Bio and GM Safety v2 07/01/2014 1 Occupational Health & Safety Service Biological Safety Course 2014 Dr Samantha Dainty– University Biological Safety Advisor Occupational Health & Safety Service 2 Objectives for today • Part 1: Why Bio-safety Matters What are the implications if (when?) things go wrong? • Part 2: Risk Assessment (BioCOSHH)- Hazards and risks relating to biological agents. How will you identify the risks in your project? • Part 3: How to contain biological agents and GM hazards. How will you prevent yourself and co-workers becoming contaminated/infected? Occupational Health & Safety Service Why Bio-safety matters Occupational Health & Safety Service 4 Biological Safety Law Occupational Health & Safety Service Some of the enforcing authorities • Environment Agency – ~ everything that may affect the environment • HSE – GMM’s, GMO’s, human pathogens • Defra/Fera – plant pests, plant and animal pathogens • Northumbrian Water – GMM’s, chemicals • Local Council – waste disposal / land fill sites • Human Tissue Authority – human materials 5 Occupational Health & Safety Service 6 Biological Safety Law • IF you want a long career in science / research this becomes even more important the more senior you become • Technicians – responsible for ensuring lab equipment is “safe”, appropriately tested and “legal” • Post docs (supervising students) – responsible for their safety • Group leader – responsible for entire groups safety • Institute director – responsible for everyone on site • Vice Chancellor – responsible for everyone in University • As you become more senior - need to KNOW all regulations and laws! • Postgraduate students are regarded as employees at Newcastle University
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Bio and GM Safety v2 07/01/2014
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Occupational Health & Safety Service
Biological Safety Course 2014
Dr Samantha Dainty– University Biological Safety Advisor
Occupational Health & Safety Service
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Objectives for today
• Part 1: Why Bio-safety Matters What are the implications if (when?) things go wrong?
• Part 2: Risk Assessment (BioCOSHH)- Hazards and risks relating to biological agents. How will you identify the risks in your project?
• Part 3: How to contain biological agents and GM hazards.
How will you prevent yourself and co-workers becoming contaminated/infected?
Occupational Health & Safety Service
Why Bio-safety matters
Occupational Health & Safety Service
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Biological Safety Law
Occupational Health & Safety Service
Some of the enforcing authorities
• Environment Agency – ~ everything that may affect the environment
• HSE – GMM’s, GMO’s, human pathogens
• Defra/Fera – plant pests, plant and animal pathogens
• Northumbrian Water – GMM’s, chemicals
• Local Council – waste disposal / land fill sites
• Human Tissue Authority – human materials
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Occupational Health & Safety Service
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Biological Safety Law
• IF you want a long career in science / research this becomes even more important the more senior you become
• Technicians – responsible for ensuring lab equipment is “safe”, appropriately tested and “legal”
• Post docs (supervising students) – responsible for their safety
• Group leader – responsible for entire groups safety
• Institute director – responsible for everyone on site
• Vice Chancellor – responsible for everyone in University
• As you become more senior - need to KNOW all regulations and laws!
• Postgraduate students are regarded as employees at Newcastle University
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YOU have a legal obligation to follow the biosafety (and other) regulations: • As implemented in the University • As directed by biosafety personnel and your
supervisor • Including ‘if in doubt – find out!’ • Undergo appropriate training
What this means Occupational Health & Safety Service
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Injury to staff, students and the public
through laboratory acquired infections
What are we trying to prevent?
Occupational Health & Safety Service
Biosafety case study: Smallpox Exposure
• Janet Parker, medical photographer was the last recorded person to die from smallpox in 1978
• Worked in a dark room and offices located above the microbiology lab in the University of Birmingham Medical School
• Contracted smallpox through the ventilation system
Consequences of “getting it wrong” Research costs/resources
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Occupational Health & Safety Service
Risk Assessment of Biological Agents -
BIOCOSHH
Occupational Health & Safety Service
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Who carries out the risk assessment? - a ‘competent person’
• A competent person under COSHH is somebody with the skill, knowledge, practical experience and training to enable him or her to assess the risks arising from work activities involving substances hazardous to health.
• A competent person should:
• Understand hazard and risk
• Know how the work can expose people to substances/agents hazardous to health
• Have the ability (and authority) to collect all the necessary information
• Have the knowledge, skills and experience to make the right decisions about how to control exposure.
