing a uni-<br />

226<br />

Comparison of the Canadian Manual and the U.S. Manual<br />

form and cost-effective security system, thus allowing<br />

an organization to focus mainly on research rather<br />

than the burden of developing and implementing<br />

security procedures. Without these standards and<br />

consistent security policies and practices the potential<br />

for compromise leading to a serious national<br />

security threat is enormous.<br />

References<br />

Canadian and International Industrial Security Directorate.<br />

(2004). Industrial security manual. Available<br />

at www.ciisd.gc.ca/ism/text/preface-e.asp. Accessed<br />

online 2004.<br />

Chui, G. (2003). Security concerns imperil research:<br />

Restrictions shackle scientists, some say. The Mercury<br />

News, March 3, 2003. Available at www.<br />

mercurynews.com/mld/mercurynews/news/<br />

5303757.htm?1c. Accessed online 2004.<br />

Defense Technical Information Center. (2004). National<br />

industrial security program operating manual<br />

(DoD 5220.22-M). Available at www.dtic.mil/whs/<br />

directives/corres/html/522022m.htm. Accessed<br />

online 2004.<br />

Parliament of Canada. (2004). Public <strong>Safety</strong> Act,<br />

2002. Available at www.parl.gc.ca/37/3/parlbus/<br />

chambus/house/bills/summaries/c7-e.pdf. Accessed<br />

online 2004.<br />

U.S. Government Printing Office. (2004). Public<br />

Health Security and Bioterrorism Preparedness and Response<br />

Act of 2002. Available at frwebgate.access.gpo.<br />

gov/cgi-bin/getdoc.cgi?dbname=<strong>10</strong>7_cong_public_<br />

laws&docid=f:publ188.<strong>10</strong>7.pdf. Accessed online<br />

2004.


Article<br />

The Infectious Dose of Francisella<br />

tularensis (Tularemia)<br />

Abstract<br />

Quantitatively estimating an individual’s risk of<br />

infection by an airborne pathogen requires knowledge<br />

of the expected dose and the pathogen’s infectious<br />

dose. Based on our review of the published literature on<br />

tularemia, we conclude that the infectious dose of Francisella<br />

tularensis varies among individuals, but that a<br />

substantial proportion of the population can be infected<br />

by a single bacillus. We also conclude that infection can<br />

be initiated by inhaling bacilli carried on respirable particles<br />

(diameters less than <strong>10</strong> µm) or nonrespirable particles<br />

(diameters between <strong>10</strong> µm and <strong>10</strong>0 µm). Regression<br />

analyses based on two-parameter Weibull and lognormal<br />

models of human inhalation dose-infection data<br />

aggregated across three studies indicate that approximately<br />

30% of individuals who inhale a single F. tularensis<br />

bacillus will develop tularemia. Further, when<br />

the organism is carried on particles with diameters on<br />

the order of 1 µm, it is estimated that the deposition of<br />

a single bacillus produces infection in 40% to 50% of<br />

individuals; thus, when F. tularensis is carried on respirable<br />

particles, the estimated ID50 via inhalation is close<br />

to one deposited bacillus. These results are consistent<br />

with separate analyses using nonparametric methods<br />

and with experimental animal models in which infection<br />

is observed after injection of a single bacillus. The risk<br />

of person-to-person transmission of tularemia is generally<br />

considered negligible, perhaps due to a low concentration<br />

of F. tularensis in respiratory fluids. However,<br />

viable F. tularensis bacilli are present in human respiratory<br />

fluids, and can be carried in inspirable particles<br />

(diameters less than <strong>10</strong>0 µm) which are emitted during<br />

coughs and sneezes.<br />

Introduction<br />

Applied Biosafety, <strong>10</strong>(4) pp. 227-239 © ABSA <strong>2005</strong><br />

Rachael M. Jones, Mark Nicas, Alan Hubbard, Matthew D. Sylvester, and Arthur Reingold<br />

University of California—Berkeley, Berkeley, California<br />

Francisella tularensis (formerly termed Pasteurella<br />

tularensis and Bacterium tularensis) is a bacterium that<br />

causes a spectrum of clinical illnesses termed<br />

“tularemia.” F. tularensis is a candidate agent for<br />

bioterrorism because it can be weaponized readily<br />

and is considered to have a low airborne infectious<br />

dose (Dennis et al., 2001; Franz et al., 1999). The<br />

World Health Organization (1970) has estimated<br />

that aerosol dispersal of 50 kg of F. tularensis over a<br />

metropolitan area with approximately 5 million inhabitants<br />

would result in 250,000 incapacitating<br />

casualties, including 19,000 deaths. Infection by the<br />

respiratory route has been demonstrated in Macaca<br />

mulatta using both respirable particles (diameters less<br />

than <strong>10</strong> m) and inspirable, but nonrespirable, particles<br />

(diameters between <strong>10</strong> m and <strong>10</strong>0 m) (Day &<br />

Berendt, 1972). Naturally occurring respiratory infection<br />

has been documented in Scandinavian farm<br />

workers exposed when handling hay contaminated<br />

by voles and their waste products (Dahlstrand,<br />

Ringertz & Zetterberg, 1971; Syjala, Kujala, Myllyla,<br />

& Sandstrom, 1996). Historically, laboratory personnel<br />

have become infected by bacterium-containing<br />

aerosols generated during normal laboratory procedures<br />

and accidents (Ledingham & Fraser,<br />

1923/1924; Overholt et al., 1961; Van Metre, Jr. &<br />

Kadull, 1959). Perhaps due to the low infectious<br />

dose by inhalation, implementation of careful handling<br />

procedures for F. tularensis in clinical laboratories<br />

has not entirely eliminated the potential for infection<br />

(Shapiro & Schwartz, 2002).<br />

Secondary (person-to-person) transmission of F.


tularensis is generally considered improbable. For<br />

example, the Centers for Disease Control and Prevention<br />

(2004) states: “Tularemia is not known to be<br />

spread from person-to-person.” Similarly, the Working<br />

Group on Civilian Biodefense (Dennis et al.,<br />

2001) concludes: “Isolation is not recommended for<br />

tularemia patients given the lack of human-tohuman<br />

transmission.” In 1951, however, Fillmore<br />

reported the case of a nurse’s aide who developed<br />

symptoms of tularemia 3 to 4 weeks after attending a<br />

patient with pleuropulmonary tularemia; the nurse’s<br />

aide had no contact with domestic or wild animals.<br />

In determining procedures to control airborne<br />

infection, it is useful to quantitatively estimate infection<br />

risk, which depends on the pathogen’s infectious<br />

dose, the concentration of the pathogen in air,<br />

and the duration of exposure. Variability in host<br />

susceptibility is captured, in part, by interindividual<br />

variability in a deterministic infectious dose. Given<br />

an appreciation of the potential intensity of airborne<br />

exposure to F. tularensis and of the pathogen’s infectious<br />

inhalation dose, one can evaluate existing biosafety<br />

protocols in laboratory and clinical settings. In<br />

this paper, we argue that the infectious dose of F.<br />

tularensis for a substantial portion of the population<br />

is on the order of one bacillus. We also argue that<br />

person-to-person transmission of tularemia is theoretically<br />

possible given low infectious dose values<br />

overall, and the presence of the bacillus in the sputum<br />

of some infected patients. However, the risk of<br />

secondary airborne infection may typically be low<br />

due to low pathogen concentrations in respiratory<br />

fluid and small aerosol volumes emitted in coughs<br />

commonly described as “nonproductive.”<br />

Background on Tularemia<br />

F. tularensis is a Gram-negative coccobacillus,<br />

with diameter ranging from 0.2 to 0.7 m (Evans,<br />

1985). The organism is rickettsial in that it cannot<br />

replicate outside a host cell, and it is pathogenic after<br />

being phagocytized by macrophages (Sjostedt,<br />

Tarnvik, & Sandstrom, 1996). Although originally<br />

described in ground squirrels in Tulare County,<br />

California, in 1911 by McCoy, the organism was<br />

renamed for Edward Francis who described the<br />

clinical and epidemiologic features of the disease<br />

228<br />

The Infectious Dose of Francisella tularensis (Tularemia)<br />

(Francis, 1927; Francis 1983). F. tularensis is found<br />

globally in mammals and arthropod vectors, and two<br />

strains produce infection in humans. Type A is associated<br />

with illness in North America; Type B is less<br />

virulent and is associated with illness in Europe<br />

(Reinjes et al., 2002). Type A has been traditionally<br />

considered for use as a biological weapon (Conlan et<br />

al., 2003), and the Schu strain of Type A, isolated<br />

from a finger ulcer (Bell, Owen, & Larson, 1955),<br />

was frequently used in experimental work until the<br />

late 1960s. At that time, investigators began using<br />

the live vaccine strain (LVS) of F. tularensis for experimental<br />

work because it is less virulent in humans yet<br />

is virulent in mice (Conlan et al., 2003).<br />

Note that the terms “infectivity” and “virulence”<br />

are distinct. Infectivity signifies the ability of a pathogen<br />

to penetrate into host tissue and multiply. Infectivity<br />

can be quantified by the metric of infectious<br />

dose, that is, the number of viable organisms<br />

(colony-forming units) that must penetrate into host<br />

tissue to initiate an infection, where infection is assessed<br />

by serology and clinical indicators. However,<br />

in nonhuman mammalian studies, the infectivity of<br />

F. tularensis is typically reported as the number of<br />

organisms that are lethal to 50% of exposed animals,<br />

termed the LD50. Virulence refers to the intensity of<br />

the disease produced by pathogen infection in a<br />

given host species (Black, 2002); the term is also<br />

used to compare the intensity of disease produced by<br />

a given pathogen in different host species. For F.<br />

tularensis, there is evidence that virulence is influenced<br />

by the dose of organisms received. For example,<br />

among Macaca mulatta receiving Schu S-4 strain<br />

organisms carried on 2.1 m diameter particles by<br />

inhalation, five inhaled bacilli infected 6/6 hosts but<br />

caused death in only 1/6 hosts, whereas higher inhaled<br />

doses caused death in a progressively greater<br />

proportion of animals (McCrumb, 1961).<br />

Infection with F. tularensis can occur through<br />

ingestion, dermal contact, and inhalation of the organism,<br />

and produces an array of clinical features<br />

(Centers for Disease Control and Prevention, 2003;<br />

Dennis et al., 2001). Ingestion of F. tularensis typically<br />

produces oropharnygeal tularemia (pharyngitis<br />

and cervical adenitis) (Reintjes et al., 2002). Dermal<br />

contact, arthropod bites, and intracutaneous inoculation<br />

often produce an ulcerated lesion at the site


of contact and/or swelling of the regional lymph<br />

nodes, although some individuals exposed through<br />

these routes can present with fever and other signs<br />

indicative of systemic infection (Dennis et al., 2001;<br />

Evans, 1985; Saslaw et al., 1961), including pulmonary<br />

involvement (bronchopneumonia and hilar<br />

adenopathy) (Miller & Bates, 1969). Inhalation of F.<br />

tularensis also produces systemic disease in humans<br />

and may produce pneumonia (McCrumb, 1961;<br />

Overholt et al., 1961), oval lesions in the lungs<br />

(Overholt & Tigertt, 1960), and/or bronchial<br />

changes (Syrjala et al., 1986). Although it has been<br />

demonstrated experimentally that humans can develop<br />

tularemia through inhalation of F. tularensis<br />

(McCrumb, 1961; Sawyer et al., 1966), rapid disease<br />

onset and delay in examination make it difficult to<br />

determine in some cases if pulmonary involvement<br />

precedes or follows systemic infection. Cough frequently<br />

occurs in patients with and without objective<br />

pulmonary involvement (Dennis et al., 2001;<br />

Saslaw et al., 1961). Although McCrumb (1961) reports<br />

that patients exhibited a lack of sputum production<br />

and nonproductive cough, case reports indicate<br />

that some patients exhibit increased mucous<br />

and sputum production, and productive cough<br />

(Cluxton, Jr., Cliffton & Worley, 1948; Syrjala et al.,<br />

1986).<br />

If untreated, pulmonary tularemia resulting from<br />

the type A strain has a case fatality proportion of<br />

40% to 60% (McCrumb, 1961). Mortality due<br />

to all clinical manifestations of tularemia has been<br />

approximately 5%, although in the United States,<br />

treatment with streptomycin and gentamicin has<br />

reduced the overall case fatality proportion to below<br />

2% (Dennis et al., 2001). The type B strain found in<br />

Europe is rarely fatal (Dennis et al., 2001).<br />

Experimental Airborne Infection<br />

Study Descriptions<br />

Airborne transmission of F. tularensis has been<br />

demonstrated using investigator-generated aerosol<br />

and respiratory aerosol emitted by infected animals.<br />

Work with investigator-generated aerosols commenced<br />

at Fort Detrick, Maryland in the mid-1940s,<br />

when infection of mice by “clouds” of F. tularensis<br />

was assessed (Rosebury, 1947). Animals were ex-<br />

R. M. Jones, et al.<br />

posed in a stainless steel chamber to aerosol generated<br />

by a Chicago atomizer from cultures suspended<br />

in water; the reported mass median diameter of the<br />

aerosol particles was less than 1 m. The inhalation<br />

dose was estimated based on the animal’s breathing<br />

rate (related to weight), duration of exposure, and<br />

the viable F. tularensis aerosol concentration as measured<br />

by impinger sampling of chamber air. The reported<br />

inhalation doses assumed that <strong>10</strong>0% of inhaled<br />

particles were retained in the respiratory tract.<br />

For mice, the doses ranged from 14 to 4,500 bacilli.<br />

Only one of thirty (1/30) mice receiving a dose of 14<br />

organisms died, while all 59 mice exposed to doses<br />

of 330 or more organisms died. All animals that did<br />

not die within 16 days subsequent to exposure were<br />

autopsied and found by gross evaluation and spleen<br />

culture to be negative for F. tularensis. It was estimated<br />

that 70 organisms would produce mortality in<br />

50% of exposed mice, with 95% confidence limits of<br />

2 to 2,063 organisms. The wide confidence interval<br />

was attributed to the large variability in recovery of<br />

aerosolized organisms. Rosebury (1947) also reports<br />

the results of Henderson, which were conveyed in a<br />

personal communication. Working at Porton Down<br />

in the United Kingdom, Henderson found that the<br />

50% lethal dose in mice exposed via inhalation was<br />

12 organisms.<br />

Hood (1961) exposed guinea pigs to aged F. tularensis<br />

(Schu D strain) aerosols generated with a<br />

Henderson apparatus and stored in a rotating<br />

stainless steel drum. Of the aerosols generated in the<br />

Henderson apparatus, approximately 98% of the<br />

dried particles had diameters less than 1 m, and<br />

90% of the droplets emerging from the spray apparatus<br />

had diameters less than <strong>10</strong> m (Henderson,<br />

1952). The inhaled dose was estimated based on the<br />

animal’s breathing rate (related to weight), exposure<br />

duration, the viable F. tularensis aerosol concentration<br />

as measured by impinger sampling near the<br />

guinea pigs, and an estimated inhaled particle retention<br />

factor of 0.55. When bacterial suspensions aged<br />

6 to 30 days were aerosolized and held in the drum<br />

for 3 seconds before the animals were exposed, the<br />

LD50 was 1 to 4 organisms. The investigators found<br />

that there was no significant loss of infectivity when<br />

aerosols were aged for 20 minutes in the drum, but<br />

significant infectivity was lost when aerosols were<br />

229


aged for 20 hours. It is unclear, however, what portion<br />

of the decreased infectivity was due to organism<br />

die-off versus deposition on the drum walls.<br />

A similar study was undertaken by Sawyer et al.<br />

(1966), who exposed Macaca mulatta and human<br />

volunteers to aerosols of the F. tularensis Schu-S4<br />

strain, generated with a two-fluid nozzle and stored<br />

in a spherical static chamber. The concentration of<br />

aerosol particles was measured by a total collector,<br />

and an impinger was used to determine the number<br />

of particles with diameters of 5 m or less; it was<br />

estimated that 65% of viable organisms were contained<br />

in particles with diameters of 5 m or less.<br />

Caged monkeys were placed in the test chamber for<br />

3 or <strong>10</strong> minutes; human subjects were exposed<br />

through a facemask for ten 1-liter breaths in 60 seconds.<br />

The inhaled dose was defined as the product<br />

of the duration of exposure, respiratory minute volume,<br />

and the concentration of viable organisms in<br />

particles with diameters 5 m or less; the fraction of<br />

organisms retained was not considered. It was found<br />

that an inhaled dose of 80 to 180 viable organisms<br />

from an aerosol aged for 60 minutes infected three<br />

of four (3/4) humans and seven of eight (7/8) monkeys.<br />

In another series of experiments, it was found<br />

that among human subjects who inhaled 150 viable<br />

organisms, two of four (2/4) became infected when<br />

the aerosol was aged 30 minutes, and three of four<br />

(3/4) became infected when the aerosol was aged 60<br />

minutes. Only results for aerosols aged 60 minutes<br />

or less are reported here because aerosols aged for<br />

120 and 180 minutes showed substantially decreased<br />

infectivity for humans and M. mulatta.<br />

One limitation of the Sawyer et al. study was<br />

that the dose estimate was based on particles with<br />

diameters less than 5 m. Day and Brendt (1972)<br />

noted that all particles with diameters greater than<br />

5 m contained F. tularensis bacilli, and that while<br />

these particles may not penetrate to the pulmonary<br />

region of M. mulatta, infection could result from<br />

deposition in the upper respiratory tract. This observation<br />

suggests that the inhaled doses were larger<br />

than reported by Sawyer et al. On the other hand,<br />

Sawyer et al. did not adjust the inhaled dose for the<br />

fraction of organisms that deposited in the respiratory<br />

tract, which signifies that the retained respirable<br />

dose was less than the dose reported.<br />

230<br />

The Infectious Dose of Francisella tularensis (Tularemia)<br />

Low dose infectivity of F. tularensis aerosols in<br />

vaccinated and nonvaccinated men has been reported<br />

by two investigators (Table 1). Saslaw et al.<br />

(1961) exposed men via a facemask to an aerosol<br />

with an average particle diameter of 0.7 m. The<br />

subjects were instructed to inhale through their nose<br />

and exhale through their mouths. Sixteen of the<br />

twenty (16/20) nonvaccinated men became infected<br />

after inhaling doses of <strong>10</strong> to 52 F. tularensis bacilli.<br />

The four men who did not develop infection had<br />

inhaled <strong>10</strong> to 45 organisms. The lowest doses producing<br />

infection among nonvaccinated and vaccinated<br />

men were <strong>10</strong> and 13 bacilli, respectively. We<br />

note that for particles with an aerodynamic diameter<br />

of 0.7 m, the approximate deposition fraction in<br />

the human pulmonary region is 0.2 (Hinds, 1999).<br />

Therefore, <strong>10</strong> to 52 inhaled F. tularensis bacilli represent<br />

approximately 2 to <strong>10</strong> deposited bacilli.<br />

McCrumb (1961) reported that among nonvaccinated<br />

individuals exposed to 20, 200, and 2,000 F.<br />

tularensis bacilli, all individuals (4/4, 4/4, and 2/2,<br />

in the respective dose groups) became infected;<br />

among 12 vaccinated individuals exposed to 20 organisms,<br />

four (33%) were infected. Unfortunately,<br />

McCrumb provided little information on the methodology<br />

used in these studies and did not account<br />

for the particle deposition fraction.<br />

Statistical Analysis of Aggregate Data<br />

To examine the infectious dose statistically, we<br />

began by pooling the inhalation dose-infection results<br />

obtained by McCrumb (1961) and Saslaw et al.<br />

(1961) for nonvaccinated individuals, and by Sawyer<br />

et al. (1966) for aerosols aged 60 minutes or less<br />

(Table 1). For this analysis, none of the inhaled<br />

doses were adjusted for the deposition fraction of<br />

the challenge particles in the respiratory tract, which<br />

is to say that the true deposited doses were less than<br />

the reported inhaled doses. We alternatively fit a<br />

discrete nonparametric maximum likelihood cumulative<br />

probability distribution and two continuous<br />

cumulative probability distributions (lognormal and<br />

Weibull) to the data to estimate the probability of<br />

remaining uninfected after being exposed to a fixed<br />

dose. These fitted probability distributions describe<br />

the survival distribution; the complement of the survival<br />

distribution is the cumulative infection distri-


ution (i.e., the proportion of individuals infected<br />

with increasing dose).<br />

The survival data structure can be considered<br />

“current status.” For each dose, one knows whether<br />

the dose given was either less than a subject’s minimum<br />

infectious dose (i.e., the subject was not infected)<br />

or greater than the minimum infectious dose<br />

(i.e., the subject was infected). The nonparametric<br />

maximum likelihood estimate of the survival function<br />

for current status data has been referred to as<br />

the pooled adjacent violator (PAV); the analysis involves<br />

a nonparametric, monotonically decreasing<br />

regression on the proportion of subjects left unin-<br />

R. M. Jones, et al.<br />

Table 1<br />

Infection dose-response data in human subjects used to determine low dose infectivity.<br />

