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2015

Laboratory

Response

Network

NATIONAL MEETING

Staying Ahead of Threats

PREPARE

RESPOND

DETECT

Atlanta, GA

SEPTEMBER 9–11, 2015

Tom Harkin Global Communications Center

CENTERS FOR DISEASE CONTROL AND PREVENTION


Table of Contents

Meeting Goals and Objectives. .......................... 2

Welcome. ......................................... 3

LRN National Meeting Planning Committee. ................. 4

Location Information. ................................. 9

General Information. ................................ 10

Check-In and Information Desk Hours .................... 10

Continuing Education Credit Information. .................. 10

About LRN. ....................................... 11

About APHL. ...................................... 11

About CDC. ....................................... 11

Meeting at a Glance. ................................ 17

Program Day 1. .................................... 21

Program Day 2. .................................... 27

Program Day 3. .................................... 37

List of Posters. .................................... 43

Acronyms. ........................................ 51

Blank Note Pages. .................................. 55


Meeting Goals and Objectives

The Centers for Disease Control and Prevention (CDC) Division

of Preparedness and Emerging Infections (DPEI) and the National

Center for Environmental Health (NCEH) in collaboration with the

Association of Public Health Laboratories (APHL) is pleased to

convene the 2015 Laboratory Response Network (LRN) National

Meeting from September 9-11, 2015 in Atlanta, GA.

The purpose of this meeting is to provide LRN stakeholders with

current information on:

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Preparedness Collaborations

Emerging Technologies

Biosafety and Biosecurity

Model Practices

Solutions to Ongoing Challenges

Training Needs

Response Capabilities

Future of the LRN

The LRN National Meeting is an ideal combination of science,

policy, networking and partnerships, with a focus on innovation and

emerging technologies.

2 LRN 2015: Staying Ahead of Threats


Dear Colleagues:

On behalf of the 2015 Laboratory Response

Network (LRN) National Meeting Planning

Committee, I am pleased to welcome you to

Atlanta. For the first time this meeting is being

held on the campus of the Centers for Disease

Control and Prevention (CDC) and we’re very

grateful to CDC for being such welcoming

hosts. For over 15 years, the LRN has set the

precedent as an exemplary laboratory system

that is sustainable and capable of responding to and “Staying Ahead of

Threats”, the theme for this year’s meeting.

When the committee started planning this meeting, Ebola was very

much on everyone’s mind and it was a reminder to us all that threats,

whether biological, chemical or radiological, are always on our doorstep.

This year’s meeting is comprised of plenary sessions, breakouts, and

poster presentations providing opportunities to network with colleagues

and to learn about the critical functions of LRN member laboratories.

It is well understood that the future of the LRN relies constantly on us

strengthening partnerships and realizing the value of all the laboratories

that comprise the LRN. Our agenda will focus on these partnerships, the

capabilities we have built and on how best to sustain and enhance these

LRN achievements in the future so that we can stay ahead of threats.

I would like to thank the Planning Committee for all of their efforts

in developing this exciting program and to the abstract submitters,

moderators and presenters for sharing their experiences and knowledge,

as well as the Association of Public Health Laboratories (APHL) and

CDC staff, LRN members and partners who assisted with logistics,

including providing multi-media resources and tools, to help make this

National Meeting a success. I would like to extend a special thank

you to Mr. Tyler Wolford, APHL’s LRN Specialist for his hard work in all

aspects of the meeting planning and coordination, and keeping the

planning committee on target!

Again, welcome and enjoy your stay in Atlanta!

Andrew Cannons, PhD

Chair, LRN National Meeting Planning Committee

LRN 2015: Staying Ahead of Threats 3


2015 LRN National Meeting

Planning Committee

Planning Committee Chair

Andrew C. Cannons, PhD, HCLD/CC (ABB)

Laboratory Director

Florida Department of Health

Bureau of Public Health Laboratories

Tampa, FL

Planning Committee Members

Blevins, Patricia, MPH

Bioterrorism Laboratory Coordinator

San Antonio Metropolitan Health District

San Antonio, TX

Chaitram, Jasmine, MPH, MT (ASCP)

Laboratory Preparedness and Response

Branch

Division of Preparedness and Emerging

Infections

Centers for Disease Control and

Prevention

Atlanta, GA

Chaudhuri, Sanwat, PhD

Bureau Director, Chemical and

Environmental Sciences

Unified State Laboratories: Public Health

Utah Department of Health

Taylorsville, UT

Collopy, Maureen, MPH, MT (ASCP)