• DOES NOT need to be an expert – but needs to know where to obtain biosafety advice and information
Occupational Health & Safety Service
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• Unlikely that new postgraduate students are competent to carry out risk assessments on their own
• The process is a joint effort between the Principal Investigator, the student(s), any other researchers and biosafety personnel (BSO)
• Competent authority (HSE, Defra) involvement for certain projects and activities
What this means Occupational Health & Safety Service
Risk Assessment
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Exposure – if a biological agent is inhaled, ingested, enters through broken skin (cut, sharps injury)
Infection – when the microorganism establishes within organs/blood and produces colonies (infectious dose)
Virulence
Amount of organism entering system
Health status of exposed person
aim is to avoid exposure
to prevent infection ever happening
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Occupational Health & Safety Service
• You are required to read and understand the BioCOSHH risk assessment form for your project
What Are The Hazards ? : Microbial and other Toxins
Toxin
Caffeine
Ammonium Dichromate
Nicotine
Osmium tetroxide
Hydrogen cyanide
Sodium cyanide
Tetrodotoxin
Aflatoxin B1
Clostridium tetani
Clostridium botulinum
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NOTE: Microorganisms do not need to be viable for toxins to be present and harmful – toxins may also be present in spent cell-free culture media
LD50 mg/kg ~ LD for 75kg person
192 14.4g
67.5 5.065g
50 3.75g
14 1.05g
10 750mg
6 450mg
0.3 22.5mg = 20 x
0.048 3.6mg = 125 x
0.000000025 185ng = 2472 x
0.000000010 75ng = 6000 x
Occupational Health & Safety Service
What Are The Hazards ? : Allergens
Biological/chemical materials which cause hypersensitivity
• Animals, plants and microorganisms or their products can cause hypersensitivity
• Sensitization can occur by acute or chronic exposure
• Asthma – animal house bedding, fur, dander
• Dermatitis – many chemicals, animal furs/hair
• Anaphylaxis – natural products
• If you exhibit any allergic response contact school safety officer immediately
• Important to declare known allergies at commencement of employment
• Continued exposure can lead to severe anaphylaxis (<5 - 30min response) 33
Occupational Health & Safety Service
Schedule 5 items
• Schedule 5 materials require secure storage under part 7 of the Anti Terrorism, Crime and Security Act 2001 (ATCSA)
• These organisms or toxins are generally capable of causing death in humans.
− Examples: B.anthracis, dengue fever virus, lassa fever virus, C. botulinum, ricin protein etc
• Local anti terrorism police (CTA), HSE and University staff will all inspect laboratories housing these agents.
• Lab requires “Bio-security” policy !!
• Involves an extensive project application procedure
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Occupational Health & Safety Service
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Pathogen and Toxin Registration
Certain biological agents and hazards must be registered using
Pathogen or Toxin Registration Forms before they are even
brought into University
• Hazard group 2 and 3
biological agents
• Any pathogen or toxin
listed in Schedule 5
Detailed guidance on what must be registered on USO
website
Occupational Health & Safety Service
Risk Estimation
Risk is estimated by combining severity of harm if the hazard was to occur and the likelihood of occurrence in specific circumstances
• Severity of harm (severe, moderate, minor, negligible)
• Likelihood of harm (high, medium, low, negligible)
Risk = Likelihood x Severity
Risk = Effectively zero, Low, Low/Medium, Medium or High
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Risk Estimation Matrix*
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Likelihood of Harm (occurring)
High Medium Low Negligible
Severe High High Medium Effectively
zero
Moderate High Medium Medium/
Low Effectively
zero
Minor Medium/
Low Low Low
Effectively zero
Negligible Effectively
zero Effectively
zero Effectively
zero Effectively
zero
Severi
ty o
f H
arm
*A risk matrix is included at the end of every risk assessment form
Occupational Health & Safety Service
Assessing Risk
Who is at risk in the lab?
• Workers – co-workers
• Visitors – public, school students
• Contractors - cleaners
• Immunocompromised status − infections, drug treatments,
cancer
• Pregnancy
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Occupational Health & Safety Service
New and Expectant Mothers
If you become pregnant and may come into contact with the agents listed below -
• Visit Occupational Health Site…
• Avoid work with − Radiation sources
− Hazardous Chemicals
− Carcinogens/Mutagens
• Avoid work with some microorganisms − HG2
− HG3
− Animal infection
− Workplace exposure
− Blood screening?