Estimated Bacilli Dose<br />

Response<br />

#Infected/#Exposed<br />

Reference<br />

<strong>10</strong> 1/2 Saslaw, et al., 1961<br />

12 0/1 Saslaw, et al., 1961<br />

13 1/1 Saslaw, et al., 1961<br />

14 1/1 Saslaw, et al., 1961<br />

15 1/1 Saslaw, et al., 1961<br />

16 1/1 Saslaw, et al., 1961<br />

18 1/1 Saslaw, et al., 1961<br />

20 5/6<br />

Saslaw, et al., 1961;<br />

McCrumb, 1961<br />

23 2/2 Saslaw, et al., 1961<br />

25 1/1 Saslaw, et al., 1961<br />

30 1/1 Saslaw, et al., 1961<br />

45 0/1 Saslaw, et al., 1961<br />

46 2/2 Saslaw, et al., 1961<br />

48 1/1 Saslaw, et al., 1961<br />

50 1/1 Saslaw, et al., 1961<br />

52 1/1 Saslaw, et al., 1961<br />

150 5/8 Sawyer, et al., 1966<br />

200 4/4 McCrumb, 1961<br />

350 2/4 Sawyer, et al., 1966<br />

750 4/4 Sawyer, et al., 1966<br />

2,000 2/2 McCrumb, 1961<br />

fected at each dose (Kalbfleisch & Prentice, 2002).<br />

Inference can be derived from nonparametric bootstrapping.<br />

Because the data are sparse and thus the nonparametric<br />

estimates are highly variable, we also explored<br />

parametric regressions by fitting both a twoparameter<br />

Weibull model and a two-parameter lognormal<br />

model to the data. The Weibull survival<br />

function has the form:<br />

Eq. 1 S(d) = exp(— [d] )<br />

where S(d) is the probability of not being infected at<br />

dose d, and where > 0 and > 0 are scale and<br />

231


shape parameters, respectively. The lognormal survival<br />

function has the form:<br />

Eq. 2<br />

where GM and GSD denote the geometric mean<br />

(median value) and geometric standard deviation,<br />

respectively, and (z) denotes the cumulative standard<br />

normal distribution evaluated for the argument<br />

z. For improved readability, all fits are displayed<br />

graphically as the probability of infection, which is<br />

one minus the probability of survival.<br />

We note that the infectious dose models<br />

explored in this analysis are “deterministic” or<br />

232<br />

The Infectious Dose of Francisella tularensis (Tularemia)<br />

“threshold” models. It is assumed that if the host<br />

receives a threshold number of organisms or more,<br />

infection is certain to occur, whereas if the host receives<br />

fewer than the threshold number of organisms,<br />

infection is certain not to occur. Variability in<br />

host susceptibility is reflected by interindividual variability<br />

in the threshold dose value, and the ID50 is<br />

that deposited dose which will infect 50% of the<br />

population with certainty. In contrast, a purely<br />

“probabilistic” model assumes that a single organism<br />

can successfully infect the host with probability<br />

psuccess, such that the probability of infection is<br />

1 —(1 — psuccess) D , where D is the deposited number<br />

of organisms. If the value of psuccess is the same across<br />

individual hosts, the ID50 is that deposited dose<br />

which produces a 50% likelihood of infection in all<br />

Figure 1<br />

Estimated cumulative infection probability of humans experimentally exposed to increasing inhaled doses of<br />

F. tularensis based on the Table 1 data, via a nonparametric maximum likelihood analysis (black line with<br />

dashed lines representing the 95% CI), a lognormal parametric regression, and a Weibull parametric<br />

regression. The Table 1 data points are indicated by the diamonds.


hosts. A probabilistic model can also account for<br />

variability in the value of psuccess between individual<br />

hosts.<br />

Figure 1 displays the data listed in Table 1, the<br />

best fit curves for the lognormal and Weibull model,<br />

and the PAV fit along with the 95% pointwise confidence<br />

interval for the PAV fit. Over the range of<br />

data (inhaled doses of <strong>10</strong> and greater), the lognormal,<br />

Weibull, and PAV fits are consistent (the<br />

lognormal and Weibull fits are within the 95% confidence<br />

interval for the PAV fit). The lognormal and<br />

Weibull models allow extrapolation to inhaled doses<br />

below <strong>10</strong> bacilli. The lognormal model parameter<br />

estimates (GM = 3.71, GSD = 6.01) indicate that<br />

infection risk given inhalation of one bacillus is<br />

23%, while the Weibull model parameter estimates<br />

( = 0.191, = 0.412) indicate that infection risk<br />

given inhalation of one bacillus is 40%. Overall, the<br />

lognormal and Weibull models suggest that 20% to<br />

40% of the population would be infected due to inhaling<br />

a single F. tularensis bacillus.<br />

The PAV fit indicates that inhaling <strong>10</strong> bacilli<br />

would infect approximately 30% of the population;<br />

unfortunately, this nonparametric model does not<br />

permit estimating the percent infected below the<br />

inhaled doses for which data are available. However,<br />

it does not make sense that <strong>10</strong> bacilli is the minimum<br />

inhalation infectious dose. If inhaling <strong>10</strong> organisms<br />

produces infection with 30% probability, it<br />

is reasonable that inhaling 9 organisms should produce<br />

infection with some probability less than 30%<br />

but greater than zero, unless infection is a multihit<br />

process requiring a minimum of <strong>10</strong> organisms. In<br />

regard to the latter idea, we note that the infectivity<br />

of just one F. tularensis organism is supported by animal<br />

data. In mice, guinea pigs, and rabbits, the intracutaneous<br />

and intraperitoneal injection of a single<br />

F. tularensis bacterium is capable of producing<br />

lethal disease (Bell, Owen, & Larson, 1955; Downs<br />

et al., 1947; Emel’yanova, 1961; Rosebury, 1947).<br />

The distributions depicted in Figure 1 are somewhat<br />

confused by aggregating the results from aerosol<br />

exposure studies involving different or unknown<br />

particle size distributions. McCrumb (1961) did not<br />

specify the particle size distribution or describe the<br />

aerosol generating equipment, while Sawyer et al.<br />

(1966) considered the dose to be only those organ-<br />

R. M. Jones, et al.<br />

isms present in particles of diameter 5 m or less.<br />

Because particle size is inversely related to infectivity<br />

(Day & Berendt, 1972), we applied the same statistical<br />

analyses to the data of Saslaw et al. (1961) for<br />

which the aerosol size distribution was described as<br />

homogeneous with an average particle diameter of<br />

0.7 m. We also decreased Saslaw’s reported inhaled<br />

doses to account for a deposition fraction of 0.3 in<br />

the respiratory tract (Hinds, 1999). Figure 2 plots the<br />

Saslaw et al. (1961) data from Table 1, and the cumulative<br />

infection probability as a function of the<br />

deposited dose based on fitted lognormal and<br />

Weibull models; the 95% confidence intervals for<br />

the cumulative probability functions are also shown.<br />

The lognormal model parameter estimates are GM =<br />

1.48 and GSD = 5.75, and the Weibull model parameter<br />

estimates are = 0.427 and = 0.458.<br />

Given the deposition of one bacillus, the lognormal<br />

model parameter estimates indicate that infection<br />

risk is 41%, while the Weibull model parameter estimates<br />

indicate that infection risk is 49%. Overall,<br />

the parametric models suggest that 40% to 50% of<br />

the population would be infected by the deposition<br />

of a single F. tularensis bacillus. Figures 3 and 4 show<br />

that the 95% confidence intervals for the lognormal<br />

and Weibull cumulative probability functions, respectively,<br />

fall within the 95% confidence interval of<br />

the PAV cumulative probability function. Therefore,<br />

the lognormal and Weibull probability estimates are<br />

consistent with the PAV estimates in the dose range<br />

of three bacilli or more.<br />

Person-to-Person Transmission<br />

Based in part on the observation that surgeons<br />

did not become ill after incising or excising suppurating<br />

lymph nodes from tularemia patients, Francis<br />

concluded in 1927 that tularemia is not transmitted<br />

from person-to-person. This conclusion has been<br />

reiterated frequently in the tularemia literature.<br />

However, it is inconsistent with the report by Fillmore<br />

(1951) of tularemia in a health care worker<br />

who had treated a tularemia patient, and with<br />

reports of droplet spray transmission resulting<br />

from experimental animals “sneezing” at persons<br />

(Aagaard, 1944; Francis, 1983; Ledingham & Fraser,<br />

1923/1924). Further, airborne transmission between<br />

233


mice was demonstrated experimentally by Owen and<br />

Bucker (1956), who found that ten of twenty-eight<br />

(<strong>10</strong>/28) healthy mice strapped into tubes in near<br />

nose-to-nose contact with moribund mice succumbed<br />

to infection. For secondary airborne transmission<br />

to occur, viable organisms must be emitted<br />

from the infected animal and remain viable until<br />

reaching target tissues in the susceptible host. In this<br />

segment of the paper, we evaluate the feasibility that<br />

these events can occur and cause person-to-person<br />

transmission of tularemia.<br />

Viable F. tularensis bacilli are present in the human<br />

body, including respiratory fluids. Emel’yanova<br />

(1961) compared strains of F. tularensis isolated from<br />

234<br />

The Infectious Dose of Francisella tularensis (Tularemia)<br />

Figure 2<br />

Estimated cumulative infection probability of humans experimentally exposed to increasing inhaled doses of<br />

F. tularensis, based on the Saslaw et al. (1961) data adjusted for particle deposition, via a lognormal parametric<br />

regression and a Weibull parametric regression, including 95% confidence intervals. The Saslaw, et al. (1961)<br />

data points are indicated by the diamonds.<br />

the abscesses of two tularemia patients to strains isolated<br />

from well water which had caused a tularemia<br />

outbreak; all strains had the same biological properties<br />

and were lethal to mice, rats, guinea pigs, and<br />

rabbits in the same doses and at the same intervals.<br />

In addition, there are several reports that bacilli<br />

from throat swabs and/or sputum of tularemia patients<br />

with and without pulmonary involvement<br />

were fatal to experimental animals (Johnson, 1944;<br />

Larson, 1945). In a more extensive evaluation, gastric,<br />

pharyngeal, and sputum specimens were collected<br />

from patients with laboratory-acquired tularemia<br />

during the first 3 weeks of their illness; these<br />

specimens were inoculated into guinea pigs or cul-


tured on glucose-cysteine blood agar plates. A total<br />

of 14/16 sputum specimens, 18/32 pharyngeal<br />

specimens, and 22/31gastric specimens either killed<br />

the guinea pigs or produced cultures of F. tularensis<br />

(Overholt et al., 1961). Unfortunately, concentration<br />

data for viable F. tularensis bacilli in respiratory<br />

fluids have not been reported.<br />

The presence of F. tularensis in respiratory fluids<br />

implies that the organism will be present in the aerosol<br />

of respiratory fluids emitted during coughs and<br />

sneezes. The numbers and size distribution of respiratory<br />

aerosol particles have been summarized by<br />

Nicas, et al. (<strong>2005</strong>). Aerosolized F. tularensis remain<br />

viable in air for a sufficient time to be inhaled by<br />

health care workers or family members attending a<br />

R. M. Jones, et al.<br />

Figure 3<br />

Estimated cumulative infection probability of humans experimentally exposed to increasing inhaled doses of<br />

F. tularensis, based on the Saslaw et al. (1961) data adjusted for particle deposition, comparing the lognormal<br />

parametric regression to the nonparametric PAV regression, including 95% confidence intervals.<br />

tularemia patient. As described previously, Hood<br />

(1961) observed that F. tularensis aerosols retained a<br />

diminished, but still lethal, infectivity in guinea pigs<br />

when aged 20 hours. In humans, Sawyer et al. (1966)<br />

found that the inhaled dose of viable cells required<br />

to produce infection increased when the aerosol<br />

aged more than 120 minutes, but the severity of<br />

clinical illness and the incubation period did not<br />

vary with the age of the aerosol. Ambient temperature<br />

and relative humidity influence the viability of<br />

airborne F. tularensis, although the relationships are<br />

not linear. Peak recovery of viable airborne F. tularensis<br />

was observed between -7 o C and 3 o C (Ehrlich &<br />

Miller, 1973), and when disseminated from a wet<br />

state, survival of the organism in air was greatest at<br />

235


high relative humidity (Cox & Goldberg, 1972).<br />

Cough is frequently associated with tularemia,<br />

and increased sputum production has been observed<br />

in some patients. Coughing emits many particles<br />

that quickly attain diameters less than <strong>10</strong> m; these<br />

particles can penetrate to and deposit in the alveolar<br />

region. Coughing also emits many particles that<br />

quickly attain diameters in the <strong>10</strong> m to <strong>10</strong>0 m<br />

range; these particles can be inspired and deposit in<br />

the upper respiratory tract (Nicas, et al., 2004). Experimental<br />

evidence indicates that F. tularensis remains<br />

virulent in the human host and retains viability<br />

in air for prolonged periods of time. Coupled<br />

with an infectious dose of one bacillus, these conditions<br />

indicate that airborne person-to-person trans-<br />

236<br />

The Infectious Dose of Francisella tularensis (Tularemia)<br />

Figure 4<br />

Estimated cumulative infection probability of humans experimentally exposed to increasing inhaled doses of<br />

F. tularensis, based on the Saslaw et al. (1961) data adjusted for particle deposition, comparing the Weibull<br />

parametric regression to the nonparametric PAV regression, including 95% confidence intervals.<br />

mission of tularemia is possible. The overall lack of<br />

reported person-to-person transmission may be due<br />

to a low concentration of F. tularensis in respiratory<br />

fluids, such that the airborne concentration of the<br />

pathogen is usually low and the infection risk by inhalation<br />

is small.<br />

Conclusion<br />

Overall, we judge there is adequate evidence that<br />

infection can be produced by the respiratory tract<br />

deposition of a single F. tularensis bacillus. Human<br />

experimental work concerning inhalation infection<br />

by F. tularensis is limited to inhaled doses of <strong>10</strong> organisms<br />

or greater. However, regression parameter


estimates for the two-parameter lognormal and<br />

Weibull models indicate that the deposition of a<br />

single bacillus carried on a respirable particle will<br />

produce infection in 40% to 50% of individuals.<br />

This prediction is consistent with the observation<br />

that a single F. tularensis bacillus can initiate infection<br />

in experimental animals exposed via injection<br />

(Bell, Owen & Larson, 1955; Downs et al., 1947;<br />

Emel’yanova, 1961; Rosebury, 1947).<br />

Our review of the published literature indicates<br />

that airborne tularemia transmission in the laboratory<br />

has been frequent, and that person-to-person<br />

tularemia transmission is possible. In particular, Fillmore<br />

(1951) reported the case of a nurse’s aide who<br />

developed symptoms of tularemia 3 to 4 weeks after<br />

attending a case of pleuropulmonry tularemia, and<br />

virulent bacilli have been recovered from respiratory<br />

fluids of tularemia patients (Johnson, 1944; Larson,<br />

1945; Overholt et al., 1961). Coughing, which is<br />

associated with tularemia, emits many particles of<br />

respiratory fluid that quickly attain diameters less<br />

than <strong>10</strong>0 m; these particles can be inspired and<br />

deposit in the alveolar region or upper respiratory<br />

tract depending on particle diameter.<br />

The risk of person-to-person airborne infection<br />

is a multivariable function involving the pathogen<br />

concentration in respiratory fluid, the expiratory<br />

event rate, the size and volume distribution of particles<br />

emitted per respiratory event, the receptor’s<br />

breathing rate and exposure duration, and the receptor’s<br />

location in the room relative to the source case<br />

(Nicas, et al., <strong>2005</strong>). Given a specified infectious<br />

dose distribution for F. tularensis, and the concentration<br />

of bacilli in respiratory fluids, it is possible to<br />

estimate tularemia infection risk due to bacilli in<br />

emitted respiratory aerosol. Similarly, the risk of airborne<br />

infection in the laboratory involves the pathogen<br />

concentration in the materials being handled,<br />

the size and volume distribution of the aerosolized<br />

particles, the aforementioned receptor parameters,<br />

and the nature of the pathogen’s infectious dose. A<br />

quantitative estimate of infection risk, even if uncertain,<br />

serves to inform biosafety officers in their decision<br />

making about infection control procedures.<br />

R. M. Jones, et al.<br />

Acknowledgements<br />

This work was supported by a collaborative<br />

agreement with the <strong>Association</strong> of Schools of Public<br />

Health, S2148-22/23. The opinions expressed are<br />

solely those of the authors and do not necessarily<br />

reflect the views of the funding agency.<br />

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Saslaw, S., Eigelsbach, H. T., Prior, J. A., Wilson, H.<br />

E., & Carhart, S. (1961). Tularemia vaccine study II.<br />

Respiratory challenge. Archives of Internal Medicine,<br />

<strong>10</strong>7, 702-714.<br />

<strong>Safety</strong> Library Reference<br />

R. M. Jones, et al.<br />

The National Academies Press provides, free of charge, Prudent<br />

Practices in the Laboratory: Handling and Disposal of Chemicals, 1995,<br />

in a searchable, printable format at:<br />

http://www.nap.edu/openbook/0309052297/html/index.html<br />

Sawyer, W. D., Jemski, J. V., Hogge, Jr., A. L., Eigelsbach,<br />

H. T., Wolfe, E. K., Dangerfield, H. G.,<br />

Gochenour, Jr., W. S., & Crozier, D. (1966). Effect<br />

of aerosol age on the infectivity of airborne Pasteurella<br />

tularensis for Macaca mulatta and man. Journal<br />

of Bacteriology, 91, 2180-2184.<br />

Shapiro, D. S., & Schwartz, D. R. (2002). Exposure<br />

of laboratory workers to Francisella tularensis despite a<br />

bioterrorism procedure. Journal of Clinical Microbiology,<br />

40, 2278-2281.<br />

Sjostedt, A., Tarnvik, A., & Sandstrom, G. (1996).<br />

Francisella tularensis: Host-parasite interaction. FEMS<br />

Immunology and Medical Microbiology, 13, 181-184.<br />

Syrjala, H., Kujala, P., Myllyla, V., & Salminen, A.<br />

(1985). Airborne transmission of tularemia in farmers.<br />

Scandinavian Journal of Infectious Diseases, 17, 371-<br />

375.<br />

Syrjala, H., Sutinen, S., Jokinen, K., Nieminen, P.,<br />

Touuponen, T., & Salminen, A. (1986). Bronchial<br />

changes in airborne tularemia. The Journal of Laryngology<br />

and Otology, <strong>10</strong>0, 1169-1176.<br />

Van Metre, Jr., T. E., & Kadull, P. J. (1959). Laboratory-acquired<br />

tularemia in vaccinated individuals: A<br />

report of 65 cases. Annals of Internal Medicine, 50,<br />

621-632.<br />

World Health Organization. (1970). Health aspects of<br />

chemical and biological weapons. Geneva: World<br />

Health Organization.<br />

239


240<br />

Article<br />

Introduction<br />

Ultraviolet light (UV) is frequently used in limited<br />

clinical settings to reduce the risk of nosocomial<br />

infections. The World Health Organization Global<br />

Solar UV Index (UVI) divides UV into A (315-400<br />

nm), B (280-315 nm), and C (<strong>10</strong>0-280 nm) bands.<br />

Light in the C band (UV-C) is listed in the UVI as<br />

the most harmful to living organisms because of its<br />

propensity to damage DNA and RNA. It is also the<br />

least relevant in the natural setting since it is completely<br />

filtered by the atmosphere and does not<br />

reach Earth’s surface in levels measurable with commercially<br />

available equipment.<br />

Often small surface areas or airflow in high-risk<br />

areas are treated with UV-C to decrease infectious<br />

microorganism populations. Other means of decontamination<br />

are sometimes employed when a large<br />

area has been contaminated. Gaseous disinfection<br />

with ethylene oxide, chlorine dioxide, or formaldehyde<br />

is costly, hazardous to workers and the environment,<br />

and requires prolonged evacuation of the<br />

treatment area (Rehork et al., 1990). Liquid disinfectants<br />

must be manually applied and removed and<br />

may damage exposed materials such as electrical devices.<br />

Ionizing radiation will kill in adequate doses<br />

but is hazardous to workers, difficult to contain, and<br />

not practical for general working space disinfection<br />

(Rehork et al., 1990).<br />

Applied Biosafety, <strong>10</strong>(4) pp. 240-247 © ABSA <strong>2005</strong><br />

High-Dose Ultraviolet C Light Inactivates<br />

Spores of Bacillus Atrophaeus and Bacillus<br />

Anthracis Sterne on Nonreflective Surfaces<br />

Marie U. Owens 1, David R. Deal 2, Michael O. Shoemaker 3, Gregory B. Knudson 3,<br />

Janet E. Meszaros 4, and Jeffery L. Deal 2<br />

1College of Charleston, Charleston, South Carolina; 2UVAS-LLC, Charleston, South Carolina; 3Armed Forces<br />

Radiobiology Research Institute, Bethesda, Maryland; and 4Steris Corporation, Mentor, Ohio<br />

The possibility of using UV-C (254 nanometer<br />

range) to decontaminate or sterilize work areas and<br />

to avoid the problems listed above led to the development<br />

by two of the authors (JLD, DRD) of the<br />

Ultraviolet Area Sterilizer (UVAS). The device is<br />

unique in that it generates intense levels of UV-C<br />

and then utilizes measured UV-C intensities reflected<br />

from the walls, ceilings, floors, or other<br />

treated areas to calculate the operation time to deliver<br />

the programmed lethal dose for infectious microorganisms.<br />

UV-C has been found to be highly<br />

effective against a wide spectrum of microorganisms<br />

(Banrud & Moan, 1999; Druce et al., 1995; Inamoto<br />

et al., 1979; Knudson, 1985). The development of a<br />

method to deliver a lethal and predictable UV-C<br />

dose can greatly increase the potential uses for UV-C<br />

in decontamination. Since the biological activity of<br />

UV-C is not limited to microorganisms, the UVAS<br />

has multiple safety features including remote controls,<br />

motion sensors, and audible voice warnings.<br />

These safety features were active during the course of<br />

this study.<br />

The ability of the UVAS device to deliver lethal<br />

doses of UV-C to bacterial spores on nonreflective<br />

surfaces was evaluated by comparing the susceptibilities<br />

of Bacillus atrophaeus (formerly named B. subtilis<br />

var. niger, and B. globigii) and Bacillus anthracis Sterne<br />

spores to incremental UV-C doses. Additionally, the<br />

susceptibility of Bacillus atrophaeus spores in the pres-


ence of silica-containing powder to simulate a bioterrorism<br />

attack weapon was tested to see if this modification<br />

altered the efficacy of UV-C deactivation.<br />

This investigation has shown that spore viability<br />

of both Bacillus atrophaeus as well as B. anthracis<br />

Sterne was significantly and reproducibly reduced by<br />

3-5 logs under extreme contamination levels following<br />

dosimetric UV-C exposure. Complete kill can be<br />

achieved when the spore contamination level is<br />

lower. These findings are consistent with those of<br />

Nicholson and Galeano (2003) and Knudson<br />

(1986). Spores of Bacillus atrophaeus in 1%-2% silica<br />

were likewise susceptible to killing by UV-C. However,<br />

the presence of gross particulate matter such as<br />

visible powder containing extremely high concentrations<br />

of spores significantly inhibits spore susceptibility<br />

to UV-C inactivation.<br />

Materials and Methods<br />

Bacterial Spore Suspensions/Preparations<br />

B. atrophaeus 93-PBA-1 spore mixture (provided<br />

by the Armed Forces Radiobiology Research Institute<br />

(AFRRI), Bethesda, MD) contained 1%-2% silica<br />

by weight and had an initial concentration of 2.5<br />

x <strong>10</strong> 11 Colony Forming Units (CFU)/g. This spore<br />

mix was diluted in 50% ethanol to achieve concentrations<br />

of <strong>10</strong> 9 , <strong>10</strong> 5 , <strong>10</strong> 4 , and <strong>10</strong> 3 CFU/ml. The dry,<br />

free-flowing silica spore mixture closely simulates a<br />

weapons-grade product used by bioterrorists. B. anthracis<br />

Sterne spores were produced at AFRRI using<br />

an inoculum from a live-spore veterinary vaccine<br />

(Colorado Serum Company, Denver, CO) as previously<br />

described (Elliott et al., 2002). The B. anthracis<br />

Sterne spores were washed twice in deionized sterile<br />

water and examined by phase-contrast microscopy to<br />

confirm that the refractile spore suspension was free<br />

of vegetative cells. The B. atrophaeus spores ATCC<br />

9372 (Steris Corp., Mentor, OH) were at initial concentrations<br />

of 3.0 x <strong>10</strong> 9 CFU/g and 2.5 x <strong>10</strong> <strong>10</strong><br />

