Sentinel Laboratory Partnerships and Outreach: APHL … · Sentinel Laboratory Partnerships and Outreach: APHL Activities Amy Pullman ... Supplement to ELC Project B: ... critical

Analysis. Answers. Action. www.aphl.org

Sentinel Laboratory Partnerships and

Outreach: APHL Activities

Amy Pullman (MT)

Specialist, Public Health Preparedness and Response

March 31, 2016


Outline

• Role of APHL

• Funding for Sentinel Outreach

• Key Activities

• Priorities Moving Forward


Role of APHL

• Provide technical assistance to public

health labs (PHLs) and to federal partners

• Convene scientific and partnerships

forums

• Collaborate with CDC and others to

develop guidance and performance

measures

• Advocate for resources


Funding Sources for Outreach to

Sentinel Clinical LabsCDC Public Health

Emergency Preparedness

(PHEP) Cooperative

Agreement

Capability 12: Public

Health Laboratory

Testing

Outreach to Sentinel

Clinical Laboratories

- Database

- Messaging

- Training and Exercises

CDC Epidemiology and

Laboratory Capacity for

Infectious Diseases

Cooperative Agreement

Improve Lab

Coordination and

Outreach

Specimen Submission

Specimen Sharing

Data Sharing

CDC Domestic Ebola

Supplement to ELC

Project B: Enhanced

Laboratory Biosafety

and Biosecurity

Capacity

Biosafety Training

Biosafety Tools (e.g. Risk

Assessments)

ASPR Hospital

Preparedness Program

No specific language Some states have used

funds for exercises


Key Activities

• Maintain Sentinel Laboratory Partnership

and Outreach Subcommittee

– Define Sentinel Clinical Laboratories

– Scientific studies, review of protocols, model

practices for training and outreach

• Maintain partnerships with CAP and ASM

– Laboratory Preparedness Exercise

– Sentinel Protocols

• Support PHLs with Biosafety Outreach

Activities


What is a Sentinel Clinical Laboratory?

For the purposes of Ebola activities, sentinel clinical laboratories include

all laboratories that test or refer specimens that may contain Ebola virus

or other emerging, highly infectious disease pathogens. This definition

includes laboratories in designated Ebola Treatment Centers, Ebola

Assessment Hospitals, and frontline healthcare facilities such as acute

care hospitals, critical access hospitals, and urgent care clinics that

perform or send out infectious disease testing.


Scientific Studies: MALDI-TOF

• Conducting studies to assess safety and

accuracy of this technology

• Comparing Bruker Biotyper and bioMérieux

VITEK MS

Bruker Biotyper

bioMérieux VITEK MS


Partnerships

• Laboratory Preparedness Exercise

(LPX) with CAP and CDC

• ASM Sentinel Level Clinical

Laboratory Protocols For

Suspected Biological Threat Agents

And Emerging Infectious Diseases


Training Materials

• Guidance on support

function of PHLs

• Bench Cards

• Biothreat Agents Posters

• Webinars

• Model Practices

• Workforce Development:

Packaging and Shipping

Courses, CDC Training


National Guidance

• Recommendations for PHEP and ELC

• Performance Measures

• Recognition of PHLs & Sentinel Clinical

Labs

• Surveys – national snapshot


Survey Data: July 2014 – June 2015

• 100% CDC PHEP funded PHLs maintain

database of Sentinel Clinical Labs

– Over 4,000 sentinel labs

• 90% PHLs use the APHL-CDC-ASM

Sentinel Clinical Lab Definition

• 95% PHLs assess competency of Sentinel

Clinical Labs

• 40% PHLs award a certificate of recognition

to Sentinel Clinical Labs


Survey Data: Training

Rule-Out

Testing

Only

Packaging

and

Shipping

(P&S)

Only

Any

Combo of

Categories

(Rule-Out,

P&S) Other Total

Number of classes 55 223 58 334 670

Number of facilities that

received training313 1,497 390 549 2,749

Number of laboratorians

that received training

557 3626 1,444 1,100 6,727

• 82% PHLs sponsored training (includes 63 biosafety

courses to 410 sentinel clinical labs/1660 laboratorians)

• 80% PHLs provided biosafety training or provided

information on biosafety training to sentinel clinical labs


Priorities Moving Forward

• Provide guidance on implementing new

technologies in sentinel clinical labs

• Develop and share Risk Assessment Tools

• Share Model Practices

• Promote Outreach and Recognition

• Promote Exercises and Training in various

Modalities (conference calls, web, hands-

on)


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• Amy Pullman, MT: [email protected]

or 240-485-3822

Staff Contact & Social Media Links

www.aphl.org/phpr

mailto:[email protected]

http://www.aphl.org/phpr


Biosafety Outreach Challenges

and Solutions in the State of

Arizona

Joseph P. Manfrida, Ph.D.

Lab Chief of Biosafety,

Biosecurity and Responsible

Official, Arizona State Public

Health Laboratory


Goal

Improve biosafety in all clinical

laboratories handling biological

materials in the State of Arizona.


Challenges

• Interest

• Diversity of background, training,

education and experience

• Limited time resources

• Geography

• Rapidly changing business environment


The Arizona Clinical Laboratory

Network

• Meeting held twice a year

• Discusses multiple issues and topics

• Open to external speakers

• Live in person and teleconference


Arizona Biosafety Alliance

• An independent organization dedicated to

sharing biosafety information and

techniques

• State lab participates along with local

government and private organizations


Arizona State Laboratory NewsletterThe State Laboratory newsletter allows us to

present a variety of topics at different

technical levels for broad appeal.


Call Down Drills

• Limited to LRN sentinel laboratories

• Twenty facilities in Arizona

• Opportunity for close contact and

communication

• Example for non-sentinel clinical labs


Email, Telephones, and AzHAN

• Consistent communications yields

opportunities to spread useful information

• Assist when requested

• Request for help when needed

• AzHAN = Arizona Health Alert Network


Rule Out or Refer Training


Division 6.2 Packaging & Shipping

Training

• Training for safe shipping of

biological specimens

• FY 2015: 10 classes, over

250 students from 105

institutions

• 2 NLTN sponsored classes, 8

from a private contractor

(PHEP & ELC funds)


Future Projects and Challenges

• Bio-assessment tool distribution

• Biosafety roadshow

• Division 6.2 re-certifications

Major Lesson Learned 1 of 5

Diversity of message presentation


Participate and make your team

available!


Biosafety is a great mixer, add it to

everything!


Go Mobile!


PERSISTENCE!

PERSISTENCE!

PERSISTENCE!


The Arizona State Public Health Lab

Biosafety Outreach Team

Joseph Manfrida, Ph.D.

Lab Chief of

Biosafety/Biosecurity

& Responsible Official


Questions?

[email protected]

Documents

Sentinel Laboratory Partnerships and Outreach: APHL … · Sentinel Laboratory Partnerships and Outreach: APHL Activities Amy Pullman ... Supplement to ELC Project B: ... critical