Bioterrorism Coordinator

New Hampshire Public Health

Laboratories

Concord, NH

Degeberg, Ruhiyyih, MPH

Senior Specialist, Environmental Health

Association of Public Health Laboratories

Silver Spring, MD

George, Karim

Assistant Director

Kentucky Division of Laboratory Services

Frankfort, KY

Ghuman, Harjinder

Chemical Terrorism Laboratory

Coordinator

Georgia Public Health Laboratory

Decatur, GA

Griffin-Thomas, Latoya, PhD, MS

Bioterrorism Response Coordinator

Virginia Division of Consolidated

Laboratory Services

Richmond, VA

Johnson, Rudolph PhD

Laboratory Chief, Emergency Response

Branch

Division of Laboratory Sciences

Centers for Disease Control and

Prevention

Atlanta, GA

4 LRN 2015: Staying Ahead of Threats


Leonard, Pascale, PhD

Molecular Biology Supervisor

New Mexico Department of Health

Albuquerque, NM

MacKeil-Pepin, Kara

Associate Specialist, Public Health

Preparedness and Response

Association of Public Health

Laboratories

Silver Spring, MD

Mangal, Chris, MPH

Director, Public Health Preparedness

and Response

Association of Public Health

Laboratories

Silver Spring, MD

Nauschuetz, William, PhD

Lab Biopreparedness Manager

US Army Medical Command, Fort Sam

Houston, TX

Paquette, Nicholas, MS, MT (ASCP),

CBSP

Microbiologist

Federal Bureau of Investigation

Laboratory

Quantico, VA

Reiter-Kintz, Wanda, PhD

Bioterrorism/Chemical Terrorism

Coordinator

State Hygienic Laboratory at the

University of Iowa

Coralville, IA

Rhodes, Blaine, MChE

Director, Office of Environmental Lab

Sciences

Washington Public Health Laboratories

Shoreline, WA

Saravia, Stefan

Chemical Threat Preparedness

Coordinator

Minnesota Public Health Laboratory

Division

St. Paul, MN

Tran, Robert, PhD

Bioterrorism Response Coordinator

Los Angeles Public Health Laboratory

Downey, CA

Amy Watson, PhD

LRN-C Program Coordinator

Centers for Disease Control and

Prevention

Atlanta, GA

Wolford, Tyler, MS

Specialist, Laboratory Response

Network

Association of Public Health

Laboratories

Silver Spring, MD

Zanto, Susanne, MPH, MLS, SM

Deputy Laboratory Director

Montana Laboratory Services Bureau

Helena, MT

LRN 2015: Staying Ahead of Threats 5


6 LRN 2015: Staying Ahead of Threats


GENERAL

INFORMATION

GENERAL

INFORMATION

2015

NATIONAL MEETING


GENERAL

INFORMATION


Location Information

Tom Harkin Global Communications Center

Building 19

Centers for Disease Control and Prevention

1600 Clifton Road, N.E.

Atlanta, GA 30333 USA

404.639.3311

LRN 2015: Staying Ahead of Threats 9


General Information

Event Check-In and Information Desk Hours

Located in the Tom Harkin Global Communications Center Lobby

Building 19

Wednesday, September 9 8:00 a.m. – 5:00 p.m.

Thursday, September 10

Friday, September 11

Continuing Education Credits

8:00 a.m. – 5:00 p.m.

8:00 a.m. – 1:00 p.m.

APHL is an approved provider of continuing education programs in the

clinical laboratory sciences through the American Society of Clinical

Laboratory Science (ASCLS) P.A.C.E.® program. Contact hours are available

for the entire conference. The contact hours to be awarded to participants

who successfully complete the sessions are as follows: Day 1 of the

conference—4.25 contact hours, Day 2 of the conference (either Biological

OR Chemical track and general track)—5.5 contact hours and Day 3 of the

conference—1.5 contact hours, for a total of 11.25 contact hours. Contact

hours will only be provided for full day attendance. On Day 2 you

can receive contact hours for EITHER the Biological or Chemical breakout

track, not for both. You must sign in once each day on the sign-in sheets in

front of the session room.

Tell Us What You Think!

We take your evaluation of the LRN National Meeting seriously. Please plan

on providing your feedback in an online survey provided after the meeting

via email. Your feedback is vital to helping us plan a better and more

beneficial meeting in the future.

Emergency Procedures for Attendees

CDC and APHL encourage all attendees to review and be familiar with

CDC emergency procedures, including emergency exits for all meeting

rooms. Please pre-identify a location away from the Tom Harkin Global

Communications Center where you and your colleagues will meet in the

event of an emergency.

10 LRN 2015: Staying Ahead of Threats


About LRN

The Laboratory Response Network (LRN) was established in 1999 through a

collaborative effort involving founding partners, CDC, FBI, APHL and DoD to

ensure an effective laboratory response to bioterrorism. Today, the LRN is an

integrated network of local, state and federal public health, hospital-based,

food testing, veterinary, environmental testing and international laboratories

providing laboratory diagnostics and capacity for biological and chemical

threats and other public health emergencies. The LRN is a unique asset in

the nation’s growing preparedness for biological and chemical threats. The

linking of state and local public health laboratories, veterinary, agriculture,

military and water and food testing laboratories is unprecedented.

About APHL

APHL is a national non-profit organization dedicated to working with members

to strengthen governmental laboratories that perform testing of public

health significance. Working at the national and international level, APHL

advances laboratory systems and practices, promotes policies that support

laboratories as a vital component of the public health system, provides a

nexus for crisis response and exchange among laboratory systems, and

links APHL member laboratories with federal partners, including the CDC,

the Environmental Protection Agency (EPA), the Food and Drug Administration

(FDA), the United States Department of Agriculture(USDA), the Department of

Homeland Security (DHS) and the Federal Bureau of Investigation (FBI).

About CDC

CDC is one of the major operating components of the Department of Health

and Human Services (HHS). CDC’s top organizational components include

the Office of the Director, Coordinating Centers and Offices and the National

Institute for Occupational Safety and Health. These components collaborate

to create the expertise, information and tools that people and communities

need to protect their health through health promotion, prevention of disease,

injury and disability and preparedness for new health threats. In addressing

the preceding components of health, decisions are based on scientific

excellence, requiring well-trained public health practitioners and leaders

dedicated to high standards of quality and ethical practice.

LRN 2015: Staying Ahead of Threats 11


LRN Structure for Biological Threats

Preparedness

The LRN for Biological Threats Preparedness (LRN-B) is composed of

three levels: Sentinel, Reference and National Laboratories. Reference

laboratories are further subdivided into Reference, Standard and Advanced.

The following are the capabilities for each level:

National Laboratories: there are three national laboratories (1) Centers for

Disease Control and Prevention, (2) United States Army Medical Research

Institute for Infectious Diseases and (3) the Naval Medical Research Center.

These laboratories have specialized testing capabilities (e.g. Biosafety Level

4 facilities, strain characterization) and provide test development and agent

specific subject matter expertise which can be leveraged when needed by

the network.

Reference Laboratories: over 130 laboratories, categorized as Reference,

Standard and Advanced, provide testing for high priority threat agents in a

variety of matrices. In addition to their testing function, these laboratories

also conduct outreach to sentinel clinical laboratories, first responders and

other partners.

Sentinel Laboratories: thousands of laboratories, notably hospital based,

work closely with local and state public health and federal laboratories to

recognize and rule-out potential biological threat agents and other emerging

threats to public health. Sentinel laboratories are an integral part of the

LRN with the system relying heavily on their ability to recognize rule-out

and/or refer potential threats.

