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2008 University of Windsor’s Biological Safety Manual University of Windsor Biological Safety Committee (UWinBSC) 3/6/2008 Emergency Response Procedure for Biological Material Spill In case of a spill involving biological material it is important to reduce the possibility of further contamination outside the initial spill area. By preventing the spreading of contamination you effectively reduce the potential exposure of others. All spills of biological materials must be cleaned up immediately. Quick Reference Steps: 1. Treat Injured People First: Providing first aid to injured people takes priority over cleaning a radioactive spill. Inform emergency personnel that spill involves biological material. 2. Alert Everyone in the Area: Inform everyone within the vicinity of the spill that an accident involving biological material has occurred. Identify an individual to coordinate spill response. Mark the spill zone and post appropriate signage (if needed) to reduce the potential for further contamination. 3. Control Contamination: Take action to prevent the spread of contaminated materials. If the spill is dry – apply a small amount of water from the outside of the spill working inwards. If the spill is wet, cover with absorbent material. 4. Clear Area: Remove all unnecessary individuals from the area of the spill. Attempt to reduce the movement of people within the spill zone. 5. Decontamination: Apply decontamination procedures in priority order: (1) personnel; (2) laboratory; and (3) equipment. 6. Summon Aid: If you are unsure of how to effectively clean the spill, contact the Biological Safety Officer (ext. 3524). In case of emergency, contact Campus Community Police at: Ext. 911 Provide dispatcher with the following: your name, phone number, location (room # & building), that incident involves biohazardous materials, and if anyone is injured. . BIOLOGICAL SAFETY MANUAL BIOLOGICAL SAFETY COMMITTEE UNIVERSITY OF WINDSOR FIRST Edition 2008 Approved: 08/27/2008 (UWinBSC) Table of Contents 1 MANAGEMENT OF BIOLOGICAL SAFETY AT THE UNIVERSITY OF WINDSOR ....................... 1 1.1 University of Windsor’s Biological Health & Safety Policy...........................................................................1 1.2 Regulation of Biological Agents at the University of Windsor....................................................................1 1.3 Responsibilities...............................................................................................................................................................2 1.3.1 Biological Safety Committee (UWinBSC) ..........................................................................................................2 1.3.2 VicePresident, Research ..........................................................................................................................................2 1.3.3 Academic Administrative Unit (AAU) Head .....................................................................................................3 1.3.4 Responsible Official – Biological Safety Officer ..............................................................................................3 1.3.5 Principle Investigators ..............................................................................................................................................4 1.3.6 Individuals working with biological materials ..............................................................................................5 1.3.7 Hazardous Materials Leaders ................................................................................................................................5 1.4 Licencing and Biological Safety Certificates .......................................................................................................5 1.4.1 Requirement for University of Windsor Biological Safety Certificates ................................................5 1.4.2 Types of Biological Safety Certificates ...............................................................................................................6 1.4.3 Application for a Biological Safety Certificate ...............................................................................................7 1.4.4 Biological Safety Certificate Renewal and Validation Periods................................................................7 1.4.5 Laboratory Decommissioning................................................................................................................................8 1.4.6 Enforcement of Biological Safety Policies.........................................................................................................8 1.4.7 Information and inquiries........................................................................................................................................9 1.5 Materials Safety Data Sheets .....................................................................................................................................9 2 APPLICABLE LEGISLATION, GUIDELINES, AND STANDARDS.............................................. 10 2.1 Importation, Use, and Distribution of Biological Agents............................................................................ 10 2.1.1 Importaton of biological agents affecting humans ................................................................................... 10 2.1.2 Importation of biological agents affecting animals.................................................................................. 11 2.2 Export Requirements for Biological Agents .................................................................................................... 12 2.3 Transportation of Biological Agents ................................................................................................................... 12 2.4 Laboratory Animals ................................................................................................................................................... 14 2.5 Waste Management.................................................................................................................................................... 14 2.5.1 Liquid Waste............................................................................................................................................................... 