CFU/ml, respectively. Both of these spore products<br />

were suspended in 50% ethanol and used at a concentration<br />

of <strong>10</strong> 9 , <strong>10</strong> 5 , and <strong>10</strong> 4 CFU/ml.<br />

Test Surfaces<br />

Aluminum plates, which measured 1276 cm 2 ,<br />

were painted with high heat-stable, flat-black enamel<br />

(7778-822, Rust-Oleum, Vernon Hills, IL). These<br />

M. U. Owens, et al.<br />

test surfaces were autoclaved prior to being evenly<br />

spread with suspensions of B. atrophaeus ATCC<br />

9372 and B. anthracis Sterne spores in ethanol. The<br />

dark surface was intended to minimize reflectance<br />

and, therefore, measured primarily the effect of direct<br />

UV-C exposure. For the test using the dry, freeflowing<br />

B. atrophaeus (93-PBA-1) spore powder, sterile<br />

90 mm Petri plates were used.<br />

Spore Distribution<br />

Two milliliters of the liquid spore suspensions in<br />

50% ethanol were uniformly distributed on the<br />

metal test and control surfaces using sterile, plastic,<br />

cell spreaders. An additional 5 ml of 50% ethanol<br />

was used to facilitate the even distribution over the<br />

entire surface area. Test surfaces were air dried for a<br />

minimum of 2 hours before UV-C exposure.<br />

Dry B. atrophaeus (93-PBA-1) spore powder was<br />

spread in the base of sterile 90 mm Petri plates by<br />

adding a uniform dry measure to 16 dishes. Each<br />

dish was gently rotated and tilted by hand to achieve<br />

a relatively uniform distribution of the powder. Excess<br />

spore powder was removed into a beaker by inverting<br />

and tapping the plates. To reduce shadowing<br />

effects during UV-C exposure, the powder was wiped<br />

from the sides and corners of the dishes with sterile<br />

cotton swabs. The mass of spores remaining in each<br />

plate was determined by weighing each plate before<br />

and after addition of spores. Each plate received 20<br />

to 50 mg of spore powder.<br />

Exposure<br />

The UVAS device employs 14 medium-pressure<br />

mercury bulbs (product #TUV 115W HHO, Philips<br />

Corporation, Sommerset, NJ) with a combined<br />

power output of approximately 3,000 microwatts/cm<br />

2 at 1 meter. The device was used to expose<br />

test surfaces in a room measuring 25 x 35 ft. For the<br />

flat-black metal surfaces, cumulative UV-C doses<br />

were measured using two National Institute of Standards<br />

and Technology-calibrated dosimeters<br />

(PMA2<strong>10</strong>0, Solar Light Company, Philadelphia, PA)<br />

placed on either side of the test surfaces and were<br />

reported as the average between both devices. For<br />

the Petri plates containing dry spore powder, a single<br />

PMA2<strong>10</strong>0 dosimeter was placed in the center of the<br />

plate array as shown in Figure 1.


Spore Recovery and Culture Media<br />

Two methods were used to recover spores from<br />

the metal test surfaces following each UV-C exposure.<br />

Rodac 45-mm contact culture plates containing<br />

trypticase soy agar with lecithin and polysorbate 80<br />

(TSALP, PML Microbiologicals, Mississauga, ON,<br />

Canada) were used to recover viable spores from<br />

28.3 cm 2 sample areas of the test surfaces by direct<br />

contact with the metal plates. Swab Dilution Samplers<br />

(MT00<strong>10</strong>025, Millipore Corp., Billerica, MA)<br />

were used for recovery of 16-cm 2 sample areas of the<br />

test surfaces. For each test surface, a minimum of<br />

three contact plates and one swab is used to obtain<br />

spore recovery at each targeted dose. The recovered<br />

spores adhering to the swabs were eluted in the Millipore<br />

buffer, subsequently diluted, and plated in<br />

triplicate as 150-l aliquots onto 90 mm trypticase<br />

242<br />

Recovered B. atrophaeus spores<br />

(CFU/ 1276 cm 2 )<br />

0<br />

250<br />

High-Dose Ultraviolet C Light Inactivates Spores<br />

Figure 1<br />

Recovery of B. atrophaeus spores containing ~1-2% silica after exposure to UV-C<br />

<strong>10</strong> <strong>10</strong><br />

<strong>10</strong> 9<br />

<strong>10</strong> 8<br />

<strong>10</strong> 7<br />

<strong>10</strong> 6<br />

<strong>10</strong> 5<br />

<strong>10</strong> 4<br />

<strong>10</strong> 3<br />

<strong>10</strong> 2<br />

<strong>10</strong> 1<br />

<strong>10</strong> 0<br />

500<br />

750<br />

<strong>10</strong>00<br />

1250<br />

1500<br />

UV-C Dose (milliJoules/cm 2 )<br />

Incremental doses of UV-C were administered to a total surface inoculum of 6.2 x <strong>10</strong> 8 CFU/1276 cm 2 .<br />

Following each dose, spores were recovered using Millipore swabs and Rodac contact plates. The average<br />

number of colonies were reported and used in calculations to determine the total viable spore count over the<br />

entire test surface. The curve represents the best-fit of a single exponential decay equation to the data.<br />

1750<br />

2000<br />

soy agar plates (TSA, BD Diagnostic Systems, Sparks,<br />

MD). Plates from both recovery methods were incubated<br />

at 35 o C for 15 hours before colonies were<br />

counted. Average plate counts were used to calculate<br />

the number of viable spores remaining on the metal<br />

plates and were plotted as a function of UV-C dose<br />

to generate inactivation curves (Figures 1-3).<br />

Spores in dry powder that were dispensed within<br />

the Petri plates were recovered by washing the Petri<br />

plates three times with sterile water (5 ml final volume)<br />

followed by recovering any material adhering<br />

to the bottom of the plate with a sterile rubber cell<br />

spreader. The suspensions were vortexed, diluted,<br />

inoculated as 150 l aliquots onto TSA plates in triplicate,<br />

and incubated at 35 o C for 15 hours before<br />

colonies were counted. Average plate counts were


used to calculate the number of viable spores remaining<br />

in each exposure plate and plotted as a<br />

function of UV-C dose (Figure 4).<br />

Calculations<br />

Total Population per Aluminum Plate Surface Area:<br />

Swab Dilution Samplers:<br />

= Mean Plate Count x Dilution<br />

Factor Vol. Plated (0.150 ml) x<br />

Swab Dilution Sampler Vol. (18<br />

ml) Aluminum Plate Surface Area<br />

Swabbed (16 cm 2 ) x Aluminum<br />

Plate Total Surface Area (1276 cm 2 )<br />

Rodac Contact Plates:<br />

= Mean Plate Count Aluminum<br />

Plate Surface Area Contacted (28.3<br />

cm 2 ) x Aluminum Plate Total Surface<br />

Area (1276 cm 2 )<br />

M. U. Owens, et al.<br />

Photo 1<br />

UVAS prototype in test room with sensor and test plates<br />

containing a thin layer of dry B. atrophaeus spore powder<br />

Results<br />

Inactivation of B. atrophaeus (93-PBA-1)<br />

Spores with Silica<br />

At extremely high spore-inoculum levels, contact<br />

plates could not provide population data from the<br />

control, unexposed plates due to the high number of<br />

colonies, but the swabbing method gave a viable<br />

spore count of 6.2 x<strong>10</strong> 8 CFU existed over the entire<br />

plate surface. The swab method was also the only<br />

procedure that could be used for recovery studies at<br />

lower UV-C doses of <strong>10</strong>0-600 milliJoules/cm 2 for<br />

the same reason. Results from the swab method indicated<br />

a 3-log reduction could be obtained at these<br />

UV-C exposure levels. At higher UV-C doses between<br />

600-1,800 milliJoules/cm 2 , a 3-4-log reduction<br />

was demonstrated with the swab recovery method<br />

and a 5-log reduction was obtained using the contact<br />

plates (Figure 1).<br />

For the test plates spread with less concentrated<br />

spore suspensions (theoretically <strong>10</strong> 5 , <strong>10</strong> 4 , and <strong>10</strong> 3<br />

243


CFU per test surface) recoveries were conducted using<br />

the contact plates alone after UV-C exposures of<br />

1,000 to 2,000 milliJoules/cm 2 . All plates indicated<br />

no survivors. Recoveries from unexposed control<br />

plates were 1 log lower than anticipated; therefore,<br />

at least a 4-log reduction can be ensured.<br />

Control surfaces, which were not exposed to<br />

UV-C, did not show any reduction in colony counts<br />

during the course of the experiment, eliminating the<br />

possibility that recoveries varied with time.<br />

Inactivation of B. atrophaeus<br />

(ATCC 9372) Spores<br />

Swab recoveries used for determining viable<br />

spore counts from the test plates spread with highly<br />

concentrated spore suspensions indicated a spore<br />

survival count of <strong>10</strong> 8 CFU per test surface. This recovery<br />

method demonstrated a 2-log reduction at 50<br />

244<br />

High-Dose Ultraviolet C Light Inactivates Spores<br />

Figure 2<br />

Recovery of B. atrophaeus (ATCC9372) spores from black-plate surfaces after exposure to UV-C.<br />

Recovered B. atrophaeus spores<br />

(CFU/ 1276 cm 2 )<br />

<strong>10</strong> <strong>10</strong><br />

<strong>10</strong> 9<br />

<strong>10</strong> 8<br />

<strong>10</strong> 7<br />

<strong>10</strong> 6<br />

<strong>10</strong> 5<br />

<strong>10</strong> 4<br />

<strong>10</strong> 3<br />

<strong>10</strong> 2<br />

<strong>10</strong> 1<br />

<strong>10</strong> 0<br />

0<br />

500<br />

<strong>10</strong>00<br />

1500<br />

2000<br />

2500<br />

3000<br />

3500<br />

UV-C Dose (milliJoules/cm 2 )<br />

Recovery of B. atrophaeus spores using the Millipore swab sampling recovery method. Curves represent best-fit<br />

of a single exponential decay equation to data.<br />

4000<br />

4500<br />

5000<br />

milliJoules/cm 2 and a 3–4-log reduction at <strong>10</strong>0 to<br />

4,647 milliJoules/cm 2 UV-C. The variability was attributed<br />

to the use of data from plates in which usable<br />

counts were less than 30 CFU per plate. Contact<br />

plates, which were used only at the doses from<br />

2,000 to 4,000 milliJoules/cm 2 UV-C, indicated that<br />

a 5-log reduction could be obtained in comparison<br />

to the unexposed spore population determined by<br />

swabbing (Figure 2).<br />

The control, contact plate viability counts from<br />

the less-concentrated test plates, theoretically <strong>10</strong> 4 and<br />

<strong>10</strong> 5 CFU, indicated a 2-log lower population than<br />

expected. The number of survivors was quite often<br />

zero for all the UV-C doses evaluated from 50 to<br />

2,000 milliJoules/cm 2 except in some instances low<br />

colony counts were obtained, which may have been<br />

environmental contamination.


B. anthracis Sterne Spores<br />

Millipore swab recoveries from nonirradiated<br />

test surfaces indicated 3.6 x <strong>10</strong> 8 CFU. Swab recoveries<br />

from UV-C doses of 150 and 1,000 milli-<br />

Joules/cm 2 resulted in a three and four log reduction<br />

respectively. Contact plates used for recoveries<br />

on the test surface exposed to UV-C doses of 2,000<br />

to 4,000 milliJoules/cm 2 demonstrated a 4 log reduction<br />

(Figure 3).<br />

Test surfaces spread with the diluted spore inoculum<br />

had <strong>10</strong> 4 CFU per test surface and showed<br />

total kill when exposed to 50 to 1,000 milli-<br />

Joules/cm 2 .<br />

Inactivation of Dry Spore Powder<br />

The last evaluation used dry, free-flowing B. atrophaeus<br />

spore powder in open Petri plates, with spore<br />

counts of <strong>10</strong> 8 to <strong>10</strong> 9 CFU per plates. A 1-log reduc-<br />

M. U. Owens, et al.<br />

Figure 3<br />

Recovery of B. anthracis Sterne spores from black plate surfaces after exposure to UV-C.<br />

Recovered B. anthracis spores<br />

(CFU/ 1276 cm 2 )<br />

<strong>10</strong> <strong>10</strong><br />

<strong>10</strong> 9<br />

<strong>10</strong> 8<br />

<strong>10</strong> 7<br />

<strong>10</strong> 6<br />

<strong>10</strong> 5<br />

<strong>10</strong> 4<br />

<strong>10</strong> 3<br />

<strong>10</strong> 2<br />

<strong>10</strong> 1<br />

<strong>10</strong> 0<br />

0<br />

500<br />

<strong>10</strong>00<br />

1500<br />

2000<br />

2500<br />

3000<br />

tion was obtained from duplicated plates after exposures<br />

of <strong>10</strong>,000 or 16,000 milliJoules/cm 2 (Figure 4).<br />

Discussion<br />

3500<br />

UV-C Dose (milliJoules/cm 2 )<br />

Recovery of B. anthracis Sterne spores using the Millipore swab sampling recovery method. Curves represent<br />

best-fit of a single exponential decay equation to data.<br />

4000<br />

4500<br />

5000<br />

This investigation has demonstrated that UV-C<br />

generated by the UVAS in the absence of visible particulate<br />

matter can be delivered at lethal doses on<br />

nonreflective, non-porous surfaces for partial spore<br />

reduction even when the contamination levels are<br />

extremely high and for total spore reduction in the<br />

presence of less-concentrated spore populations. A 3-<br />

5-log reduction can be assured following UV-C exposure<br />

to contamination levels simulating those used<br />

in bioterrorist weapons—<strong>10</strong> 8 to<strong>10</strong> 9 CFU/1276 cm 2 or<br />

<strong>10</strong> 5 to <strong>10</strong> 6 CFU/cm 2 —using doses of one hundred to<br />

several thousand milliJoules/cm 2 (Figures 1, 2, and<br />

3). In situations where the bioburden levels are more<br />

245


epresentative of the contamination in areas such as<br />

operating/emergency rooms (<strong>10</strong> 2 CFU/cm 2 ), UV-C<br />

is capable of completely deactivating the entire population<br />

at lower doses, most likely less than <strong>10</strong>0 milli-<br />

Joules/cm 2 . Test surfaces contaminated with high<br />

numbers of spores that are subsequently spread<br />

across the surface area as may occur during precleaning<br />

were readily decontaminated or sterilized with<br />

adequate doses of UV-C.<br />

Spores at contamination levels of <strong>10</strong> 5 to <strong>10</strong> 6<br />

CFU/cm 2 and applied in powder dense enough to<br />

be visible to the naked eye indicated a 1-log reduction<br />

after UV-C doses of 1,000 to 16,000 milli-<br />

Joules/cm 2 (Figure 4). These findings emphasize the<br />

need for precleaning contaminated surfaces soiled<br />

with gross material. Use of a precleaning step, such<br />

246<br />

Recovered B. atrophaeus spores<br />

(CFU/ 90 mm Petri plate)<br />

<strong>10</strong> <strong>10</strong><br />

<strong>10</strong> 9<br />

<strong>10</strong> 8<br />

<strong>10</strong> 7<br />

<strong>10</strong> 6<br />

<strong>10</strong> 5<br />

<strong>10</strong> 4<br />

<strong>10</strong> 3<br />

<strong>10</strong> 2<br />

<strong>10</strong> 1<br />

<strong>10</strong> 0<br />

0<br />

2000<br />

High-Dose Ultraviolet C Light Inactivates Spores<br />

Figure 4<br />

Recovery of a visible layer of dry B. atrophaeus spores containing<br />

~1% silica on Petri plates after exposure to UV-C.<br />

4000<br />

6000<br />

The curve represents the best-fit of a single exponential decay equation to the data.<br />

8000<br />

<strong>10</strong>000<br />

12000<br />

14000<br />

UV-C Dose (milliJoules/cm 2 )<br />

16000<br />

18000<br />

20000<br />

as HEPA-vacuuming or damp wiping, for heavily<br />

contaminated surfaces in the presence of visible soil,<br />

followed by UV-C exposure, should effectively decontaminate<br />

the area or surface. This is substantiated<br />

by the data in which total kill was demonstrated<br />

from surfaces contaminated with less-concentrated<br />

spore suspensions in the absence of visible powder.<br />

The presence of 1%-2% silica does not impede<br />

the germicidal effect of UV-C since the lethality was<br />

similar to that observed in the absence of silica. This<br />

finding demonstrates that the efficacy of UV-C is<br />

not altered in the presence of low concentrations of<br />

particulate matter or soil that could be present after<br />

precleaning.<br />

Prior studies in animal laboratory settings using<br />

UV light showed a significant reduction of bacterial


loads, and the addition of a chemical disinfectant<br />

followed by UV-C treatment was “particularly successful,<br />

reducing bacterial loads to extremely low levels”<br />

(Dix et al., 1992). In this study where the organisms<br />

were spread on the test surface without deactivation<br />

or removal by any cleaning agent, a significant<br />

spore reduction was observed after UV-C irradiation.<br />

A recent study by Nicholson and Galeano (2003)<br />

found “the data indicate that standard UV treatments<br />

that are effective against B. subtilis spores are<br />

likely also sufficient to inactivate B. anthracis spores,<br />

and spores of standard B. subtilis strains could reliably<br />

be used as a biodosimetry model for the UV inactivation<br />

of B. anthracis spores” Our investigations<br />

have confirmed this finding.<br />

Previous experience with the UVAS device suggested<br />

smooth materials that reflected UV-C may be<br />

more readily decontaminated than rough, nonreflective<br />

materials. Data obtained through this investigation<br />

will be useful in planning surface decontamination<br />

for many environmental applications, since determining<br />

the required decontamination doses<br />

should be based upon information obtained using<br />

the least reflective test surfaces, thus avoiding underexposure.<br />

From these experimental findings one may reasonably<br />

conclude that the UVAS device, or other<br />

UV-C generating devices, could decontaminate areas<br />

in which surface contamination was <strong>10</strong> 2 CFU/cm 2<br />

and could be used to decontaminate extremely concentrated<br />

surfaces as long as a precleaning step was<br />

instituted.<br />

Author’s Note<br />

The B. anthracis Sterne spores were washed twice<br />

in deionized sterile water and examined by phasecontrast<br />

microscopy to confirm that the refractile<br />

spore suspension was free of vegetative cells.<br />

References<br />

Banrud, H., & Moan, J. (1999). [Use of short wave<br />

ultraviolet radiation for disinfection in operating<br />

rooms]. Tidsskr Nor Laegeforen, 119, 2670-2673.<br />

M. U. Owens, et al.<br />

Dix, J., Nolan, G., Schlick, H., & Elliot, H. B.<br />

(1992). The efficiency of ultraviolet irradiation and<br />

chemical disinfection as a means of reducing bacterial<br />

contamination of animal rooms. Fifth FELASA<br />

Symposium: Welfare and Science.<br />

Druce, J. D., Jardine, D., Locarnini, S. A., & Birch,<br />

C. J. (1995). Susceptibility of HIV to inactivation by<br />

disinfectants and ultraviolet light. Journal of Hospital<br />

Infection, 30, 167-180.<br />

Elliott, T. B., Brook, I., Harding, R. A., Bouhaouala,<br />

S. S., Shoemaker, M. O., Knudson, G. B. (2002).<br />

Antimicrobial therapy for Bacillus anthracis-induced<br />

polymicrobial infection in 60 Co gamma-irradiated<br />

mice. Antimicrobial Agents and Chemotherapy, 46,<br />

3463-3471.<br />

Inamoto, H., Ino, Y., Jinnouchi, M., Sata, K., Wada,<br />

T., Inamoto, N., & Osawa, A. (1979). Dialyzing<br />

room disinfection with ultra-violet irradiation. Journal<br />

of Dialysis, 3, 191-205.<br />

Knudson, G. B. (1985). Photoreactivation of UVirradiated<br />

Legionella pneumophila and other Legionella<br />

species. Applied Environmental Microbiology, 49, 975-<br />

980.<br />

Knudson, G. B. (1986). Photoreactivation of ultraviolet-irradiated<br />

plasmid-bearing and plasmid-free<br />

strains of Bacillus anthracis. Applied. Environmental<br />

Microbiology, 52, 444-449.<br />

Nicholson, W. L., & Galeano, B. (2003). UV resistance<br />

of Bacillus anthracis spores revisited: Validation<br />

of Bacillus subtilis spores as UV surrogates for<br />

spores of B. anthracis Sterne. Appied Environmental<br />

Microbiology, 69, 1327-1330.<br />

Rehork, B., Martiny, H., Weist, K., & Ruden, H.<br />

(1990). [Performing surface and room disinfection in<br />

the hospital]. Offentl Gesundheitswes, 52, 36-45.<br />

247


Abstract<br />

248<br />

Article<br />

Potentially infectious wastes, if not properly<br />

treated, could expose both humans and the environment<br />

to untreated microbes and toxins, and create a potential<br />

for illness. Therefore, all pathogenic materials used in<br />

research must be destroyed by heat or chemical treatment<br />

prior to disposal as biomedical waste. Additionally,<br />

bacterial waste from nonpathogenic bacteria carrying<br />

antibiotic resistance must be treated before placement<br />

in the waste stream to avoid transmission of<br />

the antibiotic-resistant trait. In biomedical laboratories,<br />

glassware, beakers, test tubes, and other contaminated<br />

research material are usually treated by autoclaving before<br />

placing them into the waste stream or recycling for<br />

continued use in the laboratory.<br />

Introduction<br />

Florida Administrative Code (F.A.C.) Chapter<br />

64E-16, under the Biomedical Waste Code, requires<br />

an infectious waste treatment facility to maintain<br />

records of temperature and dwell time when wastes<br />

are rendered noninfectious by gas or steam<br />

sterilization. The F.A.C. further requires biological<br />

culture testing to assure proper sterilization of all<br />

autoclaved materials. Since this University is not a<br />

treatment facility but a generator facility, the<br />

University is not required to follow these records<br />

and testing requirements. However, in the best<br />

interest of the University’s environmental and<br />

research goals, the Department of Environmental<br />

Health & <strong>Safety</strong> (EH&S) is voluntarily complying<br />

with the sterilization aspect of the F.A.C.<br />

As a service, EH&S conducts annual sterilization<br />

testing for all departmental autoclave steam cycles<br />

Applied Biosafety, <strong>10</strong>(4) pp. 248-252 © ABSA <strong>2005</strong><br />