12 LRN 2015: Staying Ahead of Threats


LRN Structure for Chemical Threat

Preparedness

The LRN for Chemical Threats Preparedness (LRN-C) is composed of 53

laboratories and is categorized into three distinct levels: one, two and

three. Starting with level three and building upward, each designation

carries additional safety requirements and testing capabilities, in addition

to the duties and requirements of the preceding level. The following are

minimum capabilities required at each level:

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CDC Laboratories provide a high level of analysis, including a rapid

toxicology screen to detect exposure to chemical threats. Further,

they maintain a quality system within the LRN-C by developing

methods and providing proficiency testing and exercises.

Level 1 Laboratories provide surge capacity for CDC and can detect

exposure to an expanded number of chemicals, including mustard

agents, nerve agents and toxic industrial chemicals.

Level 2 Laboratories are trained to detect exposure to a number

of chemical threat agents, including cyanide, nerve agents and

toxic metals.

Level 3 Laboratories work with hospitals and first responders to

maintain competency in clinical specimen collection, packaging

and shipment.

LRN 2015: Staying Ahead of Threats 13


14 LRN 2015: Staying Ahead of Threats


FEATURED

EVENTS

FEATURED

EVENTS

2015

NATIONAL MEETING


FEATURED

EVENTS


LRN 2015: Staying Ahead of Threats

Program At- A- Glance

Wednesday, September 9

Event Check-In and Badge Pick-Up

Welcome Address

Keynote Address

Plenary Sessions

Poster Session

Thursday, September 10

Event Check-In

Breakout Sessions (Biological,

Chemical/Radiological)

Plenary Session

Friday, September 11

Event Check-In

Color Guard Ceremony

Awards Ceremony

Plenary Session

Closing Keynote

LRN 2015: Staying Ahead of Threats 17


18 LRN 2015: Staying Ahead of Threats


WEDNESDAY

WEDNESDAY

2015

NATIONAL MEETING


WEDNESDAY


LRN 2015: Staying Ahead of Threats

Wednesday, September 9

8:00 a.m. - 9:00 a.m. Arrive at Centers for Disease Control and

Prevention Campus

8:00 a.m. - 4:45 p.m. Event Check-In and Badge Pick-Up

Tom Harkin Global Communications Center

Lobby

C.E.U.s and Objectives

4.25 contact hours for today’s sessions

(588-833-15)At the conclusion of Day 1, the

participant will be

able to:

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Describe the evolving role of the LRN and

articulate its past accomplishments and

future vision.

Discuss how the LRN supports public

health.

Describe partnerships, coordination and

response efforts involved in international

and domestic laboratory preparedness.

Welcome and Opening Panel Plenary Session

Auditorium B1/B2/B3

Panel:

9:00 a.m. - 10:30a.m. Andrew C. Cannons, Ph.D., HCLD (ABB),

Planning Committee Chair, Laboratory Director,

Bureau of Public Health Laboratories – Tampa,

Division of Disease Control and Health

Protection, Florida Department of Health

Elizabeth Franko, DrPH, Laboratory Director,

Georgia Public Health Laboratory, Georgia

Department of Public Health

LRN 2015: Staying Ahead of Threats 21


Brenda Fitzgerald, MD, Commissioner and State

Health Officer, Georgia Department of Public

Health

Thomas Frieden, MD, MPH, Director, Centers for

Disease Control and Prevention

David Nabarro, MSc, BM BCh, MFPHM, FRCP,

Special Representative to the United Nations

Secretary–General

10:30 a.m. - 10:45 a.m. Break

Tom Harkin Global Communications Center

Lobby

Future of the Laboratory Response Network Plenary Session

Auditorium B1/B2/B3

Moderator: Jasmine Chaitram, MPH, MT (ASCP) Division of Preparedness and

Emerging Infections, National Center for Emerging and Zoonotic Infectious

Disease, Centers for Disease Control and Prevention

Panel:

10:45 a.m. – 11:05 a.m. Joanne Andreadis, PhD, Senior Advisor for

Laboratory Preparedness, Office of Public

Health Preparedness and Response, Centers for

Disease Control and Prevention

11:05 a.m. – 11:25 a.m. James L. Pirkle, MD, PhD, Director, Division

of Laboratory Science, National Center for

Environmental Health, Centers for Disease

Control and Prevention

11:25 a.m. – 11:45 a.m. Julie Villanueva, PhD, Branch Chief, Laboratory

Preparedness and Response Branch, Division of

Preparedness and Emerging Infections, National

Center for Emerging and Zoonotic Infectious

Disease, Centers for Disease Control and

Prevention

11:45 a.m. – 12:00 p.m. Questions/Answers

22 LRN 2015: Staying Ahead of Threats


10:00 a.m. – 5:00 p.m. Posters Available for Viewing

Tom Harkin Global Communications Center

Lobby

12:00 p.m. - 1:30 p.m. Lunch Available for Purchase

Tom Harkin Global Communications Center

Lobby

12:30 p.m. - 1:30 p.m. Poster Presenters Available for Discussion

International Response to Chemical Weapons Plenary Session

Auditorium B1/B2/B3

Moderator: Rudolph Johnson, PhD, Laboratory Chief, Emergency Response

Branch, Division of Laboratory Science, National Center for Environmental

Health, Centers for Disease Control and Prevention

1:30 p.m. - 2:00 p.m. International Response to Chemical Weapons

Hugh Gregg, PhD, Head of Organisation for the

Prohibition of Chemical Weapons Laboratory,

Organisation for the Prohibition of Chemical

Weapons

2:00 p.m. - 2:15 p.m. Questions/Answers

2:15 p.m. – 2:30 p.m. Break

Tom Harkin Global Communications Center

Lobby

FBI Partnerships to Respond to Threats Plenary Session

Auditorium B1/B2/B3

Moderator: Nicholas Paquette, MS, Microbiologist, Hazardous Materials

Science Response Unit, Federal Bureau of Investigation Laboratory

2:30 p.m. - 3:00 p.m. History of Powder Letters Sent via Mail

Douglas Beecher, PhD, Science Lead, Chemical,

Biological, Radiological, Nuclear Sciences Unit

(CBRNSU), Federal Bureau of Investigation

Laboratory

LRN 2015: Staying Ahead of Threats 23


3:00 p.m. - 3:20 p.m. Big Data and Personal Health Information:

