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WAVLD Symposium Handbook_V4.indd - csiro

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World Association of Veterinary Laboratory Diagnosticians – 13 th International <strong>Symposium</strong>, Melbourne, Australia, 11-14 November 2007<br />

1030 - 1230 Concurrent Session 1.4 - New Technologies & Platforms<br />

The United States National Animal Health Laboratory Network (NAHLN)<br />

B. M. Martin*, United States Department of Agriculture, Animal and Plant Health Inspection Service, Veterinary Services, National<br />

Veterinary Services Laboratories,<br />

1800 Dayton Ave., Ames, Iowa, 50010, USA;<br />

T. F. McElwain, Washington Animal Disease Diagnostic Laboratory and Animal Health Research Center, College of Veterinary<br />

Medicine, Washington State University,<br />

155N Bustad Hall, Pullman, Washington 99164, USA<br />

Introduction<br />

The United States National Animal Health Laboratory Network (NAHLN) was established in 2002 to enhance<br />

the early detection of, response to, and recovery from animal health emergencies, including bioterrorist<br />

events, newly emerging diseases, and foreign animal disease outbreaks that threaten the Nation’s food<br />

supply and public health. The NAHLN is a collaborative effort between the United States Department of<br />

Agriculture (USDA) and the American Association of Veterinary Laboratory Diagnosticians (AAVLD). From<br />

an initial group of 12 laboratories the NAHLN has expanded to 54 laboratories in 45 states.<br />

Elements upon which the NAHLN was founded included:<br />

• Standardized, rapid diagnostic techniques<br />

• A secure communications, alert mechanism, and reporting system<br />

• Modern equipment and trained personnel<br />

• Training, proficiency testing, and quality assurance programs<br />

• Facilities that meet biocontainment and security requirements<br />

• Scenario testing in support of regional and national training exercises<br />

Discussions & conclusions<br />

A program review of the NAHLN was initiated in 2007 to identify stakeholder perspectives concerning the<br />

objectives of the network, how well those objectives were being met, and whether changes in objectives are<br />

needed. The report indicates that the original objectives are appropriate and valid and that the NAHLN has<br />

made significant progress. Key accomplishments are summarized below.<br />

• Standardized, rapid diagnostic assays have been validated and deployed to NAHLN laboratories for<br />

avian influenza (AI), exotic Newcastle disease (END), and classical swine fever (CSF). NAHLN laboratories<br />

are also participating in USDA supported surveillance efforts for bovine spongiform encephalopathy (BSE),<br />

chronic wasting disease (CWD), and scrapie.<br />

• A centralized national data system has been developed that receives standardized data sets from<br />

participating NAHLN laboratories and supports automated transmission of data via Health Level Seven (HL7)<br />

messaging. Efforts are now focused on ensuring that NAHLN laboratories routinely transmit electronic test<br />

result messages.<br />

• A “Train the Trainer” program for foot and mouth disease (FMD), CSF, AI, and END rapid assays was<br />

developed and implemented. Not only has the program increased the number of laboratory personnel<br />

prepared to respond to a national animal health emergency, but it provides a cadre of trainers available to<br />

teach others. Successful implementation of this program was a significant step for the NAHLN and its<br />

mission of ensuring sufficient diagnostic capability and capacity to address an animal health emergency.<br />

• USDA’s National Veterinary Services Laboratories (NVSL) serves as the reference laboratory for NAHLN<br />

and has provided training and proficiency testing programs for NAHLN laboratory personnel. The NVSL also<br />

provides support through production and distribution of reagent standards and quality control panels.<br />

• One of the major successes of the NAHLN has been the collaboration with other Federal and state<br />

organizations to achieve common goals. The NAHLN has become the animal health laboratory backbone of<br />

the United States emergency response and recovery program, and has enabled implementation of national,<br />

standardized surveillance for high priority diseases.<br />

References<br />

1. American Association of Veterinary Laboratory Diagnosticians Website:<br />

http://www.aavld.org/mc/page.do<br />

National Animal Health Laboratory Network Website: http://aphis.usda.gov/animal_health/nahln<br />

Wed 14 November<br />

Wed 14 November<br />

World Association of Veterinary Laboratory Diagnosticians – 13 th International <strong>Symposium</strong>, Melbourne, Australia, 11-14 November 2007<br />