Autoclave Testing in a University Setting<br />

Richard N. Le, Amy L. Hicks, and Janice Dodge<br />

Florida State University, Tallahassee, Florida<br />

used for biological waste and materials decontamination.<br />

This testing is to ensure that the autoclave cycles<br />

used are sterilizing all microbial waste.<br />

Background on Steam<br />

Sterilization Testing<br />

Researchers who work with potentially infectious<br />

materials are at a higher risk of exposure, especially<br />

when exposed to untreated infectious waste.<br />

Infections may be transmitted through several different<br />

routes, including direct contact with untreated<br />

infectious waste, indirect contact with contaminated<br />

instruments or environmental surfaces, or inhalation<br />

of airborne contaminants. Infection via any of these<br />

routes requires that all five of the following conditions<br />

be present to form “the chain of infection”:<br />

1. A pathogen with sufficient infectivity and numbers<br />

to cause infection<br />

2. A reservoir or source that allows the pathogen to<br />

survive and multiply<br />

3. A mode of transmission from the source to the<br />

host<br />

4. A portal through which the pathogen may enter<br />

the host<br />

5. A susceptible host (CDC, 2003)<br />

Effective control measures are intended to break<br />

one or more of these “links” in the chain, thereby<br />

reducing the risk of, or completely preventing, exposure<br />

to potentially infectious materials. A key component<br />

in this link-breaking process is the proper use<br />

of steam sterilizers (autoclaves), which serve as an<br />

essential step toward eliminating the “pathogen<br />

links” in the chain of infection (DePaola, 2003;<br />

Quality America, Inc., 2001).<br />

The Occupational <strong>Safety</strong> and Health <strong>Association</strong>


(OSHA) relies on guidelines published by the Centers<br />

for Disease Control and Prevention (CDC) as a<br />

widely recognized and accepted standard to be followed<br />

by employers in carrying out their responsibilities<br />

under the Occupational <strong>Safety</strong> and Health Act.<br />

The CDC and OSHA recommend the use of <strong>Biological</strong><br />

Indicators (BI) for monitoring steam sterilization<br />

cycles in autoclaves. The CDC states [for medical<br />

autoclaves]...“proper functioning of sterilization<br />

cycles should be verified by the periodic use (at<br />

least weekly) of biological indicators (i.e., spore<br />

tests). Heat-sensitive chemical indicators (e.g., those<br />

that change color after exposure to heat) alone<br />

do not ensure the adequacy of sterilization cycle…”<br />

(CDC, 2004).<br />

In addition, F.A.C. 64E-16.007 states that a<br />

treatment facility that disposes of biomedical waste<br />

must utilize steam sterilization, incineration, or an<br />

alternative process approved by the Department of<br />

Health prior to disposal. Treatment shall occur<br />

within 30 days of collection from the generator. Additionally,<br />

steam treatment facility units should be<br />

evaluated for effectiveness with spores of Geobacillus<br />

stearothermophiluss at least once every 7 days for permitted<br />

treatment facilities, or once every 40 hours of operation<br />

for generators that treat their own biomedical<br />

waste.<br />

Sterilizer manufacturers also recognize the importance<br />

of routine testing of sterilizers and autoclaves.<br />

They recommend that a biological spore test<br />

indicator be used weekly in a representative load for<br />

sterilization assurance (Ritter; Tilton et al., 2004).<br />

Background on PROSPORE2<br />

<strong>Biological</strong> Indicators<br />

PROSPORE2 (HealthLink) is a self-contained<br />

biological indicator for validating and monitoring<br />

steam sterilization of solids. It consists of a paper<br />

disc carrier containing Geobacillus stearothermophilus<br />

(ATCC 7953) spores. The disc is enclosed in a plastic<br />

tube along with a glass vial containing growth media<br />

for the bacterial spores. Bromocresol purple has<br />

been added as a pH indicator to detect spore growth.<br />

The outgrowth of spores decreases pH, causing a<br />

color change from purple to yellow following a 24hour<br />

incubation period.<br />

R. N. Le, et al.<br />

A PROSPORE2 biological indicator is placed<br />

inside the autoclave and a specific cycle is selected.<br />

When the cycle is complete, the PROSPORE2 indicator<br />

is sealed by firmly depressing the cap. The glass<br />

ampoule of media is crushed inoculating the Geobacillus<br />

stearothermophilus disc. Then the indicator is<br />

incubated at 55 o -60 o C for a 24-hour time period<br />

along with an untreated PROSPORE2 indicator that<br />

serves as a control to ensure spore viability.<br />

Once the minimum incubation time of 24 hours<br />

has been achieved, both the control and autoclaved<br />

PROSPORE2 indicator are examined. If the autoclaved<br />

PROSPORE2 indicator retains its purple<br />

color, then the sterilization cycle is adequate and the<br />

result is recorded as passing. A failed sterilization<br />

cycle is indicated by turbidity or a change in color<br />

toward yellow, indicating spore growth due to a<br />

change in pH. The control indicator should exhibit<br />

turbidity and/or a color change to yellow after incubation<br />

to ensure the viability of the biological indicators.<br />

If the control indicator does not show signs of<br />

growth, the test is considered invalid and all the results<br />

are unacceptable and not considered.<br />

Evaluation of Autoclaves<br />

PROSPORE2 biological indicators were used to<br />

test the steam sterilization cycles of several departmental<br />

autoclaves. A total of three runs were conducted<br />

for each autoclave. For each autoclave, a test<br />

trial run using a PROSPORE2 biological indicator<br />

was run to see if the autoclaves were capable of sterilization<br />

without any load. The biological indicator<br />

in the test trial was placed in a horizontal position,<br />

as recommended by the manufacturer, in various<br />

locations within the autoclave chamber. This was<br />

done to verify the effectiveness of steam sterilization<br />

in different areas within the autoclave.<br />

Following the test trial run, two additional runs<br />

were performed in which PROSPORE2 biological<br />

indicators were placed in a representative load or<br />

challenge load to be autoclaved. The challenge load<br />

test consisted of placing a PROSPORE2 biological<br />

indicator in the center of an autoclave bag containing<br />

empty plastic pipette tip boxes. This bag was left<br />

partially open to allow for steam penetration and<br />

sterilization.


For the results, a “PASS” indicated that the<br />

PROSPORE2 biological indicator retained its purple<br />

color signifying an adequate sterilization cycle. A<br />

“FAIL” resulted in the PROSPORE2 biological indicator<br />

having turbidity or a color change toward<br />

yellow for that sterilization cycle. Untreated control<br />

PROSPORE2 biological indicators were incubated<br />

with each autoclaved ran PROSPORE2 biological<br />

indicator.<br />

The following results were compiled over a 3month<br />

testing period for several departmental autoclaves.<br />

These results are for the challenge load testing<br />

only. Challenges were performed using the temperatures<br />

preset by the research groups using the<br />

autoclaves.<br />

Test Findings<br />

Each test trial run resulted in a passing test for<br />

every autoclave. Based on this result, it was concluded<br />

that the autoclave was functioning properly.<br />

250<br />

Autoclave Testing in a University Setting<br />

An adequate amount of steam and heat were produced<br />

to sterilize any unobstructed contents such as<br />

glassware. However, problems occurred with the<br />

challenge load testing. Almost every challenge load<br />

test failed to sterilize the biological indicator. Therefore,<br />

the testing procedure was modified in an effort<br />

to sterilize the enclosed biological indicator. The<br />

challenge load volume was reduced by approximately<br />

half its original volume and the bag’s opening was<br />

increased. In addition, approximately 250 mL of<br />

water was added directly to the autoclave bag to generate<br />

additional steam within the bag to achieve sterilization.<br />

<strong>Biological</strong> indicators were also given to two separate<br />

departments to autoclave with their normal biohazardous<br />

waste load. One was autoclaved for 15<br />

minutes at 121°C gravity cycle and the other load<br />

was autoclaved at 121°C for 35 minutes on a liquid<br />

setting. Since the biological indicators were placed in<br />

actual bags of biohazardous waste, these tests were<br />

true representatives of what laboratories were gener-<br />

Autoclave<br />

Table 1<br />

Cycle Pass Fail<br />

Amsco 3021-S-A<br />

(Amsco)<br />

G15/D30<br />

L60 <br />

<br />

Amsco 3041<br />

All settings (Liquid and<br />

<br />

(Amsco)<br />

Gravity)<br />

Consolidated<br />

Addition of water to bag<br />

G60/D15<br />

<br />

<br />

(Consolidated) G30/D15 <br />

Primus Autoclaves-A<br />

(Primus)<br />

G20/D15 (Room 511)<br />

G15/D1 (Room 312)<br />

<br />

<br />

Amsco 3021-S-B All liquid cycles <br />

Amsco Scientific<br />

(Amsco)<br />

Amsco 3021-S-C<br />

(Amsco)<br />

G30/D30 (132°C) <br />

L30 <br />

L15 <br />

G15/D30 (132°C) <br />

L30 <br />

L15 <br />

Primus Autoclave(B) G15 <br />

Steris, Stage 1<br />

(Amsco)<br />

G30/D15 <br />

G30/D15 (addition of water) <br />

(“L”=liquid cycle, “G”=gravity cycle; and “D”=Dry time. Unless otherwise<br />

indicated, the standard 121°C and 15 psi were used at each autoclave)


ating. Unfortunately, both of these tests failed.<br />

Based on the information in the preceding table,<br />

it was evident that the results varied greatly with<br />

each autoclave due to the type of autoclave and differences<br />

in cycle times and temperatures. However,<br />

it can be shown that the shorter-timed cycles failed<br />

consistently for each challenge load tested. The exceptions<br />

to this were the results generated from the<br />

Amsco 3041 autoclave and the Amsco Scientific<br />

autoclave. For the Amsco 3041 autoclave, the 250<br />

mL of water added to the autoclave bag helped with<br />

the sterilization of the materials, resulting in a passing<br />

test for the challenge load. The Amsco Scientific<br />

autoclave was able to sterilize the PROSPORE2 biological<br />

indicator using a 30-minute cycle because of<br />

the higher temperature setting. However, the bags<br />

used for this autoclave were not compatible with the<br />

higher temperature, resulting in complete deterioration<br />

of the bags after autoclaving.<br />

Additional Findings<br />

It was observed that not all autoclaves had clear<br />

instructions available detailing proper usage and that<br />

no user log was present to record the users, cycle<br />

times, settings, and autoclave contents. In addition,<br />

it was unknown if the temperature sensors on each<br />

autoclave were properly calibrated due to inadequate<br />

record keeping concerning general maintenance on<br />

several autoclaves. However, each autoclave chamber<br />

temperature was verified during the runs using a<br />

high-low thermometer that was placed in the autoclave<br />

with each challenge load run. There was good<br />

consistency between the high-low thermometer temperature<br />

readings and the temperature indicated on<br />

the autoclaves.<br />

In addition, no records were kept to indicate<br />

when general or safety maintenance was last conducted<br />

on several autoclaves. Maintenance should be<br />

done yearly or as recommended by the autoclave<br />

manufacturer.<br />

Recommendations<br />

In keeping with the CDC and OSHA recommendations<br />

and using F.A.C. 64E-16.007 as a guide-<br />

R. N. Le, et al.<br />

line, EH&S will use biological indicators for validating<br />

the steam sterilization cycles on an annual basis.<br />

EH&S recommends that the following adjustments<br />

to policies and practices be implemented in order to<br />

better achieve sterilization and ensure proper maintenance<br />

for each autoclave:<br />

1. Readjustment of Cycle Times<br />

The standard 121°C, 15-psi, and 15-minute<br />

dwell time are adequate for sterilization of clean<br />

items or smaller loads, but were found to be inadequate<br />

for large bulky loads of biohazardous waste.<br />

For this type of waste, it is recommended that the<br />

sterilization time be increased to a minimum of 60<br />

minutes, while still maintaining the standard temperature<br />

and pressure. This setting has proven effective<br />

for sterilizing larger loads. The addition of water<br />

is not recommended because results were not consistent<br />

enough for this to be considered an effective<br />

option. It is also recommended not to leave the autoclave<br />

bag open for actual autoclaving of materials<br />

even though this procedure was used in the test procedure.<br />

The bag should be secured loosely with a<br />

rubberband or closed loosely with a small opening<br />

(at least 1 inch in diameter). This will minimize an<br />

individual’s risk of becoming exposed to hot materials<br />

within the bag. It is suggested that a “kill cycle”<br />

be set on each autoclave intended specifically for<br />

sterilization of contaminated dry waste loads.<br />

The Amsco Scientific autoclave did yield a passing<br />

result due to a higher temperature setting. However,<br />

the autoclave bags used could not withstand<br />

the higher temperature and the bags deteriorated<br />

during the procedure. This is a safety concern because<br />

the contents within the bag could spill onto<br />

the user exposing him or her to the extremely hot<br />

contents. To use this autoclave at the higher temperature<br />

settings, it is important to use an autoclave<br />

bag that is compatible with the 132°C temperature.<br />

In addition, the autoclaves should be retested using<br />

the new autoclave bags.<br />

2. Proper Autoclave Use<br />

The autoclave bag should never be over-packed<br />

or sealed too tightly. It is also important to make<br />

sure that the contents of the autoclave bag are kept<br />

at a minimum. An over-packed bag will insulate mi-<br />

251


crobes at the center of the bag compromising effective<br />

sterilization for the core contents (Churchill,<br />

2003).<br />

It is the responsibility of each department to ensure<br />

that all users understand and know how to use<br />

the autoclave correctly. EH&S recommends that<br />

proper personal protective equipment be worn when<br />

unloading materials from the autoclave. Any exposed<br />

skin should be covered when reaching into<br />

the autoclave after operation to prevent burns. Heatresistant,<br />

elbow-length gloves and other personal<br />

protective equipment are necessary to prevent burns<br />

from occurring when removing hot items. In addition,<br />

a shallow pan or container should be used<br />

when autoclaving bags of biohazardous waste to prevent<br />

potential spills of this material onto the user.<br />

3. Record Keeping<br />

The use of an autoclave logbook is recommended<br />

for each autoclave. Prior to autoclaving any<br />

items, users must fill in all information requested in<br />

the autoclave logbook. The logbook should be located<br />

adjacent to the autoclave and be maintained<br />

by the department. Information that should be part<br />

of the logbook includes: user’s name, cycle time, cycle<br />

setting, materials being autoclaved, contact number,<br />

time in, time out, and verification results.<br />

4. <strong>Safety</strong> Maintenance<br />

General maintenance should be conducted on<br />

an annual basis or as recommended by the manufacturer.<br />

Specifically, the safety valve should be checked<br />

and replaced as required. This information should<br />

be posted on the autoclave or maintained in a maintenance<br />

logbook for easy reference. In addition, a<br />

quick check of the autoclave should be conducted<br />

prior to each use to ensure that all parts are properly<br />

functioning (e.g., door closes and is sealed properly,<br />

the rack is in place, correct settings are being used,<br />

the interior is clean, etc.). Autoclaves should be<br />

cleaned after every use and the work area should be<br />

disinfected as needed. Appropriate cleaning protocols<br />

should be obtained from each manufacturer.<br />

252<br />

Autoclave Testing in a University Setting<br />

5. Training<br />

Each autoclave user should be trained on the<br />

proper use of the autoclave. The cycle settings<br />

should be posted next to the autoclave to inform<br />

each user of the types of settings available, such as<br />

gravity and liquid cycles, the temperatures for each<br />

cycle, and run times. A written sterilization procedure<br />

should be kept near each autoclave and a standard<br />

operating procedure should be developed. It<br />

should include the appropriate sterilization times for<br />

liquid and dry waste goods, identification of standard<br />

treatment containers and proper load placement<br />

procedures, personal protection equipment<br />

required for removing materials from the autoclave,<br />

instructions for loading and unloading the autoclave,<br />

and instructions on cleaning and maintaining<br />

the autoclave.<br />

References<br />

Centers for Disease Control and Prevention. (2003).<br />

Guidelines for infection control in dental healthcare<br />

settings-2003. MMWR, December 19/52(RR17), 1-<br />

98.<br />

DePaola, L. G. (2003). Infection control and the<br />

prevention of disease transmission in the dental office:<br />

Back to the basics. The Infection Control FO-<br />

RUM, 1(2).<br />

HealthLink. Prospore and Prosure Technical Bulletin 1.<br />

Frequency of Use for <strong>Biological</strong> Indicators.<br />

Quality America, Inc. (2001). Break the chain of infection.<br />

OSHA Watch, January/February, 3(1).<br />

Ritter©—Installation and Operation Manual M9/<br />

M11 UltraClave TM Steam Sterilizer. Sterilizer Manufacture<br />

Monitoring Recommendations.<br />

Tilton, G., & Kauffman, M. (2004). Sterilization: A<br />

review of the basics. STERIS Corporation white papers,<br />

document number M2712EN. www.steris.<br />

com/resources/resources_wp.cfm#. June.


Article<br />

The Viral Immunology Center at Georgia State<br />

University (GSU) is recognized as the national resource<br />

facility for research related to the early diagnosis<br />

and effective treatment of dangerous viral diseases,<br />

most notably B virus (Cercopithecine herpesvirus<br />

1), herpesviridae. Funded by the National Institutes<br />

of Health, the Center operates the National B<br />

Virus Resource Laboratory aimed at learning more<br />

about the deadly alpha herpes virus and preventing<br />

its transmission to laboratory workers.<br />

The GSU Center, located in downtown Atlanta,<br />

was the first BSL-4 facility in the country operating in<br />

a university setting. Under the direction of Julia Hilliard,<br />

the goal of the laboratory’s research is not only<br />

to diagnose viral diseases, but also to study the agents<br />

and use their infrastructure to design vaccines.<br />

The B Virus laboratory had been located at the<br />

Southwest Foundation for Biomedical Research in<br />

San Antonio, Texas, and operations were proceeding<br />

well in the BSL-4 environment. However, space constraints<br />

limited the size of the staff to <strong>10</strong> people and<br />

restricted the amount of work that could be done.<br />

Research officials at Georgia State University<br />

called upon Hilliard to move her facility to downtown<br />

Atlanta in 1997, noting the University’s proximity<br />

to Emory University, the Centers for Disease<br />

Control, and the Medical College of Georgia. The<br />

retrofitted lab at the University offers three times the<br />

amount of space that Hilliard was using at the Texas<br />

facility.<br />

“The thrill of working in a rich milieu and having<br />

a new facility was enough to engage my interest<br />

Applied Biosafety, <strong>10</strong>(4) pp. 253-257 © ABSA <strong>2005</strong><br />