National & Transnational Security

Implications

Edward You, MS, Supervisory Special Agent,

Weapons of Mass Destruction, Federal Bureau

of Investigation

3:20 p.m. – 3:30 p.m. Questions/Answers

3:30 p.m. – 3:45 p.m. Break

Tom Harkin Global Communications Center

Lobby

2014 Ebola Outbreak Response Plenary Session

Auditorium B1/B2/B3

Moderator: Scott Hughes, PhD, Associate Director, Public Health Laboratory,

New York City Department of Health and Mental Hygiene

Panel:

3:45 p.m. - 4:05 p.m. Grace Kubin, PhD, Director, Laboratory Services

Section, Texas Department of State Health

Services

4:05 p.m. – 4:25 p.m. Peter Iwen, MS, PhD, D (ABMM), Director,

Nebraska Public Health Laboratory

4:25 p.m. – 4:45 p.m. Mark Wolcott, PhD, Director, Special Pathogens

Laboratory, United States Army Medical

Research Institute of Infectious Diseases

4:45 p.m. – 5:00 p.m. Questions/Answers

5:00 p.m. Adjourn Day 1

Note: When you exit CDC, please retain your meeting badge.

24 LRN 2015: Staying Ahead of Threats


THURSDAY

2015

NATIONAL MEETING

THURSDAY


THURSDAY


Thursday, September 10

8:00 a.m. - 8:45 a.m. Arrive at Centers for Disease Control and

Prevention Campus

8:00 a.m. - 5:00 p.m. Event Check-In and Badge Pick-Up

C.E.U.s and Objectives

4.0 contact hours for today’s Biological

Breakout session (588-834-15)

At the conclusion of Day 2, the participant of

the Biological Breakout session will be able to:

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Describe lessons learned from real cases

and exercises.

Describe new technologies and capabilities

of the LRN for Biological Threats

Preparedness (LRN-B) as well as initiatives

for assay development.

4.0 contact hours for today’s Chemical

Breakout session (588-835-15)

At the conclusion of Day 2, the participant of

the Chemical Breakout session will be able to:

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Describe lessons learned from real cases

and exercises.

Discuss the concept of the LRN for

Radiological Threats Preparedness (LRN-R)

and the importance of partnerships for

preparedness and threat response.

Describe how laboratories are involved in

radiological preparedness activities.

Describe new technologies and capabilities

of the LRN for Chemical Threats

Preparedness (LRN-C).

LRN 2015: Staying Ahead of Threats 27


1.5 contact hours for today’s General session

(588-836-15)

At the conclusion of Day 2, the participant of

the General session will be able to:

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Outline biosafety and biosecurity practices

as it relates to the select agent program.

Discuss ways to implement effective

biosafety and biosecurity programs within

the laboratory.

Describe the role of biosecurity for allhazard

preparedness and response.

