WORLD HEALTH ORGANIZATION Biorisk Mitigation Page 1 of 27 BIORISK MANAGEMENT ADVANCED TRAINER PROGRAMME Biorisk Mitigation – Session 3 Biorisk Management = Assessment, Mitigation, Performance April 2012
W O R L D H E A L T H O R G A N I Z A T I O N
Biorisk Mitigation
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BIORISK MANAGEMENT ADVANCED TRAINER PROGRAMME
Biorisk Mitigation – Session 3
Biorisk Management = Assessment, Mitigation, Performance
April 2012
W O R L D H E A L T H O R G A N I Z A T I O N
Biorisk Mitigation
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BIORISK MANAGEMENT ADVANCED TRAINER PROGRAMME
Group Exercise 1, Step 1
Using your risk assessment scenarios A, B, or C, identify four different risk mitigation measures
Four for safety Two for security
Use a post-it note for each mitigation measure you identify Report your answers to the class in 15 min
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Biorisk Mitigation
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BIORISK MANAGEMENT ADVANCED TRAINER PROGRAMME
Group Exercise 1, Step 2
How would you categorize these mitigation measures? Take 10 min to report your answers to the class
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Biorisk Mitigation
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BIORISK MANAGEMENT ADVANCED TRAINER PROGRAMME
Mitigation Control Measures
Engineering Controls: Physical changes to work stations, equipment, materials, production facilities, or any other relevant aspect of the work environment that reduce or prevent exposure to hazards
Administrative Controls: Policies, standards and guidelines used to control risks
Practices and Procedures: Processes and activities that have been shown in practice to be effective in reducing risks
Personal Protective Equipment: Devices worn by the worker to protect against hazards in the laboratory
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Biorisk Mitigation
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BIORISK MANAGEMENT ADVANCED TRAINER PROGRAMME
Group Exercise 1, Step 3
Place your post-it notes in the appropriate columns on the flip chart (10 min): Report your results to the class
Engineering Controls
Administrative Controls
Practices and Procedures
Personal Protective Equipment
(PPE)
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Biorisk Mitigation
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BIORISK MANAGEMENT ADVANCED TRAINER PROGRAMME
Group Exercise 1, Step 4
Considering these mitigation control measures:
Take 10 min to:
Identify their advantages and disadvantages
Report your findings to the class
Engineering Controls
Administrative Controls
Practices and Procedures
Personal Protective Equipment
(PPE)
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Biorisk Mitigation
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BIORISK MANAGEMENT ADVANCED TRAINER PROGRAMME
Advantages/Disadvantages
Control Measure Advantages Disadvantages
Engineering
Efficient, eliminates hazard
Cost, complexity
Administrative
Authority approach
Indirect approach, primarily addresses the human factor
Practices & Procedures
SOP based (standardized approach)
Training and supervision requirements
PPE
Ease of use, relative cost
Does not eliminate hazard, PPE fails exposure happens, uncomfortable, limits ability
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Biorisk Mitigation
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BIORISK MANAGEMENT ADVANCED TRAINER PROGRAMME
Group Exercise 1, Step 5
Considering these mitigation control measures:
Prioritize the four types of controls from the perspective of effectiveness
Record your findings on post-it notes
Report your findings to the class
Most Effective
Least Effective
1 2 3 4
Engineering Controls
Administrative Controls
Practices and Procedures
Personal Protective Equipment
(PPE)
W O R L D H E A L T H O R G A N I Z A T I O N
Biorisk Mitigation
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BIORISK MANAGEMENT ADVANCED TRAINER PROGRAMME
Motorcycle safety is all about PPE
Car vs. Motorcycle Safety
Car safety is all about engineering systems
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Biorisk Mitigation
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BIORISK MANAGEMENT ADVANCED TRAINER PROGRAMME
Elimination or Substitution Engineering Controls Administrative Controls Practices and Procedures Personal Protective Equipment
Control methods at the top of the list are in general more effective and protective than those at the bottom.
Hierarchy of Controls (HOC)
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Biorisk Mitigation
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BIORISK MANAGEMENT ADVANCED TRAINER PROGRAMME
Incident Response Mitigation video clip
Which category of mitigation controls
appears in this video clip?