Operating a BSL-4 Laboratory in a University<br />

Setting: Georgia State University Lab<br />

Studies Deadly Alpha Herpes Virus<br />

Tradeline Publications<br />

Orinda, California<br />

in moving the laboratory,” recalls Hilliard. “We now<br />

know what it’s like to build a BSL-4 laboratory in<br />

a highly concentrated downtown area. We were<br />

told this would not be a big problem because<br />

the residents were already aware that maximumcontainment<br />

laboratories were operating in the city.”<br />

Maximum-containment BSL-3 and -4 suites are<br />

necessary due to the nature of the alpha herpes virus,<br />

or B Virus, which is transmitted by the Macaca<br />

species of monkeys often used in biomedical research.<br />

Although there is a low frequency of infection<br />

among people, the virus is considered a severe<br />

occupational hazard for laboratory workers as a result<br />

of its lethal consequences if not diagnosed<br />

quickly after infection.<br />

“The virus causes death in 80 percent of the infected<br />

individuals (after it literally attacks the cervical<br />

spinal cord),” says Hilliard. “There have been five<br />

fatalities in the last 12 years at four different institutions<br />

in four states. The survivors are our first introduction<br />

to what happens when you put a pathogen<br />

like B virus into the human population. The reason<br />

we work with this agent is because we know that<br />

rapid identification means we can successfully treat<br />

the individuals.”<br />

The cost of moving to Atlanta was approximately<br />

$200,000, which included expenses for shipping the<br />

laboratory equipment, moving staff, and flying back<br />

and forth between the new lab and the Texas lab to<br />

verify that the performance standards of the new<br />

facility matched those of the well established lab.<br />

The cost to renovate the space to accommodate the<br />

253


Center was approximately $1 million, not including<br />

the daily maintenance costs of the hot lab. Both<br />

laboratories had to be operated concurrently in order<br />

to preserve the integrity of the testing until Hilliard’s<br />

team determined that the new Center could<br />

function efficiently on its own.<br />

The architectural firm of Lord, Aeck and Sargent<br />

designed the first phase of the Center, while<br />

construction of the BSL-4 lab was supervised by the<br />

architectural firm of HOK in cooperation with The<br />

Baker Co., which customized the 32-linear-foot<br />

glovebox cabinet.<br />

Designing a BSL-4 Laboratory<br />

The Viral Immunology Center, housed in the<br />

University’s six-floor, 500,000-sf natural sciences<br />

building, features a departmental animal facility in<br />

the basement and BSL-3 and -4 laboratories on the<br />

third floor, including a specialized BSL-4 for small<br />

animal models of disease. The Center, which occupies<br />

about 5,000 sf and employs 30 people, also includes<br />

two support BSL-2 laboratories, a biochemistry<br />

lab, robotics facility, offices, a fermentation lab,<br />

and shared departmental resources, including electron<br />

and confocal microscopy areas, a sequencing<br />

core, and a FACS-analysis core for cell sorting.<br />

The activities that take place in the Natural Science<br />

Center are of particular interest when designing<br />

a BSL-4 laboratory in a university setting. This<br />

building typically houses the departments of biology,<br />

chemistry, biochemistry, physics, and anatomy in<br />

addition to the BSL-4 lab. Research activities that<br />

are not part of the viral laboratories must also be<br />

taken into consideration when deciding where to<br />

locate the BSL-4 suites. Other activities to consider<br />

include teaching sessions and seminars.<br />

Providing access to the laboratories in a manner<br />

that protects visitors is critical to the efficient operation<br />

of the facility. Serious consideration is given to<br />

the type of barriers that are erected between common<br />

access hallways and restricted areas to ensure<br />

that lay visitors and research supporters can view the<br />

work taking place without being exposed to potential<br />

risks. Access is provided via keypad entry for students,<br />

faculty from other disciplines, visiting scientists,<br />

security and maintenance personnel, and inves-<br />

254<br />

Operating a BSL-4 Laboratory in a University Setting<br />

tigators. The BSL-3 and -4 laboratories have a magnetic<br />

card access so that entry and exit into the facilities<br />

can be tracked by a computer. With the additional<br />

restrictions imposed by the new Homeland<br />

Security Program, all individuals who work within<br />

the BSL-3 and -4 labs must first have federal security<br />

clearance after submission of extensive documentation<br />

to the FBI. The facilities must also meet Clinical<br />

Laboratory Improvement Amendments and Select<br />

Agent inspection requirements to carry out the<br />

research and diagnostic missions of the laboratory.<br />

Key Components of a Maximum-<br />

Containment Facility<br />

Each day Hilliard’s facility receives up to 20<br />

boxes from all over the world from individuals who<br />

may have been exposed to the secretions of a Macaca<br />

monkey. Minimizing the transport of materials going<br />

to high-containment areas is critical. When the samples<br />

arrive, they are triaged to determine what tests<br />

must be done so the results can be sent to the concerned<br />

individuals as quickly as possible.<br />

The packages, transported through an isolated<br />

hallway that is sectioned off from other areas of the<br />

facility, are opened in the Level 2 unpackaging<br />

room, attached to the BSL-3 and -4 suites. Each of<br />

these areas can be accessed only by computercontrolled<br />

keypad entry. Any materials that leave the<br />

BSL-4 facility undergo an intensive search for evidence<br />

of any live virus, using virus plaque assays to<br />

verify that all virus has been inactivated. If the assay<br />

is negative, the chain of custody for removal begins.<br />

Items that leave the BSL-4 laboratory must go<br />

through two sets of autoclaves or two sets of crosslinked<br />

glutaraldehyde dunk baths. Dunk baths enable<br />

chemical sterilization of the outside wall of submersed<br />

containers. This allows a live virus to be removed<br />

from the cabinet for ultra-low freezing and<br />

storage within the BSL-4 and passage of inactivated<br />

materials to the Level 2 labs. Live virus never leave<br />

the suite.<br />

The disposal system consists of two redundant<br />

150-gallon tanks that are released into a boilerdecontamination<br />

unit. A chilling mechanism cools<br />

the water, which is released into the public system


once it is steam disinfected and verified as inactivated.<br />

A drain is situated under the tanks to contain<br />

leakage, should that occur.<br />

The specialized HVAC unit dedicated to the<br />

independent air system of the BSL-3 and -4 suites is<br />

located on the roof of the Natural Sciences Center,<br />

while the decontamination facility is positioned under<br />

the BSL-4 laboratory. Computers are used to<br />

analyze temperatures, airflow, and the rooftop exhaust<br />

systems, which are actively engaged. In case of<br />

power failures, a natural gas backup system is in<br />

place to maintain air purification, negative pressure,<br />

and equipment power.<br />

It is critical to be able to monitor the temperature<br />

and air supply for each of the high-containment<br />

suites by computer on site or from remote locations<br />

by the extensively trained and certified engineer required<br />

to maintain the facility. The outer hallways<br />

are kept at negative pressure assessed by magnahelics,<br />

and with each step further into the biocontainment<br />

areas the negative pressure gradient increases<br />

according to the specifications outlined in the<br />

CDC’s Biosafety in Microbiological and Biomedical<br />

Laboratories.<br />

“The goal of the BSL-3 rooms is to isolate viruses<br />

from small samples. In order to process the samples,<br />

pull out the virus, and identify unusual agents, we<br />

have to have incubators that are fed five percent carbon<br />

dioxide and 95 percent air,” explains Hilliard.<br />

“We can’t bring tanks in and out of these rooms, so<br />

we have a separate alcove which houses the gas tanks<br />

feeding the incubators in the BSL-3 and BSL-4 labs.”<br />

It is challenging to keep the BSL-3 laboratories<br />

stocked and tidy at the same time, keeping in mind<br />

that many of the items that come into the labs are<br />

not going to leave until they are thoroughly melted<br />

down by repeated autoclaving. Disabled equipment<br />

cannot be removed from the laboratory for maintenance<br />

or repair. Tools for minor repairs are decontaminated<br />

with gas sterilization before they are removed<br />

from the maximum-containment suites.<br />

Keeping the Scientists Safe<br />

Necessary precautions are taken to protect the<br />

researchers while they are working in the laboratories.<br />

Scientists usually work in a cabinet or a suit lab,<br />

Tradeline Publications<br />

which relies on the standard biocontainment gear,<br />

in the BSL-4 facility. Working in a cabinet lab is extremely<br />

challenging, but considered safer than a suit<br />

lab because the individual uses large glove ports and<br />

is separated from the pathogen by thick stainless<br />

steel. The cabinet lab at the Center is 32-feet long<br />

and can accommodate three or four researchers at a<br />

time. A nearby animal section houses mice, rats, and<br />

rabbits, and a screen built into the cabinet allows<br />

investigators to visualize materials analyzed by an<br />

inverted, phase-contrast microscope.<br />

Working in the cabinet lab can sometimes lead<br />

to fatigue because scientists must do all of their work<br />

using arm-length gloves to maneuver materials<br />

within the stainless steel cabinet while working in a<br />

line with other researchers. Working in the suit lab<br />

allows scientists to use the traditional lab layout and<br />

to move around more freely. However, breathing the<br />

positive-pressure air in the suit can also cause fatigue.<br />

Barrier protection masks are worn at all times in<br />

the BSL-3 and -4 labs. Only <strong>10</strong> people on Hilliard’s<br />

staff are trained to work in the BSL-3 lab, while only<br />

five of these can enter the BSL-4 facility.<br />

“The masks are basically a reminder for us not to<br />

put our double-gloved hands up to our faces. If we<br />

relied on them as filtration or personal protection<br />

devices, we would go to something different,” says<br />

Hilliard. “All agents are handled in a Class 2 cabinet<br />

in the BSL-3, so there is no time at which an agent is<br />

uncapped in the room surrounding the cabinet.”<br />

Important Considerations<br />

Careful consideration must be given to the installation<br />

of all systems and how they will interact.<br />

The HVAC system at GSU had been repaired at an<br />

annual cost of $12,000 every year since Hilliard’s lab<br />

moved into the facility. A new HVAC system specifically<br />

engineered after analysis of previous failures<br />

was installed at a cost of $250,000 and 2003 marked<br />

its first year of operation.<br />

“This is an existing building that we modified. It<br />

wasn’t meant to be under constant negative pressure<br />

and that has caused substantial stress on the walls<br />

and ceiling,” says Hilliard. “Careful consideration of<br />

the systems that are linked is very important. We are<br />

255


ight in the middle of downtown on a rooftop so<br />

there are many issues to address.”<br />

Cabinet labs should be designed so they are ergonomically<br />

comfortable for researchers of varying<br />

physical stature. The cabinet labs at the Center were<br />

designed largely with the input of the former associate<br />

director, who is more than 6-feet tall, creating a<br />

challenge for other lab staff to do their work.<br />

Smaller gloves, extenders, and a few other modifications<br />

enable the other investigators to work relatively<br />

comfortably.<br />

It is also crucial to properly position the laboratories<br />

in a manner that is most conducive to the type<br />

of work being done. For example, a West Nile BSL-3<br />

is located adjacent to the robotics facilities that service<br />

the sera and viral culture laboratories.<br />

The BSL-2 labs have standard virology for lower<br />

containment agents like HSV-1 and HSV-2. The<br />

sum total of the work performed in these labs is to<br />

take core resources of the BSL-3 and -4 labs, combine<br />

them with the research missions, maintain a<br />

high-containment robotics lab for high-throughput<br />

virus identification, as well as serologic screening,<br />

perform microarray analysis, and be flexible enough<br />

to look at new agents as they come to the scientists’<br />

attention.<br />

“All of our work would be for naught if we<br />

didn’t have the supportive BSL-2 labs,” says Hilliard.<br />

The robotics unit can perform multiple tests and<br />

process thousands of sera daily. The viral culture<br />

robot can plate samples and screen them at multiple<br />

times during the day for the presence of a virus. This<br />

allows mass processing of thousands of diagnostic<br />

samples. If a disturbance in cell culture is noted, a<br />

pager is sounded and an investigator is called to the<br />

room for further analyses and to notify the institution<br />

submitting the sample for analysis.<br />

“In the BSL-4 laboratory, the goal of our work<br />

is the production of large amounts of virus and containing<br />

the supply very securely,” says Hilliard. “We<br />

can then look at drug sensitivities and how the virus<br />

256<br />

Operating a BSL-4 Laboratory in a University Setting<br />

behaves in cells in order to understand the pathogen<br />

and how to control it.”<br />

Biography<br />

Julia Hilliard is director of the Viral Immunology<br />

Center at Georgia State University in the Department<br />

of Biology. She is also the Georgia Research<br />

Alliance Eminent Scholar in Molecular Biotechnology<br />

and Director of the National B Virus<br />

Resource Center for global diagnostic resources. She<br />

has worked with the BSL-4, newly classified Select<br />

Agent, B Virus (Cercopithecine herpesvirus 1) for 23<br />

years, providing diagnostic resources to the biomedical<br />

community for the last 16 years.<br />

This report is based on a presentation given by<br />

Julia Hilliard at Tradeline’s International Conference<br />

on Biocontainment Facilities in May 2003.<br />

For more information, please contact: Julia Hilliard,<br />

Director, Viral Immunology Center, Georgia<br />

State University, Box 4118, Atlanta, GA 30302-<br />

4118, 404-651-0811, jhilliard@gsu.edu.<br />

Reprinted with Permission © December 2003 from<br />

TradelineInc.com, a registered product of Tradeline Inc.,<br />

a provider of leading-edge resources to facilities planning<br />

and management through conferences, publications, and<br />

the Internet community. Visit www.TradelineInc.com for<br />

more information.<br />

Resources<br />

Biosafety in Microbiological and Biomedical<br />

Laboratories:<br />

www.cdc.gov/od/ohs/biosfty/bmbl4/bmbl4toc.htm<br />

Clinical Laboratory Improvement Amendments:<br />

www.cms.hhs.gov/clia/<br />

Select Agents:<br />

www.cdc.gov/od/sap/docs/salist.pdf<br />

Viral Immunology Center:<br />

www.gsu.edu/~wwwvir/index.html


Figure 1<br />

The entry area for the maximum-containment<br />

labs includes a pass-through shower. Scientists<br />

prepare for their work by donning either a<br />

suit lab or working in the cabinet lab.<br />

(Photo courtesy of Julia Hilliard.)<br />

Tradeline Publications<br />

Figure 2<br />

Materials that leave the BSL-4 lab go through<br />

two sets of autoclaves or two sets of cross-linked<br />

glutaraldehyde dunk baths. A decontamination<br />

facility is situated under the lab. The disposal<br />

system consists of two redundant 150-gallon<br />

tanks released into a boiler-decontamination unit.<br />

(Photo courtesy of Julia Hilliard.)<br />

Figure 3<br />

When pathogen samples arrive, the packages are transported through an isolated hallway<br />

that is cordoned off from other areas of the facility. They are opened in a Level 2 unpackaging<br />

room, which is attached to the BSL-3 and -4 labs. (Photo courtesy of Julia Hilliard.)<br />

257


Abstract<br />

258<br />

Special Feature<br />

Use of Multiple SOP Styles to Increase<br />

Personnel Compliance and <strong>Safety</strong> Within<br />

a BSL-2/BSL-3 Animal Facility<br />

Andrea Mitchell, Jeri Ellis, and Tim Ruddy<br />

University of Arizona Animal Care, Tucson, Arizona<br />

Biohazard training and compliance of husbandry<br />

and research staff are often complicated at the University<br />

of Arizona by the sporadic nature of the work<br />

within the BSL-2/BSL-3 suite. Projects may last for a<br />

month and then not be repeated for a significant period<br />

of time. Failure to adhere to approved safety measures<br />

and techniques for specific rooms/projects over time<br />

increased the need for clear standard operating procedures<br />

(SOPs) that were easily accessed and utilized.<br />

SOPs available only in the employee lounge are of little<br />

use when a question arises while changing cages within<br />

a BSL-2 animal room. To this end, new SOP formats<br />

and display locations were developed and instituted to<br />

increase awareness and comprehension of techniques<br />

used within the BSL-2/BSL-3 suite. Changes included<br />

the placement of plain text as well as picture-enhanced<br />

SOPs in common areas such as the employee lounge<br />

and entrance to the biohazard suite, and within the animal<br />

rooms. The introduction of SOPs containing color<br />

photographs has been instrumental in increasing compliance<br />

of in-room procedures by both native English<br />

speakers and those who do not speak English as a first<br />

language. Overall, the use of multiple styles of SOPs<br />

has been a huge success. This process has helped to<br />

reduce confusion and increase compliance by both the<br />

husbandry and research staffs working within the University<br />

Animal Care facilities.<br />

Introduction<br />

In 2002, a review of University Animal Care<br />

(UAC) husbandry and research staff procedures<br />

within the biohazard suite at the Central Animal<br />

Facility identified several areas of concern. Even<br />

though SOPs formalized in the late 1990s were GLPcompliant,<br />

most husbandry technicians did not have<br />

a good understanding of the SOPs or biosafety basics<br />

and were using techniques and procedures that<br />

could potentially cause the spread of contamination<br />

to personnel and/or the environment. Less than<br />

optimal processes were immediately halted and all<br />

husbandry staff were retrained based on existing versions<br />

of SOPs. Fortunately, the agents in use were<br />

primarily ABSL-2, and appropriate personal protective<br />

equipment (PPE) was being worn when the animals<br />

were handled. Research staff used appropriate<br />

technique when working with their animals, but had<br />

difficulty packaging contaminated cages appropriately<br />

for autoclaving out of the suite, often necessitating<br />

the unpacking and repacking of cages.<br />

Data Gathering<br />

Staff Interviews<br />

UAC husbandry and research technicians were<br />

surveyed to establish the cause of the breakdown in<br />

technique and noncompliance with UAC SOPs.<br />

Numerous barriers were identified:


Complex or Unique Procedures. Husbandry<br />

technicians frequently used practices appropriate for<br />

sterile animal rooms instead of the required practices<br />

needed for biohazard rooms. As the bulk of<br />

their workload involved handling “clean” animals,<br />

they found it counter-intuitive to handle the “dirty”<br />

animals differently. The mindset that the animals<br />

must be protected from the technician and the environment<br />

was ingrained and using techniques to protect<br />

personnel, not animals, was reported as “feeling<br />

wrong.”<br />

Individual Variations Among Studies. Procedural<br />

differences based on the agent used confused<br />

the husbandry technicians. Often the techniques<br />

used with one study were applied to the next, without<br />

regard to the differences in agent or route of<br />

infection.<br />

Training. Husbandry technicians were often<br />

trained by the last person to work in the animal<br />

room, with minimal emphasis on SOPs. Incorrect<br />

techniques were passed from one technician to the<br />

next, creating the “we’ve always done it this way”<br />

mindset. A heavy reliance was placed on expecting<br />

the technician to memorize and retain verbal information<br />

rather than to consult written documentation.<br />

Sporadic Nature of the Studies. The sporadic<br />

nature of the biohazard studies hindered the process<br />

of knowledge “ownership” by the husbandry technicians.<br />

Often a study would last several weeks and not<br />

be repeated for 6 months to a year. It was found that<br />

husbandry technicians were trying to rely on memory<br />

rather than written documentation to refresh<br />

their memories about required processes.<br />

Imprecise and Tedious SOPs. A review of existing<br />

husbandry SOPs showed that there were process<br />

inaccuracies, as well as contradictory statements<br />

among SOPs. Husbandry technicians complained<br />

that reading SOPs was tedious and time-consuming.<br />

The inaccuracies caused confusion, often resulting<br />

in the technician abandoning the SOP and relying<br />

on memory to complete a task.<br />

Location of SOPs (distance to animal room).<br />

Husbandry technicians reported distance from the<br />

animal room to the employee lounge, where the<br />

GLP-compliant SOPs were kept, as an issue in the<br />

use of SOPs. They related that if a question arose<br />

A. Mitchell, et al.<br />

while in the animal room, they did not want to<br />

waste time by removing their PPE, leaving the room,<br />

and searching out the appropriate SOP. Instead,<br />

they would rely on memory and check the SOP after<br />

their animal room work had been completed.<br />

Language. Some husbandry and research staff<br />

identified difficulty comprehending written instructions<br />

as one barrier to bagging contaminated caging<br />

appropriately. The individuals experiencing the most<br />

difficulty were those for whom English was not their<br />

primary language.<br />

Communication. Instructions from research<br />

staff as to PPE and husbandry procedures used for<br />

their agent at times varied from the information included<br />

in the Institutional Animal Care and Use<br />

Committee (IACUC)-approved protocol.<br />

Institutional Input<br />

Next, the IACUC-approved protocols were reviewed<br />

for agents and species, PPE and equipment<br />

needed, and procedures involved in the study. This<br />

information was then compared to existing GLPcompliant<br />

UAC husbandry SOPs and the differences<br />

between the two were discussed with the University<br />

Biosafety Officer to facilitate changes needed<br />

in the SOPs to increase compliance with known industry<br />

standards for the agents used.<br />

Materials and Methods<br />

SOPs<br />

Based on the data gathered from the IACUC<br />

protocols and interviews with researchers, UAC husbandry<br />

staff, research staff, and the University Institutional<br />

Biosafety Officer, it was apparent that the<br />

UAC biohazard SOPs needed revamping. The information<br />

presented in the SOPs, as well as the location<br />

and format of the SOPs, needed to be addressed.<br />

It was found that new husbandry staff<br />

needed the in-depth presentation of the GLPcompliant<br />

SOPs during initial training and for occasional<br />

review, whereas experienced staff had no need<br />

to read hundreds of pages of SOPs every time they<br />

were assigned to a biohazard animal room for the<br />

week.<br />

To this end, all biohazard SOPs were reviewed<br />

and revised. Careful attention was paid to ensuring<br />

259


260<br />

Use of Multiple SOP Styles to Increase Personnel Compliance and <strong>Safety</strong><br />

that interconnecting SOPs “spoke” to each other<br />

with accuracy. Two non-GLP-compliant SOP formats<br />

were developed to distill the information presented<br />

in the GLP-compliant SOPs to an abbreviated<br />

format for use by experienced, trained husbandry<br />

staff members. SOP placement was also revised:<br />

Employee Lounge SOP Book. University Animal<br />

Care maintains master electronic copies of GLPcompliant<br />

standard operating procedures which are<br />

available for review on a computer located in the<br />

employee lounge. Pictures were added to those SOPs<br />

where a photo could illustrate a complex issue, increase<br />

comprehension, and reduce the wordiness<br />

inherent in complex SOPs. To increase accessibility<br />

specifically to the biohazard SOPs, photocopies were<br />

organized into a three-ring binder and placed in the<br />

employee lounge.<br />

Entrance to the Biohazard Suite SOP Binder.<br />

The biohazard suite is on a different floor from the<br />

employee lounge. Because of this, another three-ring<br />

binder containing photocopies of the GLPcompliant<br />

husbandry biohazard SOPs was placed in<br />

the entry airlock to the biohazard suite. SOPs were<br />

placed in plastic sleeves with closure flaps to keep<br />

the pages clean and facilitate updating the binder<br />

without spending excessive dollars to laminate the<br />

pages. This location allows the husbandry technicians<br />

to review procedures prior to entering the biohazard<br />

suite.<br />

Animal Room. Several changes were implemented<br />

at the animal room level:<br />

• A biohazard questionnaire was designed and<br />

implemented to address several of the issues identified<br />

during the data-gathering phase. The questionnaire<br />

(shown in abbreviated format in Figure 1) is<br />

completed by the PI before a new study begins (new<br />

agent or change in procedure). The Animal Facility<br />

Supervisor compares the information presented on<br />

the questionnaire with the listed IACUC protocol to<br />

determine if there are any differences in the PPE<br />

and procedures listed on the documents. Discrepancies<br />

are addressed prior to the start of the study. The<br />

Animal Facility Supervisor also searches the Web to<br />

gain third-party insight into the hazards associated<br />

with the agent. The multi-page questionnaire is converted<br />

into a single page SOP (Figure 2) for posting<br />

on the outside of the animal room door for the<br />

duration of the study. This SOP provides several<br />

key pieces of information that the husbandry technician<br />

needs prior to entering the animal room: agent<br />

used, species used, contaminated caging/dead animal/trash-processing<br />

procedures, contact name, and<br />

phone number. This SOP varies in format and<br />

length from the GLP-compliant SOPs in an attempt<br />

to increase comprehension and compliance by using<br />

a pared down, bullet-point presentation of information.<br />

The purpose of this SOP is to quickly answer<br />

the question “What do I need to do in this room?”<br />

leaving the “How do I do this task?” to the more extensive<br />

GLP-compliant SOP format. As an example,<br />

Figure 2 instructs the husbandry technician to autoclave<br />

the soiled cages. This translates roughly into 15<br />

individual GLP-compliant SOPs and 25+ pages of<br />

material for the naïve husbandry technician to read.<br />

The experienced husbandry technician needs to<br />

know only “Do I autoclave the dirty caging?” The<br />

naïve technician needs to know how to put on the<br />

PPE, change the cages, bag the cages, operate the<br />

autoclave, etc.<br />

• A photo-enhanced SOP (shown in abbreviated<br />

format in Figure 3) was designed to increase compliance<br />

by research and husbandry staff when bagging<br />

dirty caging for autoclaving. Including pictures with<br />

text has increased procedural compliance while decreasing<br />

the amount of caging that must be reprocessed.<br />

The laminated SOP is posted on each biosafety<br />

cabinet within the animal facility. This SOP<br />

also varies in format from the GLP-compliant SOPs<br />

in an attempt to increase comprehension and compliance<br />

by using bright, colorful, digital pictures to<br />

illuminate a process that is vital to ensure sterilization<br />

of contaminated caging. Autoclave package size<br />

limitations and autoclave operational idiosyncrasies<br />

increase the need for compliance to departmental<br />

SOPs.<br />

• Three-ring binders containing the GLPcompliant<br />

SOPs pertaining specifically to that room<br />

were placed in the BSL-3 anterooms. These rooms<br />

vary radically in equipment, procedures, and personnel<br />

risk from the BSL-2 rooms and each other. The<br />

additional reference material has been a key component<br />

in training new personnel. Once again, SOPs<br />

were placed in plastic sleeves with closure flaps to<br />

facilitate updating the information.