8:00 a.m. – 5:00 p.m. Posters Available for Viewing

Tom Harkin Global Communications Center

Lobby

LRN-B IN ACTION BREAKOUT SESSION

Auditorium B3

Moderator: Patricia Blevins, MPH, LRN Laboratory Coordinator, San Antonio

Metro Health District Laboratory, City of San Antonio Metropolitan Health

District

9:00 a.m. – 9:20 a.m. LRN in Action: Local, State and National

Response to the October Texas Ebola

Outbreak

Erin Swaney, Team Leader, Biothreat Team and

Emerging Preparedness, Laboratory Services

Section, Texas Department of State Health

Services

9:20 a.m. – 9:40 a.m. Multifaceted Response to a Large-Scale

Brucella species Laboratory Exposure

Megan Price, PhD, Bioterrorism Molecular Senior

Scientist, Virginia Division of Consolidated

Laboratory Services, Commonwealth of Virginia

Department of General Services

28 LRN 2015: Staying Ahead of Threats


9:40 a.m. – 10:00 a.m. Testing for MERS-CoV, the Indiana Lab Story

Judith Lovchik, PhD, D (ABMM), Assistant

Commissioner, Laboratory Director, Indiana

State Public Health Laboratory, Indiana State

Department of Health

10:00 a.m. – 10:20 a.m. A Perfect Storm: LRN Laboratory Response

to Simultaneous Plague & Tularemia

Outbreaks During Challenging Circumstances

Larry Sater, MS, Biological and Chemical

Terrorism Response Coordinator, Security

Officer, Laboratory Services Division, Colorado

Department of Public Health & Environment

10:20 a.m. – 10:30 a.m. Questions/Answers

LRN-C IN ACTION BREAKOUT SESSION

Auditoriums B1/B2

Moderator: Amy D. Watson, PhD, LRN-C Program Coordinator, National Center

for Environmental Health, Centers for Disease Control and Prevention

9:00 a.m. – 9:25 a.m. LRN-C: Beyond Preparedness, Increasing

Roles and Expanding Partnerships

Stefan Saravia, MPH, Chemical Threat

Preparedness Coordinator, Minnesota Public

Health Laboratory Division, Minnesota

Department of Health

9:25 a.m. – 9:50 a.m. A Triangulation Strategy Between CT/Poison

Control/Hazmat

Jason Mihalic, Chemistry Office Chief, Arizona

Bureau of State Laboratory Services, Arizona

Department of Health Services

9:50 a.m. – 10:15 a.m. Unknown Substance Training for HAZMAT

Responders: Assessment and Laboratory

Sample Collection

Meshel Mork, MS, Senior Chemist, Wisconsin

State Laboratory of Hygiene, University of

Madison-Wisconsin

LRN 2015: Staying Ahead of Threats 29


10:15 a.m. – 10:30 a.m. Questions/Answers

10:30 a.m- 10:45 a.m. Break

Tom Harkin Global Communications Center

Lobby

LRN-B Unusual Case Presentations Breakout Session

Auditorium B3

Moderator: William Nauschuetz, PhD, Laboratory Biopreparedness Manager,

United State Army Medical Command

10:45 a.m. – 11:05 a.m. Response to an Unknown Pulmonary Illness

Incident with an Unexpected Outcome

LaToya Griffin-Thomas, PhD, MS, Bioterrorism

Response Coordinator, Virginia Division

of Consolidated Laboratory Services,

Commonwealth of Virginia Department of

General Services

11:05 a.m. – 11:25 a.m. USAMRIID Ebola Response: Vaccine

Interactions and Canines

William Dorman, Biothreat Coordinator, US

Army Medical Research Institute of Infectious

Diseases

11:25 a.m. – 11:45 a.m. Domestic Response to the First Ebola Case

Daniel Serinaldi, MT (ASCP), Bioterrorism

Response Coordinator, Dallas County Health

and Human Services

11:45 a.m. – 12:00 p.m. Questions/Answers

Radiological Preparedness and Response Breakout Session

Auditoriums B1/B2

Moderator: David Saunders, PhD, Physicist, Division of Laboratory Sciences,

National Center for Environmental Health, Centers for Disease Control and

Prevention

10:45 a.m. – 11:05 a.m. Response to Nuclear Events-Lessons from

Fukushima

30 LRN 2015: Staying Ahead of Threats


Blaine Rhodes, MChE, Director, Office of

Environmental Laboratory Sciences, Washington

Public Health Laboratories, Washington State

Department of Health

11:05 a.m. – 11:25 a.m. CDC Radiological Preparedness and Response

Capabilities and the Potential for LRN for

Radiological Preparedness

Robert L. Jones, PhD, Chief, Inorganic and

Analytical Toxicology Branch, Division of

Laboratory Sciences, National Center for

Environmental Health, Centers for Disease

Control and Prevention

11:25 a.m. – 11:45 a.m. Inorganic and Radiation Analytical Toxicology

Branch (IRAT) Activities

Deanna Jones, Research Chemist, Centers for

Disease Control and Prevention

11:45 a.m. – 12:00 p.m. Questions/Answers

12:00 p.m. – 2:00 p.m. Lunch

Off-Campus On Your Own

Developing New Assays and Technologies for the LRN-B Breakout Session

Auditorium B3

Moderator: Brad Bowzard, PhD, Acting Team Lead, Bioterrorism Rapid

Response and Advanced Technology Laboratory, Laboratory Preparedness

and Response Branch, Division of Preparedness and Emerging Infections,

National Center for Emerging and Zoonotic Infectious Disease, Centers for

Disease Control and Prevention

2:00 p.m. – 2:20 p.m. The development and use of a C. perfringens

assay for use as a positive extraction control

Michael Perry, MS, Laboratory Supervisor, New

York State Department of Health, Wadsworth

Center

2:20 p.m. – 2:40 p.m. Performance Evaluation of the EndoPep MS

Assay for Detection of Botulinum Neurotoxins

LRN 2015: Staying Ahead of Threats 31


Susan Maslanka, PhD, Team Lead, National

Botulism Laboratory, Centers for Disease

Control and Prevention

2:40 p.m. – 3:00 p.m. Developing Variola Virus Specific qPCR

Assays

Yu, Li, PhD, Team Lead, Molecular Diagnostics,

Poxvirus and Rabies Branch, Division of

High-Consequence Pathogens and Pathology,

National Center for Emerging and Zoonotic

Infectious Disease, Centers for Disease Control

and Prevention

3:00 p.m. – 3:15 p.m. Questions/Answers

Developing New Assays and Technologies for the LRN-C Breakout Session

Auditorium B1/B2

Moderator: Thomas Blake, PhD, Research Chemist, Team Lead, Emergency

Response Branch, National Center for Environmental Health, Centers for

Disease Control and Prevention

2:00 p.m. – 3:15 p.m. Benefits of Switching to High-Throughput

Specimen Analysis for a CT Laboratory

Luke C. Short, PhD, Supervisory Chemist, District

of Columbia Public Health Laboratory, DC

Department of Forensic Sciences

Development of Dichlorotyrosine as a

Biomarker of Chlorine Exposure

Brian Crow, PhD, Senior Method Development

Scientist, Emergency Response Branch, National

Center for Environmental Health, Centers for

Disease Control and Prevention

Methods Development toward the Detection

of Soapberry Toxins in Human Urine

Melissa Carter, PhD, Senior Method

Development Scientist, Emergency Response

Branch, National Center for Environmental

Health, Centers for Disease Control and

Prevention

32 LRN 2015: Staying Ahead of Threats


Untargeted Data-Dependent Acquisition

of Analytes from Human Blood Products

Confirming Exposure to Organophosphorus

Nerve Agents

Thomas P. Matthews, PhD, Research Chemist,

Emergency Response Branch, National Center

for Environmental Health, Centers for Disease

Control and Prevention

3:15 p.m. - 3:30 p.m. Break

Tom Harkin Global Communications Center

Lobby

Biosafety and Biosecurity Plenary Session

Auditorium B3

Video Feed to Auditoriums B1/B2

Moderator: Michael Shaw, PhD, Senior Advisor for Laboratory Science,

National Center for Immunization and Respiratory Disease, Centers for

Disease Control and Prevention

3:30 p.m. – 5:00 p.m. Biosecurity and Catastrophic Preparedness

Patrick Rose, PhD, Director, Pandemic and

Catastrophic Preparedness, National Association

of County and City Health Officials

Implementing an Effective Biosafety Program

Michael Pentella, PhD, MS, D (ABMM),

William A. Hinton State Laboratory Institute,

Massachusetts Department of Health and

Human Services

Laboratory Bio-Risk Management

Reynolds M. Salerno, PhD, Senior Manager,

Biological Sciences and Technologies, Sandia

National Laboratories

Federal Select Agent Program

Robbin S. Weyant, PhD, Director, Division of

Select Agents and Toxins, Centers for Disease

Control and Prevention

LRN 2015: Staying Ahead of Threats 33


5:00 p.m. Adjourn Day 2

Note: When you exit CDC, please retain your meeting badge.