• Avoid farm animals (pregnant ewes)
− esp. chlamydiosis, toxoplasmosis and listeriosis
• Inform SSO asap for assessment
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Occupational Health & Safety Service
Assessing Risk: infectious dose
Agent Dose Route
Tuberculosis 10 Inhalation
Influenza A2 790 Inhalation
S.typhi 105 Ingestion
Vibrio cholerae Cholera 108 Ingestion
E.coli 108 Ingestion
E.coli 0157 10-100 Ingestion
Shigella 10 Ingestion
Polio virus 1 2 Ingestion
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Definition: The amount of pathogenic organisms that will cause infection in susceptible subjects. Dependant upon organism AND host
Occupational Health & Safety Service
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Routes for transmission of infection
Mucous Membranes: Exposure of mucous membranes of the eyes, nose and mouth through splashes, splatter or aerosols.
Inhalation: Breathing in respirable sized aerosols (<5μm), centrifuge leaks, spills, pipetting, etc.
Ingestion: Swallowing through mouth pipetting, eating, drinking or smoking in the lab.
Percutaneous/injection: Through intact or non-intact skin via NEEDLESTICK, puncture with contaminated sharp object, animal scratch or bite, through wounds abrasions, or eczema.
Contact (indirect transmission): Via mucous membranes or non-intact skin from hands that have been in contact with a contaminated surface (i.e. benches, phones, computers, equipment handles) or by failure to wash hands after working
Occupational Health & Safety Service
Scale: Quantity and Concentration
• Small amounts of dilute substances “generally” pose little hazard and risk
• Handling of large quantities of a substance increases risk – bioreactors (100L+)
• Centrifugation and filtration increases concentration of agents
• Department for Environment, Food and Rural Affairs (Defra)
• Health Protection Agency (HPA)
Publications • Microbiology and biology textbooks
• Scientific papers
• Detailed Internet searches 44
Occupational Health & Safety Service
Containing Biological Agents and GMO’s
Occupational Health & Safety Service
Risk Estimation Matrix*
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Likelihood of Harm (occurring)
High Medium Low Negligible
Severe High High Medium Effectively
zero
Moderate High Medium Medium/
Low Effectively
zero
Minor Medium/
Low Low Low
Effectively zero
Negligible Effectively
zero Effectively
zero Effectively
zero Effectively
zero
Severi
ty o
f H
arm
*A risk matrix is included at the end of every risk assessment form
Occupational Health & Safety Service
Risk Estimation
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High hazard – low risk? Medium hazard – high risk?
which lab would you rather work in?
Occupational Health & Safety Service
Biological Agent Containment
• BA containment is vital
• Minimise the risk to human health
• Containment is not just physical confinement (labs and equipment) but also operational activity or ‘Good Microbiological Practice’ as described by the labs ‘standard operating procedures’ and used on a day-to-day basis.
Good Microbiological Practice Example items of Good Laboratory Practice (adapted from Sheffield University)
• Personal items irrelevant to the microbiological work (sports gear, items of shopping, etc) must not be taken into the laboratory.
• Protective clothing must be worn for all microbiological work. PPE also dependent on the RA.
• Scrupulous personal hygiene must be observed in the laboratory. Wash hands correctly after work and before leaving the laboratory.
• Eating, drinking, smoking and the application of cosmetics in the laboratory are forbidden.
• Mouth pipetting is forbidden in all microbiology laboratories.
• Minor cuts, scratches and abrasions on the hands must be sealed with waterproof dressings before entering the laboratory.
• The use of "sharps" (scalpel blades, syringes and needles, etc) in microbiological labs must be minimised and contaminated sharps disposed of in approved "sharps" containers for incineration. Containers must be exchanged regularly and not allowed to become over-full.
• Workplaces must be kept clean and free from clutter (lab-books, pens, equipment). After use benches must be decontaminated using the approved disinfectants.
• Every microbiological lab must have a disinfectant policy (SoP) describing which and how to use disinfectants effective against the specific agents used in the lab.
Occupational Health & Safety Service
Containment Laboratories
Containment levels required for microbiological as well as animal and plant laboratories
• CL1 for low risk HG1 biological agents
• CL2 for medium risk HG2 biological agents
• CL3 for high risk HG3 biological agents
• CL4 for extremely high risk HG4 biological agents – not permitted in Newcastle
Occupational Health & Safety Service
Lab Containment Levels for different hazard groups Occupational Health
& Safety Service
Containment Level 1 Laboratory
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CL1 Specifications:
• Sealed, coved floors
• Sealed bench surfaces
• Biohazard sign on door
• Specified disinfection procedures
• Dedicated handwashing facilities at exit
Occupational Health & Safety Service
Containment Level 2 Laboratory
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CL2 Specifications
• as for CL1 plus:
• Negative pressure if ventilated
• Secure; restricted access
• Microbiological safety cabinet for aerosol containment
• Secure storage of biological agents
• Sealed, impervious bench surfaces
• Autoclave in same building
Occupational Health & Safety Service
Containment Level 3 Laboratory
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CL3 Specifications
• as for CL1 and CL2 plus:
• Dedicated laboratory and airlock
• Negative air pressure
• HEPA filtered air extract system
• Observation window
• Sealed, impervious floor surfaces
• Sealable to permit disinfection - fumigation
• Dedicated autoclave
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Containment Level 4 Laboratory
• Very high security units – only ~6 in the UK – Pirbright, HPA (Porton Down), MOD etc.