Training to the SOPs<br />

After the GLP-compliant SOPs were revised, the<br />

additional SOP designs formalized, and both styles<br />

put in place, departmental training packets were updated<br />

to reflect the changes in procedures and processes.<br />

Husbandry staff members were retrained and a<br />

“one size fits all” mindset was discouraged. Emphasis<br />

was placed on recognizing the differences in procedures<br />

in their daily routine. Husbandry staff members<br />

are now formally trained using all styles of biohazard<br />

SOPs and are fully aware of where to find the<br />

information they need to work safely in the animal<br />

rooms.<br />

Conclusion<br />

Compliance with standard operating procedures<br />

is a crucial step in ensuring the safety of husbandry<br />

A. Mitchell, et al.<br />

and research technicians working in areas housing<br />

animals exposed to biohazards. It is vital to identify<br />

barriers to comprehension of SOPs by the technicians.<br />

Physical location, language, and accuracy are<br />

all important factors to consider when reviewing<br />

SOPs. Is the SOP in an area where the technician<br />

can review it when actually performing the task? If<br />

not, is it possible to place the information where it<br />

will be readily accessible? Is it important that all of<br />

the information is presented in its entirety or can<br />

the SOP be abbreviated and the format changed to<br />

present a more readily comprehended and consumed<br />

product? Will using pictures reduce confusion<br />

and wordiness? Do all interrelated SOPs speak<br />

to one another accurately? By answering these questions,<br />

University Animal Care was able to produce<br />

stronger SOPs and a safer working environment for<br />

its technicians and research staff.<br />

IMPORTANT .................IMPORTANT......................IMPORTANT...............IMPORTANT<br />

Name<br />

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address change notification will not be replaced, but single issues may be purchased at the single issue price.<br />

Old Address<br />

Old Phone <strong>Number</strong><br />

NEW ADDRESS<br />

CHANGE OF ADDRESS FORM<br />

CITY STATE ZIP +4<br />

NEW PHONE NUMBER<br />

E-MAIL ADDRESS<br />

Effective Date<br />

261


FIGURE 1<br />

UAC Biohazard Information Questionnaire<br />

This worksheet has been prepared to aid in the establishment of investigator specific Standard Operating Procedures<br />

(SOPs) for biohazard studies. Completing this worksheet will better enable UAC to care for your biohazardous animals<br />

and assist you in meeting your research goals.<br />

This form must be filled out and submitted to the UAC Facility Supervisor prior to initiation of animal<br />

experiments.<br />

P.I. Office Phone # Research Tech:<br />

Lab Phone # Weekend/Holiday Contact Name and Phone #:<br />

Species used: Protocol #:<br />

Agent used: Please check all that apply and list agent (s). (Note: This form must be filled out in addition to the<br />

Authorization Form for Radioactive Material.)<br />

Carcinogenic agent(s):<br />

Radioactive agent(s):<br />

Human Infectious Agent(s):<br />

Animal Infectious Agent(s):<br />

Study size and duration:<br />

How many cages of animals do you expect to have in use at a time?<br />

How long will the animals be in the room?<br />

If using a radioactive compound, can the animals be housed in a general animal room?<br />

Husbandry Tasks. Please check one:<br />

UAC staff will do all husbandry tasks for the room. This includes changing the cages, removing dead animals,<br />

servicing the cages by adding food and water as needed and changing flooded cages.<br />

Investigator will perform all husbandry tasks. (Note-This includes packaging the used caging/bedding/trash for<br />

autoclaving.)<br />

Investigator and UAC staff will share husbandry tasks. Please explain:<br />

Diets: Please check one<br />

All mice will be fed Teklad NIH-31 diet<br />

All rats will be fed Teklad 4% Mouse/Rat diet<br />

Other, Please explain:<br />

Protective Equipment Needed:<br />

All personnel entering this room need to wear the following: Please check all that apply:<br />

Bonnet N95 Respirator Eye protection Yellow gown Jump suit Shoe covers Gloves<br />

Other:<br />

All personnel handling the animals in this room need to use the following when opening the cages:<br />

Biosafety Cabinet Glove Box Chemical Fume Hood Other:<br />

Check all that apply:<br />

All animal cages and bedding must be autoclaved after use in the animal room.<br />

All animal bedding must be disposed of in yellow radioactive bags and the label filled out.<br />

All trash must be autoclaved prior to disposal from the animal room.<br />

Trash may be disposed in the red barrels without autoclaving.<br />

All animal carcasses must be autoclaved prior to disposal.<br />

All animal carcasses must be disposed of in yellow radioactive bags and the label filled out.<br />

Animal carcasses may be disposed of in the red barrels without autoclaving.<br />

Other:


FIGURE 2<br />

UAC Biohazard SOP (Completed Sample)<br />

P.I. John Jones, DVM, PhD P.I. E-mail: jjones@u.arizona.edu Office Phone # 555-1234<br />

Research Technician: Jane Smith E-mail: jsmith@u.arizona.edu Fax # 555-2345<br />

Lab Phone # 555-3456 Weekend/Holiday Contact Name and Phone #: Jane 555-9023<br />

Species used: Mouse Protocol #: 04-555<br />

Agent used: Human and Animal Infectious Agent: Cryptosporidium parvum<br />

Study size and duration: Approximately <strong>10</strong>-12 cages will be in the room for 7-<strong>10</strong> days.<br />

Husbandry Tasks.<br />

UAC staff will do all husbandry tasks for the room. This includes changing the cages,<br />

removing dead animals, servicing the cages by adding food and water as needed and<br />

changing flooded cages.<br />

Diets: All mice will be fed Teklad NIH-31 non-irradiated mouse chow.<br />

Protective Equipment Needed:<br />

All personnel entering this room need to wear the following: Please check all that apply:<br />

Bonnet N95 Respirator Yellow gown Impervious shoe covers x 2 Gloves x 2<br />

All personnel handling the animals in this room need to use the following when opening the cages: Biosafety<br />

cabinet<br />

Check all that apply:<br />

All animal cages, bedding and trash must be autoclaved after use in the animal room.<br />

Animal carcasses may be disposed of in the red barrels without autoclaving.<br />

Personnel must ungown in the ante room.<br />

The PI will be responsible for terminating all moribund animals.<br />

Notification of Death: Death slips will be filled out and mailed as usual. Investigators will be notified<br />

immediately upon finding dead animals in order for them to harvest tissues or necropsy.<br />

P.I. UAC Supv.<br />

Signature Date Signature Date


264<br />

FIGURE 3<br />

Bagging animal caging using a biosaf ety cabinet with a dump station:<br />

1<br />

4<br />

5<br />

Join a Committee<br />

Use of Multiple SOP Styles to Increase Personnel Compliance and <strong>Safety</strong><br />

1. Gown up before entering the ani mal room.<br />

See door SOP for specific PPE worn.<br />

2. Line the dump station barrel with a red, or<br />

orange bi ohazard bag – see door SOP.<br />

3<br />

3. T urn the biosafety cabinet on.<br />

4. Clean cabinet with Clidox. Spray directl y on all surfaces except<br />

“ceiling” and wi pe down with paper towels. Follow the same<br />

process with alcohol.<br />

5. Place clean cages, water bottles, etc. i n the biosafety cabinet if<br />

changing cages.<br />

Have you ever considered joining a committee? When you choose to serve on a volunteer committee, you<br />

open up a world of possibilities for networking, professional growth, and career opportunities while serving<br />

your profession. Volunteer member groups are the backbone of the association because they:<br />

• Serve as a forum for exchange of information<br />

• Advance the science in all specialties of biosafety<br />

• Develop guidelines and standards<br />

• Provide education and training<br />

• Link ABSA to many other institutions<br />

You should explore committees in areas of the profession where you are active or have an interest. There<br />

is a great variety; you can be sure to find one of interest to you. Please review the list of committees and<br />

identify those areas in which you would like to participate or contact the chair of the committee (http://<br />

www.absa.org/abocommittees.html) that interests you to find out more information about the committee’s<br />

goals. You are also invited to attend the committee’s meeting during our national conference or at any other<br />

time (all committee meetings are open).<br />

2


Special Feature<br />

Book Review<br />

Reviewed by George A. Pankey<br />

Ochsner Clinic Foundation, New Orleans, Louisiana<br />

Revenge of the Microbes<br />

By Abigail A. Salyers and Dixie D. Whitt<br />

Washington, DC: ASM Press for Microbiology<br />

186 pp, $ 29.95<br />

ISBN: 1-55581-298-8<br />

This book, for “the general public about antibiotics<br />

and resistance to them,” is the authors’ first<br />

attempt at such a publication. They are both wellknown<br />

scientists and microbiology educators who<br />

have written textbooks on the subject.<br />

As would be expected, some of the material in<br />

Revenge of the Microbes is a little too advanced for the<br />

“general public”; however, for students of medicine,<br />

and members of ABSA, this is an excellent little<br />

book that makes a strong attempt to orient the<br />

reader to the problems of antimicrobial resistance<br />

and the potential etiologies. It is particularly refreshing<br />

that potential contributors to the problem are<br />

not lambasted. Discussions on the use and abuse of<br />

antibiotics by physicians, veterinarians, farmers, and<br />

industry are presented in a balanced fashion. The<br />

dentists somehow escaped discussion, although they<br />

are big antimicrobial users.<br />

I especially enjoyed the historical coverage and<br />

the issues to ponder that occur at the end of each of<br />

the 11 chapters. Following is my evaluation of each<br />

chapter, in parentheses, after each title:<br />

1. Magic Bullets, Miracle Drugs (Excellent)<br />

2. A Brief Look at the History of Antibiotics (Excellent)<br />

3. Bacteria Reveal Their Adaptability, Threatening the<br />

Brief Reign of Antibiotics (Simple and accurate)<br />

4. Antibiotic-Resistant Bacteria in the News (The re-<br />

porters get their due.)<br />

5. Antibiotics that Inhibit Bacterial Cell Wall Synthesis<br />

(Clearly detailed)<br />

6. Antibiotics that Inhibit the Synthesis of Bacterial Proteins<br />

(Good, but eperezolid has not “hit the market”<br />

yet)<br />

7. Fluoroquinolones, Sulfa Drugs, and Antituberculosis<br />

Drugs (Treatment specifics of antibiotic choices<br />

and side effects are not data-based and material<br />

ventures too far from the principles under discussion.)<br />

8. Bacterial Promiscuity: How Bacterial Sex Contributes<br />

to Development of Resistance (Beautifully written)<br />

9. The Looming Crisis in Antibiotic Availability (A<br />

must read)<br />

<strong>10</strong>. Antiseptics and Disinfectants (A practical and simple<br />

summary)<br />

11. Antiviral, Antifungal, and Antiprotozoal Compounds<br />

(Shows that bacteria are not the only antimicrobial-resistant<br />

microorganisms)<br />

The authors’ folksy writing style makes reading<br />

the book very pleasant. It reminded me of many of<br />

the authors in the United Kingdom whose writing<br />

style keeps one interested and awake.<br />

Revenge of the Microbes is appropriately illustrated<br />

and has an adequate suggested reading list. I<br />

did not find the “structures of antimicrobial agents<br />

mentioned in the text” in Appendix I or Appendix<br />

II regarding “how clinical laboratories measure resistance”<br />

to be necessary or appropriate for the intended<br />

audience. However, this book should be required<br />

reading for all medical, veterinary, nursing,<br />

and pharmacy students as well as those interested in<br />

biosafety.<br />

265


266<br />

Special Feature<br />

Book Review<br />

Reviewed by Michael P. Owen<br />

U.S. Food and Drug Administration Pacific Regional Laboratory Northwest, Bothell, Washington<br />

Biodefense: Principles and Pathogens<br />

Edited by Michael S. Bronze<br />

and Ronald A. Greenfield<br />

Wymondham, United Kingdom: Horizon Bioscience<br />

838 pp., $335, hardcover<br />

ISBN: 1-9094933-12-2<br />

Disclaimer: The opinions and conclusions expressed<br />

in this article are solely the views of the reviewer<br />

and do not necessarily reflect those of the<br />

U.S. Food and Drug Administration.<br />

The 2001 anthrax attacks on the East Coast of<br />

the United States, the 1984 release of Salmonella bacteria<br />

in Oregon, the multiple attempts by the Aum<br />

Shinrikyo cult in Japan to use biological weapons,<br />

and the regularly-reported threats of Al-Qa’ida and<br />

other terrorist movements attempting to use biological<br />

agents have demonstrated that the public health<br />

sector needs an increased sense of urgency to adequately<br />

prepare for bioterrorism events.<br />

One core component of biodefense is continuing<br />

education. Physicians, scientists, government<br />

officials, and other groups involved in public health<br />

need to be constantly aware of current developments<br />

in disease pathology, treatments, detection, biological<br />

safety, and biosecurity to provide an effective response<br />

to bioterrorism attacks. Michael S. Bronze<br />

and Ronald A. Greenfield, University of Oklahoma<br />

Health Sciences Center in Oklahoma City, Oklahoma,<br />

have edited a book about biodefense that assists<br />

with this challenge. One of the notable aspects<br />

of this text is that its information is current, including<br />

many references published in <strong>2005</strong>.<br />

Biodefense: Principles and Pathogens’ 23 chapters<br />

are detailed review articles and the book is actually<br />

two different texts in the same volume. The first<br />

seven chapters are a general discussion on biodefense,<br />

including a history of biological weapons, public<br />

health preparedness, public policy and legal issues<br />

surrounding terrorism in the U.S., hospital preparedness<br />

and infection control, surveillance and detection<br />

methods, and psychosocial issues.<br />

The remaining 16 chapters are detailed presentations<br />

about biological agents and biological toxins.<br />

Most of these chapters have sections on the agent’s<br />

history, microbiology, epidemiology, pathogenesis,<br />

veterinary manifestations, clinical manifestations in<br />

humans, diagnosis, treatment, prognosis, prevention,<br />

and research issues. Substances from all three<br />

CDC Bioterrorism Agent Categories A, B, C are<br />

presented. Chapters about food safety, water safety,<br />

agroterrorism, and emerging infectious diseases such<br />

as multi-drug resistant tuberculosis and severe acute<br />

respiratory syndrome are also included, along with a<br />

timely discussion on highly pathogenic avian influenza.<br />

Biodefense: Principles and Pathogens is almost entirely<br />

text. Although there are few images and tables,<br />

those that are included summarize many of the<br />

book’s important topics. The limited graphics is not<br />

necessarily a disadvantage because Biodefense: Principles<br />

and Pathogens is basically one large review article.<br />

As a result of this format, the book contains more<br />

information than tightly-packed chromatin in an<br />

eukaryotic cell. If the reader wants to see more<br />

graphics, the excellent citations and lists of references<br />

should minimize any effort to locate original<br />

publications containing the desired graphics.<br />

The first section presents many excellent points<br />

on preparedness. For example, the text compares<br />

nations such as the United Kingdom and Israel that


have national bioterrorism response plans in place to<br />

the United States which has 50 different plans, one<br />

for each state. Additionally, when discussing the<br />

Strategic National Stockpile of pharmaceuticals and<br />

vaccines, the text cautions that most communities<br />

will be on their own for at least 72 hours until these<br />

supplies can be distributed. It is a sad irony that a<br />

few months after this book was published, the U.S.<br />

was challenged by these issues during the strikes of<br />

Hurricane Katrina and Hurricane Rita. As a result of<br />

those two storms, adjusting the responsibilities of<br />

federal, state, and local agencies when responding to<br />

natural disasters and terrorist attacks and planning<br />

for the degree of self-sufficiency in disaster response<br />

each must assume will likely be often discussed topics<br />

over the next several years.<br />

The chapter on surveillance and detection is well<br />

written and lists methods that are both state-of-theart<br />

and in development. A longer discussion about<br />

the CDC Laboratory Response Network (LRN)<br />

would have been helpful; however, this subject is<br />

addressed in detail on the CDC web site<br />

and in <strong>Biological</strong> Weapons Defense:<br />

Principles and Mechanisms for Infectious Diseases<br />

Counter-Bioterrorism by Lindler et al (Humana Press,<br />

December 2004).<br />

The chapters on the agents are comprehensive.<br />

Because of their depth and detail, physicians and<br />

scientists will probably find them more useful than<br />

the general public. As in the first part of the book,<br />

the references continue to be very current and easily<br />

retrievable. The clinical information is written at a<br />

level of detail similar to the PDR Guide to <strong>Biological</strong><br />

and Chemical Warfare Response: Diagnosis, Treatment,<br />

Prevention by Sifton et al (Thomson PDR, February<br />

2002) and is oriented toward physicians and other<br />

healthcare personnel. The microbiology sections are<br />

in-depth summaries of current knowledge. The research<br />

issues presented at the end of each agent’s<br />

chapter list several new treatment strategies in development.<br />

The first half of the book could have been ex-<br />

M. P. Owen<br />

panded. These chapters offer only an overview of<br />

bioterrorism preparedness; however, they do provide<br />

a solid launching pad for further investigation into<br />

this topic, and the long lists of references make finding<br />

information on this subject easier.<br />

The food safety, water safety, and agroterrorism<br />

chapters would have been more useful if they were<br />

longer, too. However, this observation is not actually<br />

a weakness of the book. As mentioned above, the<br />

text is meant to be a review of biodefense. The relatively<br />

small size of these sections is most likely<br />

the result of most efforts in biodefense and infectious<br />

diseases being focused on higher-level threats.<br />

Longer reviews will likely appear when research efforts<br />

in these areas are increased.<br />

The main disadvantage of Biodefense: Principles<br />

and Pathogens is the cost, which is higher than many<br />

biodefense and biology books available today. Including<br />

an electronic version of the book on a CD-<br />

ROM, similar to <strong>Biological</strong> Weapons Defense: Principles<br />

and Mechanisms for Infectious Diseases Counter-<br />

Bioterrorism, would have been a helpful addition. Another<br />

option would have been access to a Web site<br />

that has book updates similar to Molecular Cloning: A<br />

Laboratory Manual by Sambrook and Russell (Cold<br />

Spring Harbor Laboratory Press, January 2001).<br />

Again, the lists of references at the end of each chapter<br />

are quite valuable, saving readers a great deal of<br />

time on literature searches.<br />

Biodefense: Principles and Pathogens is a good<br />

primer on current issues in biodefense. Although it<br />

will be most beneficial to physicians and researchers,<br />

the text will also be helpful to biological safety professionals,<br />

especially when performing risk assessments.<br />

It will be a nice addition to any biodefense,<br />

infectious disease, or biological safety library.<br />

Acknowledgement<br />

I would like to thank Karen B. Byers for providing<br />

the opportunity to review the text and submit a<br />

review for this journal.<br />

267


Do you have a biosafety question and you’re not<br />

sure who to ask? Send your questions to the “Ask<br />

the Experts” column and I’ll get them answered for<br />

you. Drawing from my own experience or that of<br />

other experts in the field, we’ll try to compile a thorough<br />

and comprehensive answer to your question.<br />

Please e-mail your questions to jkeene@biohaztec.<br />

com or to Co-Editor Barbara Johnson at barbara_johnson@verizon.net<br />

or Co-Editor Karen B.<br />

Byers at karen_byers@dfci.harvard.edu.<br />

HEPA-Filtered Supply Air for<br />

BSL-3 Laboratories?<br />

Question<br />

I have observed that NIH Design and Policy<br />

Guidelines (http://orf.od.nih.gov/policy/index.htm)<br />

do not appear to require HEPA filtration of air supply<br />

at the BSL-3 level. Isn’t there a possibility that<br />

microorganisms could be drawn into the intake air<br />

and potentially affect the outcome of the science<br />

being conducted in a BSL-3 lab (or any other lab)? If<br />

so, to satisfy the requirement for “flexibility,” wouldn’t<br />

it be more prudent to suggest that designers provide<br />

Air Handling Units (AHUs) with the capacity of<br />

adding HEPA filters?<br />

If I’m not mistaken, the source of the contamination<br />

in the air supply during the Legionnaire’s<br />

incident turned out to be carried on airborne dust<br />

from a construction site in close proximity to the air<br />

intakes of the hotel. Are the 30% prefilters and the<br />

95% filters that the guidelines require for supply air<br />

adequate to prevent a similar incident?<br />

268<br />

Special Feature<br />

Ask the Experts<br />

John H. Keene<br />

Biohaztec Associates, Midlothian, Virginia<br />

Response<br />

The question of HEPA filtration of supply air<br />

for containment laboratories is being asked more<br />

frequently as the construction of more containment<br />

laboratories is being considered. The intake air in<br />

most facilities is filtered by a prefilter and a 95% filter<br />

(not HEPA). This level of filtration is sufficient<br />

for both the general building and the containment<br />

laboratory. HEPA filtering of the air delivered to the<br />

BSL-3 laboratory is not necessary to protect the work<br />

since all open manipulations of infectious materials<br />

are performed in a biosafety cabinet or other physical<br />

containment devices. Moreover, these are leaky<br />

labs and air is drawn through the door from areas<br />

outside of the laboratory anyway.<br />

HEPA filtration of the air in these containment<br />

labs was considered because of concern about potential<br />

“backflow” of air from the lab to the supply system.<br />

This is not a valid concern for several reasons:<br />

1. The lab is not generally contaminated since the<br />

work is contained.<br />

2. In modern buildings control systems should ensure<br />

that the lab would not go positive in case of an<br />

exhaust fan failure.<br />

3. If for some reason the controls failed and the lab<br />

did go positive, the air would take the route of least<br />

resistance—the spaces around the doors and not the<br />

supply system which has a built-in resistance in the<br />

building filter system, and which, if it is still running,<br />

would be pushing air into the room so it<br />

would have to escape through another route.<br />

4. For any possible release, a highly unlikely sequence<br />

of events would have to occur, i.e., a spill in<br />

the laboratory at the same time that the exhaust


fans, primary and backup, failed as well as the supply<br />

fan failing at the same time.<br />

In addition, installing HEPA filters because of a<br />

concern about contamination of the supply duct<br />

work in a containment lab should be reviewed carefully.<br />

HEPA filtration of clean rooms is performed<br />

to reduce the particulate count in these rooms, not<br />

necessarily to remove infectious particles. The filters<br />

are placed so that the supply air blows against the<br />

filter and against the seal of the filter to the housing,<br />

thus ensuring, when properly installed, the continued<br />

seal of the filter. If one assumes that there is a<br />

possibility of contamination of the ducts (not a realistic<br />

assumption given the above discussion), one<br />

would want to install the HEPA filter so that it<br />

would seal in the direction of the potentially contaminated<br />

air flow, which would be toward the supply<br />

air duct. However, with the supply air blowing in<br />

the opposite direction the majority of the time, it<br />

would be difficult, if not impossible, to ensure that<br />

Fact Sheets on Terrorist Attacks<br />

J. H. Keene<br />

the filter seal was not disrupted by the push of air<br />

against it. Secondly, if it is assumed that the laboratory<br />

air is contaminated when it passes back through<br />

the filter, then the filter must be capable of being<br />

decontaminated and tested—a daunting task in itself.<br />

Consequently, the HEPA filtration of supply air in a<br />

BSL-3 laboratory is neither necessary nor desirable.<br />

Regarding the Legionella question: The outbreak<br />

resulted from outside air contamination, but not<br />

necessarily from construction dust. In fact, the outbreak<br />

resulted from Legionella contamination of the<br />

cooling tower water that was being aerosolized.<br />

While contamination of the intake air with Legionella<br />

or any other infectious agent might affect the<br />

personnel in a containment facility, as it has in many<br />

instances, it would not affect the work since good<br />

microbiological practice assumes that air in the laboratory<br />

is never sterile. In summary, the work in BSL-<br />

3 labs is not “clean room” work and does not have<br />

to be HEPA filtered to keep out potential pathogens.<br />

The National Academies is preparing, in cooperation with the Department of Homeland Security, fact<br />

sheets on four types of terrorist attacks. Drawing on our many reviewed publications, the expertise of our<br />

members, and the knowledge of other esteemed authorities, the fact sheets will provide reliable, objective<br />

information. Go to: www.nae.edu/nae/pubundcom.nsf/weblinks/CGOZ-642P3W?OpenDocument.<br />