DEVELOPING AN APPROACH FOR RAPID IDENTIFICATION OF EMERGING BIOLOGICAL THREATS<br />

Bill Colston, Ray Mariella, Reginald Beer, Klint Rose, Kevin Ness, Elizabeth Wheeler, Tom Slezak, Shea Gardner, Peter Williams, Amy<br />

Hiddessen, Monica Borucki, Ben Hindson, Chris Bailey, and Crystal Jaing (UC Lawrence Livermore National Laboratory)<br />

In our era of rapid, easy world wide travel, infectious diseases, both naturally occurring and<br />

intentionally introduced, hold increasing potential to cause disease, disability and death. Their<br />

prevention and control is fundamental to individual, national and global health and security.<br />

Lessons learned from the recent SARS outbreak teach us that without the ability to rapidly identify<br />

and characterize a previously unknown or emerging pathogen, our country’s ability to mount a<br />

timely and effective response to a nationwide bioterrorism event is unlikely. In recent years the<br />

biodefense community has focused on short-term production of assays for the specific<br />

identification of a short list of known pathogens. While necessary, this focus has created a gap in<br />

our defensive and public health arsenal. We are currently ill-prepared to deal with novel pathogens<br />

(natural or engineered), complex mixtures of organisms, or detection of virulence regardless of the<br />

organism conferring it. Particularly in the case of viral agents, persistent technology gaps exist in<br />

this process, including sample handling and preparation and highly-multiplexed assays that can<br />

detect and identify both known and unknown viruses. Also, in the case of viral infectious agents,<br />

this problem is compounded by our near-total lack of knowledge of “normal” viral backgrounds in<br />

environmental, human, and agricultural samples.<br />

To address this challenge, we have begun developing an approach to create a translational<br />

measurement capability that will allow rapid, high-throughput viral screening. This approach<br />

includes (1) Sample preparation capabilities to isolate virus particles from the numerous other<br />

inter- and intra-cellular materials present in a nasopharyngeal sample. Viruses, by their very<br />

nature, cannot live and replicate by themselves, and must rely on the complex biochemical<br />

machinery of the host cells. Thus, detection of viral signatures will rely on removing the great<br />

number of interfering cellular components of the host cells, including proteins, organelles, and the<br />

cells’ own genetic materials. (2) A long-term detection capability to isolate and individually test<br />

every viral particle in a sample in a high-throughput, massively parallel microfluidic system. This<br />

will be done by isolating each virus particle in its own picoliter size ‘individual biochemical<br />

laboratory’ or microdroplet for sensitive PCR analysis. (3) Development of comprehensive, specific<br />

multiplex PCR assays of known organisms that can be carried out in a microdroplet and will be<br />

capable of family level identification following amplicon analyisis. The goal is to ultimately be able<br />

to screen all known viral genomes to develop a minimum set of signatures that can be used to<br />

characterize an unknown virus.<br />

We will present new developments in microfluidic engineering, highly multiplexed biological assays<br />

and advances in bioinformatics aimed at providing a broad capability for identification and<br />

characterization of previously known and unknown viruses. Specifically, we have currently<br />

demonstrated:<br />

• Application of acoustic, electrophoretic and electrophoretic techniques to demonstrate a<br />

continuous size selective sorting of particles in a flowing microfluidic stream. We have<br />

developed a 3D theoretical simulation for a multi-field separator that combines acoustic<br />

focusing capability with electrophoresis, and have used this simulation to design and test a<br />

physical prototype.<br />

• Development of preliminary viral discovery assays using theoretical calculations coupled<br />

with wet-bench validation. To accomplish this, we designed novel algorithms and built<br />

software to select highly conserved primer sets, optimized to work in multiplex format. We<br />

have demonstrated reproducible, specific PCR amplification of predicted fragments from a<br />

viral DNA genome (vaccinia virus, lister strain) using 10 bp primer sets.<br />

•<br />

Demonstration of Real-time, Taq-man-based sub-nanoliter PCR using digital microfluidics. Our<br />

system detected a single copy of viral genomic DNA encapsulated in ten-picoliter droplets, with a<br />

much earlier cycle threshold than conventional devices.

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