34 LRN 2015: Staying Ahead of Threats


FRIDAY

FRIDAY

2015

NATIONAL MEETING


FRIDAY


Friday, September 11

8:00 a.m. - 8:45 a.m. Arrive at Centers for Disease Control and

Prevention Campus

8:00 a.m. - 1:00 p.m. Event Check-In and Badge Pick-Up

C.E.U.s and Objectives 1.5 contact hours for today’s sessions (588-

858-15)

At the conclusion of Day 3, the participant will

be able to:

■■

■■

■■

Describe some of the challenges

associated with developing a state-wide

response plan with first responders.

Describe the importance of laboratory

findings for law enforcement investigations.

Discuss technologies that are currently

being used by first responders as well

as the development of new field-based

technologies.

8:00 a.m. – 1:00 p.m. Posters Available for Viewing

Tom Harkin Global Communications Center

Lobby

Color Guard Ceremony

Auditorium B1/B2/B3

9:00 a.m. – 9:15 a.m. Georgia State Defense Force

Essential Partnerships and Funding to Stay Ahead of Threats Plenary

Session

Auditorium B1/B2/B3

Moderator: Eric Blank, Dr.P.H., Senior Director, Public Health Systems,

Association of Public Health Laboratories

LRN 2015: Staying Ahead of Threats 37


9:15 a.m. – 10:00 a.m. Partnerships to Enhance the LRN

Scott J. Becker, MS, Executive Director,

Association of Public Health Laboratories

Awards Ceremony

Auditorium B1/B2/B3

Importance of Federal Funding to Sustain the

LRN

Peter Kyriacopoulos, Senior Director, Public

Policy, Association of Public Health Laboratories

Presenters:

10:00 a.m. - 10:45 a.m. Judith Lovchik, PhD, D(ABMM), Assistant

Commissioner, Laboratory Director, Indiana

State Public Health Laboratory

A. Christian Whelen, PhD, D(ABMM), Laboratory

Director, Hawaii Department of Health State

Laboratories

10:45 a.m. - 11:00 a.m. Break

Tom Harkin Global Communications Center

Lobby

Partnering to Evaluate Field Devices and Respond to Threats Plenary

Session

Auditorium B1/B2/B3

Moderator: Noel Stanton, MS, Wisconsin State Laboratory of Hygiene,

University of Madison-Wisconsin

11:00 a.m. - 12:30 p.m. Evaluation of the use of Field-Based PCR as a

Screening Tool for First Responders

Christina Egan, PhD, CBSP, Chief, Biodefense

Laboratory, New York State Department of

Health, Wadsworth Center

Georgia’s Biological Threat Response

Guidance for 1st Responders

Daniel Polanski, Chemical, Biological,

Radiological, Nuclear (CBRN) Coordinator,

Georgia Department of Public Health

38 LRN 2015: Staying Ahead of Threats


Stranger than Fiction: The Remarkable Saga

of a Would-Be Terrorist in Northern Minnesota

Maureen Sullivan, MPH, Emergency

Preparedness Unit Supervisor, Minnesota

Public Health Laboratory Division, Minnesota

Department of Health

Joint Biological Threat Response System:

An All-Hazards Approach to Responding to

Suspicious Substances

Cheryl Gauthier, MA, MT (ASCP), Director,

Bioterrorism Response Laboratory, William

A. Hinton State Laboratory Institute,

Massachusetts Department of Health and

Human Services

Closing Plenary Session

Auditorium B1/B2/B3

12:30 p.m. – 1:00 p.m. Andrew C. Cannons, Ph.D., HCLD (ABB), Planning

Committee Chair, Laboratory Director, Bureau of

Public Health Laboratories – Tampa, Division of

Disease Control and Health Protection, Florida

Department of Health

1:00 p.m. Adjourn 2015 LRN National Meeting

LRN 2015: Staying Ahead of Threats 39


40 LRN 2015: Staying Ahead of Threats


POSTERS

POSTERS

2015

NATIONAL MEETING


POSTERS


Poster Sessions

Tom Harkin Global Communications Center Lobby

To be displayed from Wednesday, September 9th at 10:00 a.m. to Friday,

September 11th at 1:00 p.m. Poster presenters will be available for

questions during lunch on Wednesday, September 9th from 12:30 p.m. –

1:30 p.m.