They are being designed primarily for reporters as part of the project News and Terrorism:<br />

Communicating in a Crisis, though they will be helpful to anyone looking for a clear explanation of the<br />

fundamentals of science, engineering, and health related to such attacks.<br />

These fact sheets are a product of the National Research Council Division on Earth and Life Studies.<br />

<strong>Biological</strong> Attack (pdf file, 277 KB)—Where do biological agents originate? What’s the difference between<br />

“infectious” and “contagious”? How long after exposure will symptoms appear?<br />

Chemical Attack (pdf file, 72 KB)—What are the different origins of toxic chemicals that could be used? How<br />

do chemical toxicities vary? What are the practical steps to take if there’s a chemical release?<br />

Radiological Attack (pdf file, 68 KB)—What are radiological dispersal devices, a.k.a. “dirty bombs”? How are<br />

they different from nuclear bombs? What are their physical and psychological health effects?<br />

Nuclear Attack (pdf file, 192 KB) NEW!—What is radioactive fallout, and how is it dangerous? What are the<br />

short-term and long-term effects of radiation exposure? What is the likely size of a nuclear explosion from an<br />

attack by terrorists?<br />

269


Biosafety Tips brings you practical approaches to<br />

biosafety or “news you can use.” If you are looking<br />

for a useful and sensible solution to a biocontainment<br />

problem or perhaps a reference to help convince<br />

a skeptical researcher of the need for caution,<br />

this is the place to look. In this column I will share<br />

some biosafety insights for managing a variety of<br />

workplace situations. I welcome feedback or suggestions<br />

for future topics. Please e-mail any comments<br />

or suggestions to karen_byers@dfci.harvard.edu or<br />

to Co-Editor Barbara Johnson at barbara_johnson@<br />

verizon.net.<br />

Lymphocytic Choriomeningitis Virus—<br />

A Hazard in Rodent Animal Colonies<br />

In April <strong>2005</strong>, a woman died of a stroke and<br />

after a thorough work-up, her organs were donated<br />

to four recipients. In May, state authorities notified<br />

the CDC that three of the transplant recipients had<br />

died, and the fourth was ill. Extensive testing revealed<br />

that lymphocytic choriomeningitis virus<br />

(LCMV) was present in the transplanted organs. Review<br />

of the organ donor’s history indicated that she<br />

had a new pet hamster, and the hamster was positive<br />

for LCMV infection. Although the donor had a subclinical<br />

(asymptomatic) infection, the immunosuppressed<br />

organ recipients developed fatal or serious<br />

infections from the infected organs (CDC, <strong>2005</strong>).<br />

To prevent disease transmission from pet rodents,<br />

CDC has posted advice at: www.cdc.gov/ncidod/<br />

dvrd/spb/mnpages/dispages/lcmv/owners.htm.<br />

Wild, or house, mice are a far more common<br />

source of LCMV. LCMV is a rodent-borne Arenavirus,<br />

and about 5% of adults living in urban populations<br />

have antibodies indicating previous exposure<br />

270<br />

Special Feature<br />

Biosafety Tips<br />

Karen B. Byers<br />

Dana Farber Cancer Institute, Boston, Massachusetts<br />

to LCMV (CDC, <strong>2005</strong>). Subclinical LCMV infection<br />

in a healthy adult may go unnoticed, but the<br />

virus may also produce a flu-like illness, or aseptic<br />

meningitis. LCMV is not spread from person to person,<br />

except that it may spread vertically from a pregnant<br />

woman to a developing fetus. Exposures during<br />

the first or second trimester are a serious risk to the<br />

fetus (CDC, <strong>2005</strong>). To protect the general public<br />

from the risk of contracting LCMV from wild rodents,<br />

the CDC has posted practical guidelines on<br />

the Web and provided detailed information in the<br />

publication Interim Guidance for Minimizing Risk for<br />

Human Lymphocytic Choriomeningitis Virus Infection<br />

Associated with Rodents (CDC, <strong>2005</strong>).<br />

Case Study 1<br />

In the occupational setting, animal facilities are<br />

carefully designed to prevent entry by wild mice and<br />

colonies are routinely screened for LCMV. In addition<br />

to the zoonotic risk, infection with LCMV can<br />

affect a wide range of research results (National Research<br />

Council, 1991). The following case study describes<br />

the chain of events that lead to an LCMV<br />

outbreak at a research institute in 1989 (Dykewicz et<br />

al., 1992).<br />

• In 1964, a cancer research institute developed a<br />

proprietary cancer cell line. This institute routinely<br />

injected the cell line into rodents to induce tumors<br />

in order to study metastasis.<br />

• In 1988, the institute began replacing the hamster<br />

animal model with nude mice.<br />

• A lapse in the routine serological monitoring of<br />

rodent colony health occurred between August 1988<br />

and March 1989. When the monitoring resumed,<br />

the oldest sentinel hamsters were positive for LCMV.


• In May 1989, an animal care worker who had<br />

never worked with hamsters was hospitalized with<br />

aseptic meningitis. With the information that the<br />

sentinel animals had LCMV antibodies, the institute’s<br />

management requested testing to “rule out”<br />

LCMV. The hospitalized staff member was diagnosed<br />

with LCMV.<br />

• How could this infection have occurred? The<br />

proprietary cell line was tested, and it was positive<br />

for LCMV. Other staff members began reporting a<br />

range of complaints, so the CDC was alerted and an<br />

investigation followed.<br />

Results of CDC Investigation<br />

Eighty-two out of 90 staff members consented<br />

to serological monitoring for LCMV antibodies.<br />

Seven were positive, indicating previous exposure to<br />

LCMV, and one was a “probable” previous infection.<br />

The control group included 145 local blood<br />

donors with only one sample positive for LCMV<br />

(Dykewicz et al., 1992). Frozen aliquots of the proprietary<br />

cell line were thawed and it was discovered<br />

that aliquots as far back as 1975 were seropositive<br />

for LCMV. In addition, 13 out of 70 other cell lines<br />

passaged in animals were also positive.<br />

So why did the outbreak occur in 1988, if the<br />

cells had been infected for a long time? A review of<br />

all the factors the eight seropositive staff members<br />

had in common revealed no association with needlesticks<br />

or sharps injuries, bites or scratches, rural residence,<br />

pets, or noncompliance with the use of personal<br />

protective equipment. The facility had a policy<br />

of requiring gloves and a surgical mask. Only one<br />

fact stood out—the eight seropositive staff members<br />

had more contact with nude mice (median, <strong>10</strong> hours<br />

per week) compared to seronegative staff (median, 1<br />

hour per week) (Dykewicz et al.,1992).<br />

Nude mice are hairless, lack a thymus, and have<br />

an impaired immune system. They can become persistently<br />

infected with LCMV and excrete it in high<br />

titer; this characteristic is aptly called “viruria.”<br />

(Dykewicz et al., 1992). LCMV infection of nude<br />

mice does not produce symptoms in the mice and<br />

cannot be detected by direct serological monitoring<br />

since nude mice do not produce an antibody response.<br />

Apparently, the 80-fold increase in the use<br />

of nude mice resulted in a build-up of the viral reser-<br />

K. B. Byers<br />

voir in this facility and led to seven infections with<br />

two hospitalizations and one “probable” infection.<br />

The article goes on to describe the institute’s<br />

effort to contact former staff members and the many<br />

recipients of various cell lines to inform them of the<br />

LCMV infection. If the facility administration had<br />

not requested testing of the staff member hospitalized<br />

with aseptic meningitis, this outbreak might not<br />

have been recognized. Even if an animal colony is<br />

considered pathogen-free, the use of cell lines passaged<br />

in animals in another facility puts the colony,<br />

and the staff, at risk.<br />

Case Study 2<br />

An example similar to the one above was presented<br />

at the 2004 ABSA conference (Braun, 2004).<br />

In 1998, an animal technician developed a persistent<br />

high fever of unknown origin and “worrisome”<br />

symptoms. Several months later, three sentinel animals<br />

in the room where the technician worked were<br />

positive for LCMV infection. All of the other technicians,<br />

veterinarians, and investigators tested negative,<br />

but the animal technician who was ill tested<br />

positive. The source was a human cell line obtained<br />

from another institution that had been passaged in<br />

nude mice for <strong>10</strong> to 12 years without reports of contamination.<br />

Fortunately, that outbreak was limited<br />

to a single case.<br />

The research community must understand the<br />

importance of compliance with a cell line screening<br />

policy, since once a study has been approved, it is<br />

very difficult to monitor compliance. When incorporated<br />

into training programs, case studies such as the<br />

ones described above help researchers understand<br />

that noncompliance results in risks to themselves,<br />

the animal care staff, and their research results.<br />

Additional LCMV Resources<br />

Today, animal care staff and animal researchers<br />

receive training on zoonotic risks, including LCMV.<br />

For example, the University of California-Irvine<br />

web site has the following statement under<br />

“rodent health” at: www.rgs.uci.edu/ular/policies/<br />

rodentcolonyhealth.htm.<br />

271


The overwhelming significant feature of<br />

LCMV is its zoonotic potential. It can be<br />

predicted that T cell-deficient mice will amplify<br />

LCMV infection. The polytropic nature<br />

of LCMV and its wide host range allow<br />

this virus to readily infect transplantable<br />

tumors and cell lines, which can serve as a<br />

source of contamination for mouse colonies.<br />

• Organotropism—kidney, salivary gland,<br />

lymphohematopoietic cells<br />

• A zoonosis<br />

• Interference with research—immunology,<br />

oncology, physiology<br />

Well-established procedures for using immunocompetent<br />

sentinel animals are described at<br />

the University of Washington web site at:<br />

h tt p://depts.washington .edu/compmed/<br />

rodenthealth/#sentinels.<br />

Roughly analogous to the “canary in the<br />

coal mine,” sentinel rodents monitor the<br />

pathogen status of the investigator’s rodents.<br />

Every rack in a room is monitored. As you<br />

are facing a rack, the cage containing the<br />

two sentinels usually resides in the lower<br />

right-hand position. Every time an investigator’s<br />

rodent cage is changed (usually weekly),<br />

about a tablespoon of soiled bedding from<br />

that cage is transferred to the sentinel cage.<br />

In this way, sentinels are exposed to whatever<br />

pathogens may be present in the urine,<br />

feces, fur, saliva, dander, etc. from <strong>10</strong>0% of<br />

the cages on the rack. Because of this, investigators<br />

must not handle or move sentinels<br />

or sentinel cages.<br />

PCR testing for many zoonotic pathogens is also<br />

commercially available; this allows direct testing of<br />

immunocompromised strains. Charles River Laboratory<br />

has posted an explanation of test methods<br />

available at: www.criver.com/research_models_and_<br />

services/research_animal_diagnostics/LAD_DS_<br />

272<br />

Biosafety Tips<br />

MolecularW.pdf and www.criver.com/research_<br />

m o d e l s _ a n d _ s e r v i c e s / r e s e a r c h _ a n i m a l _<br />

diagnostics/LAD_DS_InVivoBiosafetyW.pdf.<br />

References<br />

Braun, A. (2004). Case report: Transmission of lymphocytic<br />

choriomeningitis virus from laboratory<br />

mice to an animal technician. 47th Annual <strong>Biological</strong><br />

<strong>Safety</strong> Conference, San Antonio, Texas.<br />

Centers for Disease Control Special and Prevention<br />

Pathogens Branch. (<strong>2005</strong>). Information for pet owners:<br />

Reducing the risk of becoming infected with LCMV from<br />

pet rodents. Available at: www.cdc.gov/ncidod/dvrd/<br />

spb/mnpages/dispages/lcmv/owners.htm. Accessed<br />

online <strong>2005</strong>.<br />

Centers for Disease Control and Prevention. (<strong>2005</strong>).<br />

Lymphocytic choriomeningitis virus infection in organ<br />

transplant recipients. Morbidity and Mortality<br />

Weekly Report, 54(21), 537-539.<br />

Centers for Disease Control and Prevention. (<strong>2005</strong>).<br />

Interim guidance for minimizing risk for human<br />

lymphocytic choriomeningitis virus infection associated<br />

with rodents. Morbidity and Mortality Weekly Report,<br />

54(30), 747-749.<br />

Dykewicz, C. A., Dato, V. M., Fisher-Hock, S. P.,<br />

Howarth, M. V., Perez-Oronoz, G. I., Ostroff, S. M.,<br />

Gary, H., Shonberger, L. B., & McCormick, J. B.<br />

(1992). Lymphocytic choriomeningitis outbreak associated<br />

with nude mice in a research institute. Journal<br />

of the <strong>American</strong> Medical <strong>Association</strong>, 267, 1349-1353.<br />

National Research Council. (1991). A companion<br />

guide to infectious diseases of mice and rats. Washington,<br />

DC: National Academy Press.


ABSA News<br />

<strong>2005</strong> ABSA Conference Photos<br />

Conference attendees visiting the Exhibit Hall<br />

Betsy Gilman Duane receives Past-<br />

President Award from Glenn Funk<br />

Affiliate Relations Exhibit Booth<br />

Conference attendees at the Scientific Program<br />

273


Award Presentations from the ABSA<br />

Conference, October <strong>2005</strong><br />

Arnold G. Wedum<br />

Distinguished Achievement Award<br />

David G. Stuart, PhD<br />

The Baker Company<br />

Sanford, Maine<br />

The award shall be given to an individual for<br />

outstanding contributions to biological safety through<br />

teaching, research, service or leadership.<br />

David Stuart has had a long and highly successful<br />

career at the Baker Company. He received his<br />

Doctorate in Microbiology, and is a Charter Member<br />

of ABSA. Through his distinguished career he<br />

has served on the original Steering Committee of<br />

ABSA, the Technical Review and Nominating Committees,<br />

and the Journal Editorial Board.<br />

He has mentored numerous colleagues in the<br />

certification profession regarding microbiology, de-<br />

274<br />

ABSA News<br />

<strong>2005</strong> ABSA Service Award Recipients<br />

David G. Stuart, PhD, accepting the Arnold G.<br />

Wedum Distinguished Achievement Award<br />

at the <strong>2005</strong> ABSA Conference in Vancouver.<br />

contamination and biocontainment and has been<br />

a constant source of reliable and timely information<br />

to the Controlled Environment Test <strong>Association</strong><br />

(CETA), ABSA, and the National Sanitation Foundation<br />

(NSF). He has had a profound influence in<br />

the area of standards writing as a participant in NSF<br />

committees. He is the voice on many panels that<br />

send the clear message that standards be developed<br />

based on scientific fact by ensuring participants provide<br />

research results to support their positions on<br />

standards development. He continues to make contributions<br />

to biosafety on international and national<br />

levels by teaching courses including “Advanced Certification”<br />

in the United States, Russia, and Hong<br />

Kong. He is noted by his colleagues and fellow biosafety<br />

professionals as an individual that leads by<br />

example. He is a dedicated researcher and teacher in<br />

the field of contamination control with an inspirational<br />

work ethic.<br />

Richard C. Knudsen<br />

Memorial Publication Award<br />

Janet E. Meszaros, MS<br />

Steris Corporation<br />

Mentor, Ohio<br />

The award shall be given, when merited, to the<br />

author(s) of an article that reports a significant contribution<br />

in scientific investigation and/or health and safety<br />

in areas of interest to Richard Knudsen during his career.<br />

The award recipient need not be a member of the<br />

<strong>American</strong> <strong>Biological</strong> <strong>Safety</strong> <strong>Association</strong>.<br />

Research Article: Meszaros, J. E., Antloga, K.,<br />

Justi, C., Plesnicher, C., & McDonnell, G. (<strong>2005</strong>).<br />

Area Fumigation with Hydrogen Peroxide Vapor.<br />

Applied Biosafety, <strong>10</strong>(2), 91-<strong>10</strong>0.<br />

Ms. Meszaros, the senior author of the article<br />

selected for the Richard Knudsen Memorial Publication<br />

Award, earned her BS and MS from Cleveland<br />

State University. She is a Senior Scientist at STERIS


Corp. where she has worked for over a decade, as<br />

well as serving the academic community as a Science<br />

Instructor at Cuyahoga Community College—also<br />

for over a decade.<br />

This original research article was selected for its<br />

contribution of knowledge to the field of biosafety.<br />

Results of this research quantitatively identified the<br />

sterilizing capabilities of hydrogen peroxide vapor<br />

across various classes of resilient organisms that were<br />

applied to numerous common laboratory surfaces<br />

over varied exposure times.<br />

Robert I. Gross Memorial Award<br />

Cassandra Kelly, BS<br />

New York State Department of Health<br />

Albany, New York<br />

Awarded to a student in recognition of academic<br />

achievement in biological safety.<br />

Cassandra Kelly is a Research Scientist and the<br />

Biosafety Level 3 Supervisor in the Biodefense Laboratory<br />

at the Wadsworth Center, New York State<br />

Department of Health (NYSDOH). Cassandra received<br />

a BS in 1997 from Carleton University and is<br />

currently pursuing a PhD in the Biomedical Sciences<br />

Department at the State University of New York,<br />

Albany. Prior to joining the NYSDOH Biodefense<br />

Laboratory in 2002, Ms. Kelly worked at the Canadian<br />

Science Center for Human and Animal Health<br />

conducting research in prion diseases, hepatitis viruses<br />

and emerging blood borne pathogens. Ms.<br />

Kelly is involved in the development of new diagnostics<br />

for select agents as well as training of laboratorians,<br />

first responders and members of the law enforcement<br />

communities in New York State.<br />

Abstract: Effects of bacillus spore decontamination<br />

methods on forensic evidence: an evaluation of<br />

decontamination methods: vaporized hydrogen peroxide,<br />

formaldehyde, and autoclaving.<br />

Many environmental samples submitted to the<br />

New York State Biodefense Laboratory for biothreat<br />

testing are often requested to be transferred, following<br />

select agent testing, to forensic laboratories in order<br />

to proceed with criminal prosecutions. Even after<br />

the presence of potential bioterrorism agents have<br />

been ruled-out, forensic laboratories may be unwilling<br />

to accept samples because they are restricted to working<br />

in biosafety level l or 2 facilities. In order for sam-<br />

<strong>2005</strong> ABSA Service Award Recipients<br />

ples to be analyzed safely and expeditiously to the forensic<br />

laboratories, all traces of infectious or toxic biological<br />

material must first be removed or inactivated.<br />

In collaboration with the New York State Police<br />

Forensics Investigation Center, a study has been<br />

conducted to determine which decontamination<br />

method(s) can render a letter/white powder sample<br />

free from infectious biological agents while at the<br />

same time preserving the integrity of forensic evidence.<br />

Several letters seeded with Bacillus spores, representative<br />

inks, drug surrogates, human hair or<br />

DNA, and fingerprints were exposed to three common<br />

decontamination methods: vaporized hydrogen<br />

peroxide, formaldehyde and steam autoclaving. Subsequent<br />

microbiological testing to insure spore inactivation<br />

and concomitant forensic analysis to evaluate the<br />

integrity of trace evidence has determined which decontamination<br />

method will be most useful to safely<br />

release and transfer suspect biothreat samples to forensic<br />

laboratories for additional testing.<br />

John H. Richardson<br />

Special Recognition Award<br />

J. Patrick Condreay, PhD<br />

GlaxoSmithKline<br />

Research Triangle Park, North Carolina<br />

The award shall be given to an individual in<br />

recognition of a specific contribution that has enhanced<br />

the <strong>American</strong> <strong>Biological</strong> <strong>Safety</strong> <strong>Association</strong> and/or the<br />

profession of biological safety.<br />

Patrick Condreay received his undergraduate<br />

degree in biochemistry from Rice University and his<br />

PhD in microbiology from the University of Texas at<br />

Austin. For over 20 years he has pursued a career in<br />

research, studying the molecular biology of different<br />

microorganisms.<br />

Since first becoming an instructor at an ABSA-<br />

Eagleson Spring Seminar Series in 1998—where he<br />

helped teach the course “Viral Vectors and Biosafety<br />

Considerations”—he has helped develop and taught<br />

13 additional courses on similar topics. His ability to<br />

convey complex scientific topics that pose increasing<br />

challenges to biosafety professionals and his sustained<br />

commitment has made him one of the most<br />

prolific and sought-after teachers promoting biosafety<br />

for ABSA in the last decade. By the close of<br />

the Vancouver conference, he will have increased his<br />

275


number of ABSA or ABSA-related teaching assignments<br />

to 16 classes in 7 years, in topics of extreme<br />

relevance and importance to ABSA members and<br />

biosafety professionals around the globe.<br />

Everett Hanel, Jr. Presidential Award<br />

Robert J. Hawley, PhD<br />

Midwest Research Institute<br />

Frederick, Maryland<br />

The award shall be given to an individual for outstanding<br />

contributions to the <strong>American</strong> <strong>Biological</strong><br />

<strong>Safety</strong> <strong>Association</strong> by promoting the field of biological<br />

safety and by fostering the high professional standards<br />

of the <strong>Association</strong>’s membership.<br />

Bob Hawley is a Senior Advisor, for the Midwest<br />

Research Institute in Frederick, Maryland, and was<br />

previously employed at the U.S. Army Medical Research<br />

Institute of Infectious Diseases at Fort Detrick,<br />

Maryland, as Biosafety Officer, and later as Chief of<br />

the <strong>Safety</strong> and Radiation Protection Office. He holds<br />

276<br />

<strong>2005</strong> ABSA Service Award Recipients<br />

Thanks to the Elizabeth R. Griffin Research Foundation<br />

a PhD in Microbiology from the College of Medicine<br />

and Dentistry of New Jersey; an MS in Microbiology<br />

from the Catholic University of America, and a BS in<br />

Biology from Pennsylvania Military College.<br />

He has authored numerous journal articles and<br />

textbook chapters on biosafety and microbiology,<br />

and further promotes biosafety by teaching preconference<br />

courses, serving on ABSA committees<br />

and participating in IBCs and IACUCs. He is a Registered<br />

<strong>Biological</strong> <strong>Safety</strong> Professional serving as the<br />

Chair of the <strong>Biological</strong> <strong>Safety</strong> Examination Development<br />

Committee with the National Registry of Microbiology,<br />

and actively encourages biosafety practitioners<br />

to pursue registration and certification as<br />

Biosafety Professionals. He has expressed his commitment<br />

to the biosafety profession in many ways to<br />

include being elected President-Elect of ABSA, President<br />

of ChABSA, Editorial Review Board member<br />

for Applied Biosafety, and as an active promoter of<br />

biosafety in ASM.<br />

The ABSA Council would like to thank the Elizabeth R. Griffin Research Foundation for its continued<br />

support of ABSA activities and the field of biosafety. Through the generous support of the Foundation,<br />

ABSA was fortunate to have Benjamin J. Weigler, DVM, MPH, PhD, as the Elizabeth R. Griffin Research<br />

Foundation Lecturer at the <strong>2005</strong> Conference in Vancouver. Dr. Weigler is the Director of Animal Health<br />

Resources at the Fred Hutchinson Cancer Research Center. His<br />

presentation was titled “A National Survey of Occupationally<br />

Acquired Zoonotic Diseases in Laboratory Animal Workers.” He has<br />

published an article on this research. See Weigler, B. J., Di Giacomo,<br />

R. F., & Alexander, S. (<strong>2005</strong>, April). A national survey of laboratory<br />

animal workers concerning occupational risks for zoonotic diseases.<br />

[Journal Article]. Comparative Medicine, 55(2), 183-191.<br />

ABSA is also developing an animal biosafety training DVD with<br />

the support of the Foundation. We are grateful to have the<br />

opportunity to work with the Elizabeth R. Griffin Research<br />

Foundation in pursuit of safe science.