• Completely sealed labs with airlocks; fumigation and effluent treatment
• Total suit containment – though depends on organism
• Individual filtered air supply
• Use of totally sealed microbiological safety cabinets (class 3); often connected
*Formaldehyde YES YES YES YES YES NO CL3 level - very toxic,
need to seal the lab!
Peroxygen
(Virkon) YES YES YES YES YES NO
Dust irritant, limited
solution life, corrosive to
metals
Is a quick spray of ethanol good enough to protect you or your work from biological agents? (in some cases YES!; in ALL cases – NO!)
Occupational Health & Safety Service
• disinfection policy (code of practice) is a requirement for all microbiological labs
• important to match your target organism to an effective disinfectant
− viruses, bacteria, spores, fungi
• how do you know if disinfection has been successful?
− data from manufacturer – kills 100% of all known germs!
− data from other users / labs
− ‘in-use’ testing
• know the limitations of disinfectants
Effective Disinfectant Use
Occupational Health & Safety Service
Effective Disinfectant Use
• some disinfectants can be ‘inactivated’ under different conditions
• avoid disinfectant combinations
• limit age of disinfectant solution (fresh)
• use at correct dilution (‘in-use’ concentration)
• presence of ‘organic material’ - compensate
• exposure time
• COSHH properties; compatibility with hardware
PERACETIC ACID DISINFECTANT – active life
Occupational Health & Safety Service
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Typical Spill kit (DIY)
• Be prepared - Have an emergency spill clean up kit available (project specific)
• Learn the standard operating procedure for spillage clean up and decontamination
autoclave bags
gloves mask
lab coat
absorbent towels
disinfectant
goggles
absorbant
granules
SOP
gloves
(heavy duty)
sealable bin (autoclavable)
biohazard
tape
overshoes
Occupational Health & Safety Service
Post lab Inactivation
• Wash hands before leaving the lab! – sounds simple but this is a KEY control measure!
• Treat area with respect as this is also an Emergency Station
− Skin Contamination
− Mouth contamination
− Eye wash
• Handwash sink must not be used for lab waste, reagents, solutions, washing up.
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Personal Contamination or Injury
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For medical emergency
• Know what to do
• Dial emergency 999
• Dial security 6666
• Occupational health?
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Security and Bioterrorism
• Need to consider security arrangements if handling and storing hazardous pathogens and toxins
• the Anti-terrorism, Crime and Security Act 2001
• Under the legislation, the holding, storage or use, of any micro-organism or toxin or relevant genetic material on Schedule 5, is subject to notification to the Home Office
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Training, Instruction and Supervision
• It is critical that all staff / students have had appropriate training and instruction in all hazardous processes – including handling biological agents
• Class-room exercises and “on the job” training – theoretical and practical
• Staff / students should be supervised until deemed “competent” in all processes
• Training records must be kept as a means of evidence of training and competency
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• remember when it comes to the enforcing authorities, such as HSE, Defra/Fera ……….
“ If it’s not documented – it’s not done! ”
Documentation
• So if you have no evidence (usually a printed document) that your work has been properly and adequately risk assessed it is assumed (by HSE) that this has NOT been done
• this applies to risk assessments, standard operating procedures, testing of facilities/equipment and training records/schedules for staff and students
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Summary
• Know and respect different containment levels
• Follow all risk assessments, SOPs, guidelines
• Dispose of all materials in the correct manner
• Decontaminate all work areas after use
• Be aware of the emergency procedures – be prepared!
• Seek advice if you are unsure, never assume! – you are NEVER alone – senior lab staff, supervisor, PI, SBSO, UBSO
• Get trained in relevant procedures and for using equipment
• Document (sign and date) all your biosafety training
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Occupational Health & Safety Service
Any questions about Biological Agents?
Please make sure that you sign the attendance sheets for this course
and the GM course to make sure that you are registered as having attended these courses and that you receive your GM certificate