1. Chikungunya, a Vector Borne Emerging Threat

Samantha Tostenson, Research Microbiologist, United States Army

Medical Research Institute for Infectious Disease

2. Evaluation of the BacterioScanTM Instrument for Rapid Antimicrobial

Susceptibility Testing of Yersinia pestis and Bacillus anthracis

Julia Bugrysheva, PhD, Microbiologist, IHRC Inc., Centers for Disease

Control and Prevention, Christine Lascols, MS, Microbiologist, IHRC Inc.,

Centers for Disease Control and Prevention, Linda Weigel, PhD, Team

Lead, Centers for Disease Control and Prevention

3. The Design and Validation of Variola Virus Specific Diagnostic Assays

A. Kondas, Victoria Olson, PhD, Team Lead, Poxvirus Team, Division

of High-Consequence Pathogens and Pathology, National Center for

Emerging and Zoonotic Infectious Diseases, Centers for Disease

Control and Prevention, Yu, Li, PhD, Team Lead, Molecular Diagnostics,

Poxvirus and Rabies Branch, Division of High-Consequence Pathogens

and Pathology, National Center for Emerging and Zoonotic Infectious

Disease, Centers for Disease Control and Prevention, J. Abel, K. Wilkins,

Inger Damon, MD, PhD, Chief, Poxvirus Program, Captain, USPHS, Division

of High-Consequence Pathogens and Pathology, National Center for

Emerging and Zoonotic Infectious Diseases, Centers for Disease Control

and Prevention, Jonathan Turner, MS, MB (ASCP), Poxvirus Program,

Division of High-Consequence Pathogens and Pathology, National Center

for Emerging and Zoonotic Infectious Diseases, Centers for Disease

Control and Prevention

LRN 2015: Staying Ahead of Threats 43


4. Clandestine Laboratories: Beyond Recreational Pharmaceuticals New

York State Department of Health First Responder Training Program

Alan J. Antenucci, All-Hazards Training Coordinator, New York State

Department of Health, Wadsworth Center, Biodefense Laboratory

5. Laboratory Response Network Chemical (LRN-C) Level 3 Resource

Handbook

Jennifer Jenner, PhD, Chemical Threat Response Laboratory Coordinator,

Massachusetts Department of Public Health, Nicole Gethin, MS, Chemical

Threat Response Laboratory Assistant Coordinator, Massachusetts

Department of Public Health, Teresa Miller, Chemical Threat Coordinator,

Michigan Department of Community Health

6. Comparison of DNA Extraction Methods for Whole Genome

Sequencing of Bacillus anthracis

Heather McLaughlin, PhD, Microbiologist, IHRC Inc., Centers for Disease

Control and Prevention, Amy Gargis, PhD, Microbiologist, IHRC Inc.,

Centers for Disease Control and Prevention, Julia Bugrysheva, PhD,

Microbiologist, IHRC Inc., Centers for Disease Control and Prevention,

Andrew Carter, MPH, Microbiologist, IHRC Inc., Centers for Disease

Control and Prevention, David Sue, PhD, Microbiologist, Centers for

Disease Control and Prevention, Linda Weigel, PhD, Team Lead, Centers

for Disease Control and Prevention

7. EXPRESS—Exercise of Preparedness and Response System

Tina Fan, P.D, Research Scientist 1/Program Manager, Chemical

Terrorism Laboratory, New Jersey Department of Health Public Health &

Environmental Laboratories

8. Dallas County LRN: Ebola Response 2014

Daniel Serinaldi, MB (ASCP), LRN BT Coordinator, Dallas County Health

and Human Services

9. Applications of Pyrosequencing Technology for Identification and

Characterization of Burkholderia pseudomallei.

Nelson Delgado, PhD, D(ABMM), RBP, Research Scientist-1, BioThreat

Response Laboratory Coordinator, ARO, New Jersey Department of

Health Public Health & Environmental Laboratories, A. MacMillan, S.

44 LRN 2015: Staying Ahead of Threats


DasGupta, H. Shah, Ondrea Shone, Research Scientist, New Jersey

Department of Health Public Health & Environmental Laboratories,

D. Galkowski

10. Laboratory Preparedness and Response to Ebola Virus in New York

City

Scott Hughes, PhD, Associate Director, Public Health Laboratory, New York

City Department of Health and Mental Hygiene

11. Biothreat Environmental Sample Collection Training for First

Responders: Highlighting Local, State and Federal Partnerships

Mark Glazier, Director, Biological Preparedness, Laboratory Outreach, and

Logistics, Indiana State Department of Health Laboratories

12. Analysis of Mercury in Urine by ICP-MS

David Freund MT(AMT), Medical/Clinical Specialist, Georgia Public Health

Laboratory, Stacey Gonder MPH, MLS(ASCP), Medical/Clinical Specialist,

Georgia Public Health Laboratory, Noemi Kalath MPH, MLS(ASCP),

Medical/Clinical Specialist, Georgia Public Health Laboratory,

13. Enhancing Rapid Electronic Laboratory Reporting: Collaborative

Efforts and Progress with LRN-LIMSi

Indira Srinivasan, PMP, IT Project Manager, Centers for Disease Control

and Prevention, Emory Meeks, Branch Chief, Information Systems

Branch,Division of Health Informatics and Surveillance, Center for

Surveillance, Epidemiology, and Laboratory Services, Office of Public

Health Scientific Services, Centers for Disease Control and Prevention

(CDC), Jasmine Chaitram, MPH, MT(ASCP) Division of Preparedness

and Emerging Infections, National Center for Emerging and Zoonotic

Infections, Jon Lipsky, MBA, PMP, Consultant, J Michael Consulting, Jason

Scott, PMP, Project Manager, J Michael Consulting

14. Implementation of Homeland Security Exercise Evaluation Program

(HSEEP) to Test Plans and Protocols in the Laboratory

Graciela Malave, MT, MLS(ASCP) CM, BT & CT Coordinator, Biological

and Chemical Emergencies Laboratory of the Puerto Rico Department

of Health

LRN 2015: Staying Ahead of Threats 45


15. Comparative Study of a Lateral Flow Assay to the LRN Time-Resolved

Fluorescence Assay for Screening of Ricin Toxin in Environmental

Samples

Michael Perry, MS, Laboratory Supervisor, New York State Department of

Health, Wadsworth Center

16. Implementing MALDI-TOF in the Public Health Laboratory for C.

botulinum Neurotoxin Detection

Dominick Centurioni, MS, Research Scientist, New York State Department

of Health, Wadsworth Center

17. LRN in the Community: Responding to Ebola

Valerie Requenez, MLS(ASCP), BT Coordinator, Corpus Christi-Nueces

County Public Health Department Laboratory, Rachel Rios, MT(ASCP),

Clinical Microbiologist, Corpus Christi-Nueces County Public Health

Department Laboratory, Donna Rosson, MPH, MT(ASCP), Public Health

Administrator, Corpus Christi-Nueces County Public Health Department

Laboratory

18. Ebola Planning: The State Perspective.

Marissa Bloemke, LRN Molecular Biologist, Infectious Disease Section,

Minnesota Public Health Laboratory Division

19. The Great Flood: A Real Life Game of “Whack-a-mole”.

Jackie Mahon, LRN Molecular Biologist, Infectious Disease Section,

Minnesota Public Health Laboratory Division

20. From Threat to Reality: Biological and Chemical Emergencies

Laboratory Response to Chikungunya virus

Gloriene González Ruiz, Biological and Chemical Emergencies Laboratory

of the Puerto Rico Department of Health

21. All Hands on Deck: What Happens When There is Something in

the Water

Courtney Demontigny, MS, LRN Molecular Assay Coordinator, Minnesota

Public Health Laboratory Division

46 LRN 2015: Staying Ahead of Threats


22. Leveraging the LRN: A Step Toward Implementing International Health

Regulations (IHR) (2005)