ABSA News<br />

New ABSA Members for 2006<br />

Natalie Barnett<br />

Sandia National Laboratories<br />

Albuquerque, NM<br />

Malcolm Barth<br />

Loyola University—Chicago<br />

Chicago, IL<br />

Shelley Belford<br />

Animal Resources Centre, Univ. Health Network<br />

Toronto, Ontario, Canada<br />

Arlisa Benford<br />

University of Houston<br />

Houston, TX<br />

Bill Biebesheimer<br />

Steris Corp.<br />

Rosemount, MN<br />

Asa Bjorndal<br />

Swedish Inst. for Infectious Disease Control<br />

Solna Sweden<br />

Sylvie Blondelle<br />

The Burnham Institute<br />

La Jolla, CA<br />

Mudu Ler Bok San<br />

Kowa Lab Engineering Pte. Ltd.<br />

Singapore, Singapore<br />

Jean-Luc Boudreau<br />

SFBC Anapharm<br />

Ste-Foy, Quebec, Canada<br />

Tiffany A. Brigner<br />

Colorado Department of Agriculture<br />

Denver, CO<br />

Neil Chin<br />

BC Centre for Disease Control<br />

Vancouver, British Columbia, Canada<br />

Benton Daw<br />

East Carolina University<br />

Greenville, NC<br />

Neville Debattista<br />

U of M<br />

Mosta, Malta<br />

Tina M. Ennis<br />

United States Army<br />

APO, AE<br />

Rowelle Enriquez<br />

UCLA Environment Health & <strong>Safety</strong><br />

Los Angeles, CA<br />

Jean Francois<br />

University of British Columbia<br />

Vancouver, British Columbia, Canada<br />

Sabrina Frank-DeBose<br />

Constella Group<br />

Snellville, GA<br />

Daniel Frasier<br />

Cornerstone Commissioning, Inc.<br />

Boxford, MA<br />

Claire Fritz<br />

Steris Corporation<br />

Lakewood, CO<br />

Joshua Jenkins<br />

Constella Health Sciences<br />

Stockbridge, GA<br />

277


Stephane Karlen<br />

Swiss Federal Institute of Technology<br />

Lausanne, VD, Switzerland<br />

William R. Lonergan<br />

SAIC-Frederick, Inc.<br />

Frederick, MD<br />

Bruce K. McDowell<br />

Lawrence Livermore National Laboratory<br />

Livermore, CA<br />

Paul Mehta, MD<br />

Constella Group, LLC<br />

Lawrenceville, GA<br />

Janet E. Meszaros<br />

Steris Corp.<br />

Mentor, OH<br />

Thomas Miller<br />

Constella Health Sciences<br />

Atlanta, GA<br />

Matt Mitchell<br />

Steris Corp.<br />

Mentor, OH<br />

Michael Penn<br />

Boston University<br />

Boston, MA<br />

Emily E. Pullins<br />

USDA APHIS BRS<br />

Riverdale, MD<br />

Emily Ranken<br />

MIT<br />

Cambridge, MA<br />

278<br />

New ABSA Members for 2006<br />

Jamie Stalker, MD<br />

Argonne National Laboratory<br />

Argonne, IL<br />

Clarence Stanley, Jr.<br />

Department of Army<br />

Ft. Gordon, GA<br />

Jan Vleck<br />

Western Institutional Review Board<br />

Olympia, WA<br />

Michael Wheatley<br />

City of Hope<br />

Duarte, CA<br />

New Student Members<br />

Donato Aceto<br />

Sandia National Laboratories<br />

Albuquerque, NM<br />

Changhua Chen<br />

University of Iowa Hospitals and Clinics<br />

Iowa City, IA<br />

New Corporate Memberships<br />

UAB-Comite de Bioseguretat<br />

Bellaterra, Barcelona<br />

Pere Ysern Comas<br />

Sebastian Calero Garnica<br />

Josep Santalo Pedro<br />

New Members of Existing Corporations<br />

Mike Brueggerhoff<br />

Siemens Building Technologies<br />

Norcross, GA


ABSA News<br />

<strong>2005</strong> ABSA Conference Sponsors<br />

We would like to thank the following sponsors of<br />

the <strong>2005</strong> ABSA Conference in Vancouver.<br />

Featured Sponsor<br />

Elizabeth R. Griffin Research Foundation—<br />

www.ergriffinresearch.org<br />

The Elizabeth R. Griffin Research Foundation is<br />

a 501(c)(3) non-profit foundation dedicated to the<br />

support of professional scientific and educational<br />

organizations that endeavor toward the common<br />

good of humankind. This includes, but is not limited<br />

to, supporting research that aims at the solution<br />

of human health and societal problems and supporting<br />

worker safety training in dealing with nonhuman<br />

primates and other animal subjects. The<br />

Foundation has an expressive interest in research of<br />

the macaque-borne B virus and the prevention of<br />

human exposure to B virus.<br />

Bronze Sponsors<br />

Germfree, Inc.—www.germfree.com<br />

Germfree Laboratories, Inc. was founded in<br />

1962. From its inception, Germfree’s primary objective<br />

has been to manufacture biological safety equipment<br />

for the scientific research and healthcare fields.<br />

Germfree systems have been purchased by more<br />

than 5,000 institutions and companies in the U.S.<br />

and 60 other countries worldwide. Our equipment<br />

has even gone in space.<br />

NuAire, Inc.—www.nuaire.com<br />

NuAire has been universally recognized as a<br />

leader for more than 30 years in providing laboratory<br />

professionals with reliable products such as biological<br />

safety cabinets, CO2 incubators, Laminar<br />

Airflow equipment, animal facility products, and<br />

ultra-low temperature freezers for the most demanding<br />

environments.<br />

The Baker Company—www.bakerco.com<br />

The Baker Company manufactures safety cabinets,<br />

clean benches, and fume hoods. Baker cabinets<br />

are designed for dependability, high performance<br />

and low life cycle costs.<br />

Certek, Inc.—www.certekinc.com<br />

Certek builds modular BL3 laboratories,<br />

safemod/safescan filters for hazardous exhausts, formaldehyde<br />

generators/neutralizers and other contaminations<br />

control equipment.<br />

National Select Agent Registry (NSAR) Sponsored<br />

by CDC and APHIS—www.cri-solutions.com<br />

The National Select Agent Registry (NSAR) is a<br />

system jointly developed by APHIS and CDC to allow<br />

Entities that possess or wish to possess Select<br />

Agents to register or amend their registration<br />

online—eliminating the need to use cumbersome<br />

paper forms. NSAR will be available for use in December<br />

<strong>2005</strong>.<br />

Siemens—www.sbt.siemens.com<br />

As a leading provider of building controls, fire<br />

safety and security system solutions, Siemens Building<br />

Technologies, Inc., makes buildings comfortable,<br />

safe, productive and less costly to operate. The company<br />

focuses on improving the performance of its<br />

customers’ buildings, so that its customers can focus<br />

on improving their business performance. With U.S.<br />

headquarters in Buffalo Grove, Illinois, Siemens<br />

Building Technologies employs 7,500 people and<br />

provides a full range of services and solutions from<br />

more than <strong>10</strong>0 locations coast-to-coast. Worldwide,<br />

the company has 29,000 employees and operates in<br />

more than 42 countries.<br />

H.E.P.A. Filter Services Inc./Design Filtration Inc.—<br />

www.hepafilterservices.com<br />

www.designfiltration.com


Calendar of Events<br />

280<br />

ABSA News<br />

October 15-18, 2006<br />

<strong>American</strong> <strong>Biological</strong> <strong>Safety</strong> <strong>Association</strong> (ABSA) 49th Annual Conference<br />

Marriott Copley Hotel, Boston, Massachusetts<br />

Contact: Phone: 847-949-1517, Fax: 847-566-4580, E-mail: absa@absa.org, Web Site: www.absa.org<br />

October 7-<strong>10</strong>, 2007<br />

<strong>American</strong> <strong>Biological</strong> <strong>Safety</strong> <strong>Association</strong> (ABSA) 50th Annual Conference<br />

Opryland Hotel, Nashville, Tennessee<br />

Contact: Phone: 847-949-1517, Fax: 847-566-4580, E-mail: absa@absa.org, Web Site: www.absa.org<br />

October 19-22, 2008<br />

<strong>American</strong> <strong>Biological</strong> <strong>Safety</strong> <strong>Association</strong> (ABSA) 51st Annual Conference<br />

John Ascuaga’s Nugget, Reno, Nevada<br />

Contact: Phone: 847-949-1517, Fax: 847-566-4580, E-mail: absa@absa.org, Web Site: www.absa.org<br />

ABSA ITEMS FOR SALE<br />

Pin $5.00<br />

Watch $30.00<br />

Men’s Women’s<br />

Total Enclosed: $ Charge my: VISA MasterCard <strong>American</strong> Express<br />

Card #:<br />

Exp. Date: Signature:<br />

Ship to Name:<br />

Address:<br />

City: State: Zip:<br />

Mail to: ABSA, 1202 Allanson Road, Mundelein, Illinois 60060-3808 or fax your credit card order to<br />

847-566-4580. Please allow two to three weeks for delivery.


Applied Biosafety is the Journal of the <strong>American</strong> <strong>Biological</strong><br />

<strong>Safety</strong> <strong>Association</strong> and publishes articles on the research, theory,<br />

and applied practice of biological safety. An expert panel of International<br />

Editors representing ABSA Canada, Associação Nacional de Biossegurança<br />

(ANBio), Asia Pacific Biosafety <strong>Association</strong> (APBA), European <strong>Biological</strong><br />

<strong>Safety</strong> <strong>Association</strong> (EBSA), and the International Biosafety Working Group<br />

(IBWG) contribute a global perspective on biosafety and biosecurity. As a<br />

service to the scientific community, online subscriptions are available at cost –<br />

$25/year.<br />

A free preview of Applied Biosafety, <strong>Volume</strong> <strong>10</strong>, <strong>Number</strong> 1, is at<br />

www.absa.org/resabj.html; for userID, type in “abj273” with password “8f9T74”


ABSA Announces Professional Publications for Purchase<br />

Anthology of Biosafety I:<br />

Perspectives on<br />

Laboratory Design<br />

❑ Member: $41.00<br />

❑ Nonmember: $55.00<br />

Anthology of Biosafety V:<br />

BSL-4 Laboratories<br />

❑ Member: $53.00<br />

❑ Nonmember: $67.00<br />

Anthology of Biosafety II:<br />

Facility Design<br />

Considerations<br />

❑ Member: $42.00<br />

❑ Nonmember: $57.00<br />

Anthology of Biosafety VI:<br />

Arthropod Borne Diseases<br />

❑ Member: $39.00<br />

❑ Nonmember: $52.00<br />

Anthology of Biosafety III:<br />

Application of Principles<br />

❑ Member: $49.00<br />

❑ Nonmember: $64.00<br />

Anthology of Biosafety VII:<br />

Biosafety Level 3<br />

❑ Member: $44.00<br />

❑ Nonmember: $57.00<br />

ADD POSTAGE/HANDLING: U.S. – $3.00 per book; Canada – $5.00 per book; Foreign – $15.00 per book<br />

Name __________________________________________ Member ID# ___________________________________________<br />

Address _____________________________________________________________________________________________________<br />

City/State/Zip ________________________________________________________________________________________________<br />

Total ___________________________ ❑ Check enclosed ❑ Please charge my: ❑ Visa ❑ MasterCard ❑ AmEx<br />

Card # ________________________ Exp. Date ________________________ Signature ____________________________<br />

Mail or fax this order form to:<br />

<strong>American</strong> <strong>Biological</strong> <strong>Safety</strong> <strong>Association</strong> (ABSA)<br />

1202 Allanson Road, Mundelein, IL 60060-3808<br />

Phone: 847-949-1517 • Fax: 847-566-4580<br />

Anthology of Biosafety IV:<br />

Issues in Public Health<br />

❑ Member: $42.00<br />

❑ Nonmember: $55.00<br />

Anthology of Biosafety VIII:<br />

Evolving Issues in<br />

Containment<br />

❑ Member: $36.00<br />

❑ Nonmember: $49.00<br />

NOTE: Please allow 2-3 weeks for delivery. If using a credit card, please mail or fax the form as we will need a signature on file.<br />

We do not accept purchase orders.


www.absa-canada.org<br />

Please visit our ABSA Chapters, Affiliates, and Affiliated<br />

Organizations for more biosafety information and news.<br />

www.anbio.org.br<br />

www.socalbionet.org<br />

biosafety@comcast.net www.duke.edu/~alder002 www.chabsa.org<br />

www.ebsa.be<br />

EGilman@absa.org<br />

www.mabsa.org www.sebsa.net<br />

Japanese <strong>Biological</strong> <strong>Safety</strong> <strong>Association</strong> (JBSA)<br />

(Note: JBSA affiliate status is in process.)<br />

ksugi@nih.go.jp


Guidelines for Submissions<br />

Authors will be acknowledged of submission receipt by the ABSA National Office. Final decisions regarding publication are<br />

made by the Editorial staff and reviewers. The following are the submission guidelines.<br />

Submission Categories<br />

Articles, Reviews, and Summary Articles—Reviews may focus on the theory, practice, and overarching areas relevant to<br />

biological safety, biosecurity or related areas. Articles must include an abstract not to exceed 250 words summarizing the<br />

main topic of the article. Typically articles do not exceed 20 pages in total length.<br />

Reports—Articles that focus on the results of research are appropriate for this section. Brief reports should include information<br />

on the research design, methods, and results. An abstract not to exceed 250 words must also be included. Articles vary in<br />

length.<br />

Viewpoints—Short articles focusing on personal experiences may be submitted to this section. Articles vary in length.<br />

Book and Video Reviews—Reviews of books and media (videos/CD/other) of interest to biological safety or biosecurity<br />

may be submitted at any time. Reviews typically do not exceed 1-2 pages in length. Books or media which authors wish to<br />

have considered for review may be sent directly to the ABSA National Office.<br />

Commentary/Editorial—Brief comments on submissions published in Applied Biosafety, issues critical to the profession and<br />

practice of biological safety, or letters to the Editor may be submitted to this section. Individuals may be invited by the Editors<br />

to submit a guest editorial article.<br />

Presentations—Articles that recount or summarize information relevant to the field of biological or biosecurity that has<br />

been presented at a conference. Presentation articles vary in length.<br />

Other Requirements<br />

1. Send an electronic submission or one (1) typeset copy with a disk of each submission to: Editor, Applied Biosafety:<br />

Journal of the <strong>American</strong> <strong>Biological</strong> <strong>Safety</strong> <strong>Association</strong>, c/o ABSA, 1202 Allanson Road, Mundelein,<br />

IL 60060-3808, USA. Submissions that are under consideration by another periodical or publisher or submissions<br />

that have been previously published must be identified as such, and previous citing must be disclosed.<br />

2. Submission guidance:<br />

Format for 8-1/2” x 11” paper using 1” margins, double-spacing, and full-justification.<br />

References, footnotes, table captions, and quotations should be single-spaced, a guide to references can be found at<br />

www.absa.org.<br />

Use Times New Roman, Arial, AvantGarde, Helvetica, or Universal font in 12 point.<br />

Use high resolution laser printing if submission is made in hard copy media.<br />

Primary headings should be flush left, bolded, and have the first letter of all main words capitalized throughout the<br />

submission.<br />

Secondary headings should be flush left, italicized, and have the first letter of all main words capitalized.<br />

3. Submissions should follow ASM guidelines regarding fundamental style and ethics--refer to Applied and Environmental Microbiology<br />

at http://aem.asm.org.<br />

4. The Attention Authors Form may serve as a cover sheet with the full name(s) and degree(s) of the author(s), professional<br />

affiliations, and the return mailing address of the author to whom correspondence can be sent. Authors’ names, positions,<br />

titles, and places of employment should not appear in the body of the paper to facilitate the blind review process.<br />

5. Tables, charts, photographs (at least 3-1/2” x 5”) or diagrams must be computer-generated or professional quality and<br />

submitted as camera ready artwork. Tables, charts, or diagrams should be submitted on a separate page, referenced back<br />

to the text in a vertical (portrait) format including any legend, label, or number associated with them. Refer to each as<br />

Table 1, Table 2, etc., centered above the table. Captions should be single-spaced.<br />

6. It is the author’s responsibility to secure written permission from the original copyright holder to use quotations of over<br />

300 words from one source or use adaptation of tables or figures from copyrighted sources. A copy of the copyright<br />

holder’s written permission must be provided to the Editor immediately upon acceptance of the submission for publication.<br />

The author(s) bear full responsibility for the accuracy of all results, references, quotations, and materials accompanying<br />

their submissions.<br />

7. In the event a diskette it used, it should be prepared on either an IBM or IBM-compatible computer. All submissions<br />

should be formatted using either: Microsoft Word, Microsoft Publisher, or WordPerfect. ASC II files are also acceptable.


Attention Authors<br />

Please complete the following information and include with your submission.<br />

Name<br />

Degrees/Credentials<br />

Affiliation<br />

Address<br />

Phone <strong>Number</strong>s Work Home (opt.)<br />

E-mail Address<br />

Type of Submission (check one):<br />

Report Article, Review, Summary Article Viewpoint<br />

Book Review Video Review Presentation Commentary/Editorial<br />

Title of Submission<br />

Checklist<br />

Electronic submission or one (1) hard copy (typeset using 8-1/2” x 11” paper with 1” margins).<br />

Electronic submission or one (1) hard copy original of tables, figures, and/or illustrations.<br />

Submission follows ASM guidelines regarding fundamental style and ethics.<br />

Abstract of approximately 250 words (for Articles, Reviews, and Summary Articles only).<br />

This Attention Authors form.<br />

Author’s Signature Date<br />

Please send the completed form along with your submission to: Editor, Applied Biosafety: Journal of the <strong>American</strong><br />

<strong>Biological</strong> <strong>Safety</strong> <strong>Association</strong>, 1202 Allanson Road, Mundelein, IL 60060-3808, USA. Electronic submissions may be<br />

e-mailed to: Production Editor, Karen D. Savage, at ksavage@covad.net. If you have formatting, processing, or general<br />

questions, please contact Ms. Savage at the ABSA National Office Monday through Friday between 9:00 a.m. and<br />

5:00 p.m. Central Time at 847-949-1517.


Register through March 4th <strong>2005</strong><br />

and SAVE $150 US<br />

Learn more about Tradeline Inc<br />

and register today at:<br />

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Tradeline Inc.<br />

Biocontainment Facilities 2006<br />

Design • Construction • Operation<br />

Biocontainment Facilities 2006 Conference<br />

Design • Construction • Operation<br />

March 27-28, 2006<br />

Renaissance Vinoy Beach and Golf Resort<br />

St. Petersburg, Florida<br />

Here you’ll get the details on:<br />

• Developing efficient BSL-3 solutions for animal facilities<br />

• Sorting out certification, validation, commissioning and design guideline issues<br />

• Getting the design and construction details right<br />

• Benchmarking costs for new construction upgrades and conversions<br />

• Planning for BSL facilities operations and maintenance<br />

• New lab types - Bioaerosol, Bird Flu, Advanced Imaging in BSL environments<br />

Credit: CUH2A/George Ely<br />

Courtesy of Smith Carter Architects and Engineers Inc.

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