15 2.5.2 Solid Waste.................................................................................................................................................................. 15 2.6 Autoclaves / Steam sterilizers............................................................................................................................... 19 2.7 Fume hoods ................................................................................................................................................................... 21 2.8 Biological Safety Cabinets: Assessment and Testing ................................................................................... 21 2.8.1 Testing services ......................................................................................................................................................... 22 2.8.2 Required procedures and tests ........................................................................................................................... 22 3 BIOLOGICAL SAFETY PRACTICES AND PROCEDURES ........................................................ 25 3.1 General Laboratory Safety Practices .................................................................................................................. 25 3.2 Working with Laboratory Animals...................................................................................................................... 27 3.3 Working with Human Pathogens ......................................................................................................................... 29 i | P a g e 3.3.1 Human Bloodborne Pathogens........................................................................................................................... 30 3.3.2 Universal Blood and Body Fluid Precautions ............................................................................................... 30 3.4 Physical Containment Levels ................................................................................................................................. 33 3.4.1 Laboratory Requirements – Biological Containment Level 1 ............................................................... 34 3.4.2 Laboratory Requirements – Biological Containment Level 2 ............................................................... 36 4 EMERGENCY PROCEDURES ............................................................................................. 39 4.1 Biological Spill Response ......................................................................................................................................... 39 4.1.1 Classification of Spills ............................................................................................................................................. 40 4.1.2 Biohazardous Spill Procedure – Minor Biological Spill ........................................................................... 40 4.1.3 Biohazardous Spill Procedure – Major Biological Spill ........................................................................... 42 4.1.4 Biohazardous Spill Procedure – On Body....................................................................................................... 42 4.1.5 Biohazardous Spill Procedure – Inside a Biological Safety Cabinet................................................... 43 4.1.6 Biohazardous Spill Procedure – within a Centrifuge................................................................................ 44 4.1.7 Biohazardous Spill Procedure – during Transportation......................................................................... 45 4.1.8 Biohazardous Spill Procedure – Involving Prions ...................................................................................... 46 4.1.9 Disposal of Spill Materials .................................................................................................................................... 46 4.1.10 Biological Spill Reporting................................................................................................................................... 47 4.2 Emergency Medical Procedures ........................................................................................................................... 47 4.2.1 Medical Surveillance & Immunioprophylaxis .............................................................................................. 48 4.2.2 Animal Bites and Scratches.................................................................................................................................. 48 4.2.3 Exposure to Human Blood and Body Fluids.................................................................................................. 49 4.2.4 Exposure to Infectious and Communicable Disease Agents................................................................... 49 4.2.5 Important Medical Emergency Numbers & Contacts ............................................................................... 49 4.3 Medical Incident Reporting Requirements...................................................................................................... 50 4.3.1 Individual:.................................................................................................................................................................... 50 4.3.2 Supervisor/Principle Investigators: ................................................................................................................. 50 4.3.3 Chemical Control Centre – Laboratory Safety, Compliance, and Assurance:................................. 51 4.3.4 Office of Occupational Health & Safety ........................................................................................................... 51 5 CLASSIFICATION OF BIOLOGICAL AGENTS ....................................................................... 52 5.1 General Information .................................................................................................................................................. 52 5.2 Genetically Engineered Organisms and Cell Lines ....................................................................................... 52 5.2.1 Recombinant DNA and Genetic Manipulation............................................................................................. 