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Biorisk Mitigation
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BIORISK MANAGEMENT ADVANCED TRAINER PROGRAMME
Group Exercise 2
In your groups, using risk scenarios A, B, or C, reassess the risks by implementing the mitigation measures identified in Exercise 1
Biosafety Biosecurity
Use the worksheets to do the new assessments, and then ask a facilitator to enter the new data into BioRAM Lite Take 50 min to document the new results on your charts Report to the class on risk reduction and risk mitigation effectiveness
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Biorisk Mitigation
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BIORISK MANAGEMENT ADVANCED TRAINER PROGRAMME
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Consequences
Biosafety Risk of Direct Exposure to Individuals in the Laboratory and to the Community
Inhalation Risk to Ind
Percutaneous Risk to Ind
Contact Risk to Ind
Ingestion Risk to Ind
Inhalation Risk to Community
Percutaneous Risk to Community
Contact Risk to Community
Ingestion Risk to Community
Scenario A (Pablo) - biosafety
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Biorisk Mitigation
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BIORISK MANAGEMENT ADVANCED TRAINER PROGRAMME
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Consequences
Biosecurity risk of targeting, successful theft, and malicious release of a biological agent directed to the human population
WithLaboratoryAccess
WithoutLaboratoryAccess
Scenario A (Pablo) - biosecurity
W O R L D H E A L T H O R G A N I Z A T I O N
Biorisk Mitigation
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BIORISK MANAGEMENT ADVANCED TRAINER PROGRAMME
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Consequences
Biosafety Risk of Direct Exposure to Individuals in the Laboratory and to the Community
Inhalation Risk to Ind
Percutaneous Risk to Ind
Contact Risk to Ind
Ingestion Risk to Ind
Inhalation Risk to Community
Percutaneous Risk to Community
Contact Risk to Community
Ingestion Risk to Community
Scenario B (MDR-TB) - biosafety
W O R L D H E A L T H O R G A N I Z A T I O N
Biorisk Mitigation
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BIORISK MANAGEMENT ADVANCED TRAINER PROGRAMME
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Consequences
Biosecurity risk of targeting, successful theft, and malicious release of a biological agent directed to the human population
WithLaboratoryAccess
WithoutLaboratoryAccess
Scenario B (MDR-TB) - biosecurity
W O R L D H E A L T H O R G A N I Z A T I O N
Biorisk Mitigation
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BIORISK MANAGEMENT ADVANCED TRAINER PROGRAMME
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Consequences
Biosafety Risk of Direct Exposure to Animals in the Community
Inhalation Risk to Animal Community
Percutaneous Risk to Animal Community
Contact Risk to Animal Community
Ingestion Risk to Animal Community
Scenario C (FMD) - biosafety
W O R L D H E A L T H O R G A N I Z A T I O N
Biorisk Mitigation
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BIORISK MANAGEMENT ADVANCED TRAINER PROGRAMME
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Consequences
Biosecurity risk of targeting, successful theft, and malicious release of a biological agent directed to an animal population
WithLaboratoryAccess
WithoutLaboratoryAccess
Scenario C (FMD) - biosecurity
W O R L D H E A L T H O R G A N I Z A T I O N
Biorisk Mitigation
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BIORISK MANAGEMENT ADVANCED TRAINER PROGRAMME
Mitigation measures most affect which side of the risk assessment equation?
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Biorisk Mitigation
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BIORISK MANAGEMENT ADVANCED TRAINER PROGRAMME
Substitution (using different materials) affects what side of the
risk assessment equation?
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Biorisk Mitigation
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BIORISK MANAGEMENT ADVANCED TRAINER PROGRAMME
Elimination (not doing the intended work)
does what to the risk ?
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Biorisk Mitigation
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BIORISK MANAGEMENT ADVANCED TRAINER PROGRAMME
Implementing Mitigation Measures
Ideally, you should first consider elimination or substitution A combination of control measures should be used based on their effectiveness and your ability to implement them
'acceptable risk'
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Biorisk Mitigation
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BIORISK MANAGEMENT ADVANCED TRAINER PROGRAMME
The "Wow" Effect
A robust methodological approach to risk mitigation gives you the ability to:
• Justify decisions
• Evaluate the impact of certain risk mitigation decisions
• Compare the cost effectiveness of various risk mitigation decisions
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Biorisk Mitigation
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BIORISK MANAGEMENT ADVANCED TRAINER PROGRAMME
Biorisk Management
Biorisk Management = Assessment, Mitigation, Performance
Risk identification Hazard/threat identification
Likelihood evaluation Consequences evaluation
Elimination or Substitution Engineering Controls Administrative Control
Practices and Procedures Personal Protective Equipment
W O R L D H E A L T H O R G A N I Z A T I O N
Biorisk Mitigation
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BIORISK MANAGEMENT ADVANCED TRAINER PROGRAMME
Identification of Biorisks
Biosafety Risk Mitigation
Biosecurity Risk Mitigation
Biosafety Risk Assessment
Biosecurity Risk Assessment
Identification of Biorisks
W O R L D H E A L T H O R G A N I Z A T I O N
Biorisk Mitigation
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BIORISK MANAGEMENT ADVANCED TRAINER PROGRAMME
Summary I
BioRAM The full BioRAM models are available on the following website: http://www.biosecurity.sandia.gov/BioRAM/
BioRAM Lite Training version; it is very simplified and has many limitations It should not be used to make actual lab safety/security decisions Also available on the above link
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Biorisk Mitigation
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BIORISK MANAGEMENT ADVANCED TRAINER PROGRAMME
Summary II
Four categories of mitigation control measures Engineering Controls Administrative Controls Practices and Procedures Personal Protective Equipment
Implementing mitigation controls Should first consider elimination or substitution A combination of control measures should be used based on their effectiveness and your ability to implement them Should be based on the results of the risk assessment, and should give a “wow” effect