Tyler Wolford, MS, Specialist, LRN, Association of Public Health

Laboratories

LRN 2015: Staying Ahead of Threats 47


48 LRN 2015: Staying Ahead of Threats


ACRONYMS

ACRONYMS

2015

NATIONAL MEETING


ACRONYMS


Acronyms

AAVLD

AHRF

AML

APHIS

APHL

ASM

ASTM

BA

BAIT

BOTE

BRRATL

BSL

BTRA

CAP

CBCT

CBNR

CBRNSU

CDC

CLIA

CoC

COOP

CRCPD

CRP

CST

CWA

DBPR

DEOC

American Association of Veterinary

Laboratory Diagnosticians

Assessment of Health Risks with

Feedback

Area Medical Laboratory

Animal and Plant Health Inspection

Service

Association of Public Health

Laboratories

American Society for Microbiology

American Society for Testing and

Materials

Bacillus anthracis

Biological Agent Identification and

Counterterrorism Training

Bio-Response Operational Testing

Exercise

Bioterrorism Rapid Response and

Advanced Technology Laboratory

Biosafety Level

Bioterrorism Risk Assessment

College of American Pathologists

Confidence Building Competency Test

Chemical, Biological, Nuclear, and

Radiological

Chemical Biological Radiological

Nuclear Science Unit (FBI Laboratory)

Centers for Disease Control and

Prevention

Clinical Laboratory Improvement

Amendments

Chain of Custody

Continuity of Operations Plan

Conference of Radiation Control

Program Directors

Critical Reagents Program

Civil Support Team (U.S. Army National

Guard)

chemical warfare agents

Division of Bioterrorism Preparedness

and Response

Director of the Emergency Operations

Center (Federal)

DHS

DHS OHA

DHS S&T

DLN

DoD

DoD GEIS

DOE

DOJ

DSL

DTRA

EDD

EPA

ERCL

ERLN

EUA

FBI

FDA

FERN

FSIS

GC-MS

H1N1

HHA

HHS

HMRT

HMSRU

HSEEP

IAWG

IBRD

ICLN

Department of Homeland Security

Department of Health and Human

Services Office of Health Affairs

Department of Health and Human

Services Science and Technology

Defense Laboratory Network

Department of Defense

United States Department of

Defense Global Emerging Infections

Surveillance and Response System

Department of Energy

Department of Justice

Division of Laboratory Systems

Defense Threat Reduction Agency

Electronic Data Deliverable

Environmental Protection Agency

Emergency Response Chemical

Laboratory

Environmental Response Laboratory

Network

Emergency Use Authorization

Federal Bureau of Investigation

Food and Drug Administration

Food Emergency Response Network

Food Safety and Inspection Service

Gas chromatography-mass

spectroscopy

Hemoagglutinine and Neuroaminidase

Influenza Virus

Handheld Assay

Department of Health and Human

Services

Hazardous Materials Response Team

(FBI field hazmat teams)

Hazardous Materials Science

Response Unit (FBI Laboratory)

Homeland Security Exercise and

Evaluation Program

Interagency Working Group

Interagency Biological Restoration

Demonstration

Integrated Consortium of Laboratory

Networks

LRN 2015: Staying Ahead of Threats 51


IRA

ISO

ITCC

JBAIDS

JLC

Integrated Response Architecture

ISO International Organization for

Standardization

Information Technology

Communication Committee

Joint Biological Agent Identification

and Diagnostic System

Joint Leadership Council

JPM CBMS Joint Program Executive Office for

Chemical and Biological Medical

Systems

LIMS/LIS

LIMSi

LLNL

LPX

LRN

LRN-B

LRN-C

LRN-R

MCC

MOU

MSDS

NAHLN

NCEH

NCG

NELAC

NGB

NIOSH

NLTN

NMRC

NPDN

NRC

OHA

OIG

PCR

Laboratory Information (Management)

System

Laboratory Information Systems

Management integration

Lawrence Livermore National

Laboratory

Laboratory Preparedness Exercise

Laboratory Response Network

Laboratory Response Network for

Biological Terrorism Preparedness

Laboratory Response Network for

Chemical Terrorism Preparedness

Laboratory Response Network for

Radiological Terrorism Preparedness

Method Coordination Committee

Memorandum of Understanding

Material Safety Data Sheet

National Animal Health Laboratory

Network

National Centers for Environmental

Health (under CDC)

Network Coordinating Group

National Environmental Laboratory

Accreditation Conference

National Guard Bureau

National Institute for Occupational

Safety and Health

National Laboratory Training Network

Naval Medical Research Center

National Plant Diagnostic Network

Nuclear Regulatory Commission

Office of Health Affairs

Office of Inspector General

Polymerase Chain Reaction

PHAA

PHEP

PHILIS

PHLIP

PSAA

PT

QA

QAPP

REEF

RT-PCR

SAIC

SAP

SARS

SOW

STP

SVOC

USAHA

USAMRIID

USDA

VSP

WLA

WMD

WMDC

WMDD

Public Health Actionable Assays

Public Health Emergency

Preparedness

Portable High Throughput Integrated

Laboratory Identification Systems

Public Health Laboratory

Interoperability Project

Public Safety Actionable Assays

Proficiency Testing

Quality Assurance

Quality Assurance Program Plan

Radiological Evidence Examination

Facility

Real Time Polymerase Chain Reaction

Science Applications International

Corporation

Select Agent Program

Severe Acute Respiratory Syndrome

Statement of Work

Scenarios and Threat Prioritization

semi volatile organic compounds

United States Animal Health

Association

U.S. Army Medical Research Institute

for Infectious Diseases

Department of Agriculture

Validate Sampling Plan

Water Laboratory Alliance

Weapons of Mass Destruction

WMD Coordinator (FBI field office

coordinator)

Weapons of Mass Destruction

Directorate

52 LRN 2015: Staying Ahead of Threats


NOTES

2015

NATIONAL MEETING

NOTES


NOTES


Notes

LRN 2015: Staying Ahead of Threats 55


Notes


CS257147-I

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