53 5.2.2 Transgenic Plants..................................................................................................................................................... 55 5.3 Animal Cells, Blood and Body Fluids, and Fixed Tissues ........................................................................... 56 5.3.1 Primary Cell Cultures and Animal Iissues...................................................................................................... 57 5.3.2 Established Cell Lines.............................................................................................................................................. 57 5.3.3 Blood and Body Fluids............................................................................................................................................ 57 5.3.4 Fixed Tissues and Tissue Sections...................................................................................................................... 58 5.4 Cell Line Contamination with Infectious Agents ........................................................................................... 58 5.5 Biological Agent Risk Group Criteria and Categories .................................................................................. 60 6 SECURITY ........................................................................................................................ 62 6.1 General............................................................................................................................................................................. 62 ii | P a g e 6.2 6.3 6.4 6.5 Physical Protection..................................................................................................................................................... 62 Personnel Reliability & Suitability....................................................................................................................... 62 Pathogen Accountablity ........................................................................................................................................... 63 Storage ............................................................................................................................................................................. 63 Appendixes .......................................................................................................................... 64 Appendix A – Agents not indigenous to Canada........................................................................................................ 64 Appendix B – Risk Group Categorization of Agents................................................................................................. 66 Appendix C – Safety Equipment ....................................................................................................................................... 76 Appendix D – Biological Safety Cabinets ...................................................................................................................... 77 Appendix E – Laboratory Design...................................................................................................................................... 80 Appendix F – References ..................................................................................................................................................... 87 iii | P a g e 1 MANAGEMENT OF BIOLOGICAL SAFETY AT THE UNIVERSITY OF WINDSOR 1.1 University of Windsor’s Biological Health & Safety Policy “The University of Windsor is committed to providing a safe and healthy workplace and learning environment for its employees, students and visitors. The University is committed to preventing occupational illness and injury in the workplace, continually improving health and safety practices and performance and believes that all tasks can be accomplished in a safe manner and in compliance with relevant health and safety legislation, codes, standards and practices” (University of Windsor Health and Policy Statement, July 9/2007). The University is responsible for establishing, implementing and maintaining program, such as the Biological Safety Program that are designed to protect the health and safety of employees, students and visitors. General safety policies and workplace specific procedures will be developed, documented, and implemented. This Manual describes the requirements and procedures established by the University for work with potentially hazardous biological agents. It is based upon the Public Health Agency of Canada’s Laboratory Biosafety Guidelines (2004 / 3rd edition) and reflects current best practices. All work conducted by University members with potentially hazardous biological agents on University premises or under the control of the University is to be performed in accordance with the requirements of this manual. Questions regarding application or interpretation of the Biological Safety Program or this manual should be directed to the Biosafety Officer, Chemical Control Centre, at (519) 253‐3000 ext. 3523 or by email at [email protected]. 1.2 Regulation of Biological Agents at the University of Windsor The Board of Governors of the University of Windsor has delegated to the President or his designate (the Vice‐President, Research) responsibility for the approval of University regulations and other actions to ensure regulatory compliance, safe working conditions, and a professional laboratory environment which is conducive to research & teaching activities, as it relates to the management of Biological Agents on campus. The Vice‐President, Research (VP‐R), has delegated the management of the program to the University of 1 | P a g e Windsor Biological Safety Committee (UWinBSC), and its Chair, responsibility for the development and promulgation of safety standards for the conduct of research and teaching activities involving potentially hazardous biological agents by members of the University. The Chemical Control Centre, under the direction of the Responsible Official – Biological Safety, is responsible for administering the Biosafety program on a day‐to‐day basis, for providing technical advice on safety procedures and equipment, conducting laboratory compliance reviews, providing biological safety training, and providing guidance and information related to compliance with pertinent regulations. For additional information, please visit the Biosafety website at: www.uwindsor.ca/biosafety or telephone the Responsible Official – Biological Safety, Chemical Control Centre, at (519) 253‐3000 ext. 3523 or by email at [email protected]. 1.3 Responsibilities 1.3.1 Biological Safety Committee (UWinBSC) The University of Windsor Biological Safety Committee (UWinBSC) is responsible for setting and enforcing appropriate standards of safety for work with potentially hazardous biological agents within University workplaces. The Committee has formally approved the contents of this manual and enforces the standards through the issuance of Biosafety Certificates for all work with potentially hazardous biological agents. 1.3.2 VicePresident, Research The Vice‐President, Research (VP‐R) plays a key role in ensuring that the University of Windsor’s Biological Safety Program is being implemented according to this manual; specifically, he/she is responsible for: • • • • • • • Notify the University Biosafety Officer of any research which utilizes biohazardous materials; Approve terms and conditions for research involving biohazardous materials conducted by other organizations involving the use of University facilities under a service agreement with the University; such research shall also be approved by the Biosafety Committee; Approve projects involving dual use research; Administer Material Transfer Agreements involving biohazardous materials. Copies of such agreements shall be forwarded to the Biosafety Officer; Establish and administer the appeal procedure; Receive and act upon recommendations of the Biological Safety Committee (UWinBSC) and its Chair; Order corrective actions for cases of non‐compliance; 2 | P a g e • • • • Ensure that research funds are not released until the appropriate biosafety project permit has been submitted and approved by the Biological Safety Committee (UWinBSC) or Chair of the Biosafety Committee as appropriate; Suspend funding for research projects that contravene the Public Health Agency of Canada Laboratory Biosafety Guidelines, violate applicable federal, provincial or municipal laws or regulations, or are not in compliance with the permit or this policy; Rescind the suspension of funding once the contravention is rectified to the satisfaction of the Biological Safety Committee (UWinBSC); and Advise the relevant granting Agency of any changes in eligible status of Grant Holders and Award Holders and/or of serious problems in the use of research funds as required by the Memorandum of Understanding between the University and the The Tri‐Council (NSERC, SSHRC and CIHR). The Biosafety Officer shall also be advised of such changes of status. 1.3.3 Academic Administrative Unit (AAU) Head For departments that utilize potentially hazardous biological materials, the department head must be familiar with and follow all directions contained within this manual, or within any training program. In particular, AAU Heads are responsible for: • • • • • • • Ensure that any activities involving the use of biohazardous materials in his/her department has received approval prior to the acquisition of the biohazardous materials and the commencement of the activities; Ensure that Principal Investigators in his/her department are fully aware of the University policies and guidelines regarding biohazardous materials; Co‐sign all permit application forms confirming the validity of the information; Advise the Biosafety Officer when a Principal Investigator is no longer employed by the University; Ensure that current inspection certificates for steam sterilizers in the department are posted, that sterilization cycles are verified using biological indicators on a regular basis, and that records of users, cycles, and verification are maintained; and Ensure the activities involving biohazardous materials in the department are in compliance with the permits; and Report issues regarding non‐compliance to the Chair of the University of Windsor’s Biological Safety Committee (UWInBSC) and the University Biological Safety Officer. 1.3.4 Responsible Official – Biological Safety Officer The Vice‐President – Research (VP‐R) in consultation with the Chair of the University of Windsor Biological Safety Committee (UWinBSC) will appoint a University employee who is knowledgeable by virtue of education, training, or experience in the handling of biological agents to be responsible on behalf of the institution for all aspects related to biological safety within the institution’s laboratories or workplace. In particular, this individual is responsible for: • • Serve as the audit and control manager for the Biosafety Committee; Co‐sign approved biohazard permits; 3 | P a g e • • • • • • • • • • • • • • • Maintain and provide information on all elements of the biosafety program; Provide advice on biohazardous materials and work procedures; Provide general biosafety training; Liaise with the Public Health Agency of Canada, the Canadian Food Inspection Agency, Animal Care Services, Occupational Health Services, Student Health Services, Security Services, and Physical Resources personnel on biohazard issues; Audit work areas for compliance with certificate requirements, legislation, codes, and guidelines and submit compliance reports to the Chair; Perform inspections and sign documentation for import permit applications; Approve purchase orders and co‐sign material transfer agreements for the acquisition and/or transfer of biohazardous materials; Investigate incidents involving biohazardous materials including exposures and lab‐acquired infections and report the findings to the Chair; Maintain project files including permits and associated material; Coordinate and maintain records of the annual certification of biocontainment cabinets; Order, on advice of the Vice‐President, Finance and Administration or the Vice‐President, Research, the suspension of any activity involving biohazardous materials when there is reason to suspect that the health and safety of University personnel, the public, and/or the environment is at risk or that regulatory conditions of the project have been breached; Register the Biological Safety Committee (UWinBSC) with the National Institutes of Health and file annual membership updates. Prepare and submit New Substance Notifications as required by the New Substances Notification Regulations of the Canadian Environmental Protection Act; Liaise with local health and safety committees as applicable; and Serve on the Animal Care Committee and the Research Ethics Board (at their request). 1.3.5 Principle Investigators The primary responsibility for the safety of staff, students and the public lies with the Principal Investigator in charge of the research or teaching activities. Principal Investigators must be familiar with, follow, and ensure that all individuals working within their laboratories follow the procedures outlined in this manual. In particular, Principal Investigators are responsible for: • • • • • Obtaining biological safety certificates where required; Ensuring that all conditions of the certificate are followed; Ensuring that the appropriate containment cabinets are functioning properly by having them tested at the stipulated intervals; Ensuring that all persons working under their control have had appropriate training in working safely with potentially hazardous biological materials; Providing appropriate personal protective equipment and standard operating procedures. 4 | P a g e 1.3.6 Individuals working with biological materials Individuals who work with potentially hazardous biological materials must be familiar with and follow all directions given to them by their supervisor, contained within this manual, or within any training program. In particular, Persons working with potentially hazardous biological materials are responsible for: • • • Follow all safety procedures; Wear protective equipment; and Participate in medical surveillance programs when appropriate. 1.3.7 Hazardous Materials Leaders Completed Biosafety Certificate application forms should be submitted to the Local Hazardous Materials Leaders (HazMat Leader) for the building and/or department where the work is to be performed. HazMat Leaders are individuals who are familiar with the operation of various programs and on campus involving hazardous materials. They act as a liaison and advocate between the University of Windsor’s Biological Safety Committee and principle investigators. The HazMat Leader will review the application and forward it for additional review and approval. If a HazMat Leader is not appointed within your building and/or department, please direct all applications directly to the Chemical Control Centre for review and approval. 1.4 Licencing and Biological Safety Certificates 1.4.1 Requirement for University of Windsor Biological Safety Certificates A University of Windsor Biological safety Certificate is required for all (research and teaching) laboratory activities which involve the use or manipulation of potentially hazardous biological agents, and materials containing such agents (including viruses, bacteria, fungi, parasites, recombinant DNA, prions and other micro‐organisms / genetic systems, and human and animal tissues, cells, blood and body fluids), and which are: (i) (ii) (iii) supervised or conducted by employees or members of the University, or conducted on University premises, or in a building or location administered by or under the control of the University, or supported by funds provided by or through the University, including start‐up and operating funds. All such activities are to be conducted and performed in accordance with the University of Windsor’s Biological Safety Manual and any relevant guidelines or legislation. All activities involving potentially hazardous biological agents and meeting any of the above criteria, and all sources of financial support for such activities whether or not directly supported by grants or 5 | P a g e contracts administered by the University, must be identified on the application for a University of Windsor Biological Safety Certificate. The release of grants and supporting funds by the University is dependent on a University Biological Safety Certificate. For animal based activities, a copy of the approved Animal Care Utilization Protocol (AUPP) Certificate must be provided and attached to the application for a University Biological Safety Certificate. The submission of an application for a University of Windsor Biological Safety Certificate implies willingness to allow the University of Windsor’s Biosafety Officer to visit the laboratory sites used by the Biological Safety Certificate holder in order to determine compliance with the University of Windsor’s Biological Safety Manual. 1.4.2 Types of Biological Safety Certificates The University of Windsor issues Biological Safety Certificates based on the classification of organisms according to risk group has traditionally been used to categorize the relative hazards of infective organisms. The factors used to determine which risk group an organism falls into is based upon the particular characteristics of the organism, such as: • • • • • • pathogenicity infectious dose mode of transmission host range availability of effective preventive measures availability of effective treatment. These classifications presume ordinary circumstances in the research & teaching laboratories or growth in small volumes for diagnostic and experimental purposes. Four levels of risk have been defined as follows: Risk Group 1 (low individual and community risk) Any biological agent that is unlikely to cause disease in healthy workers or animals. Examples: Risk Group 2 (moderate individual risk, low community risk) Any pathogen that can cause human disease but, under normal circumstances, is unlikely to be a serious hazard to laboratory workers, the community, livestock or the environment. Laboratory exposures rarely cause infection leading to serious disease; effective treatment and preventive measures are available, and the risk of spread is limited. Examples: hepatitis A, B, and C, Influenza A, Lyme disease, Dengue fever, Salmonella, Mumps, Bacillus subtilis, and Measles, Risk Group 3 (high individual risk, low community risk) 6 | P a g e Any pathogen that usually causes serious human disease or can result in serious economic consequences but does not ordinarily spread by casual contact from one individual to another, or that causes diseases treatable by antimicrobial or antiparasitic agents. Examples: Anthrax, West Nile virus, Venezuelan equine encephalitis, Eastern equine encephalitis, SARS, Tuberculosis, Typhus, Rift Valley fever, Rocky Mountain spotted fever, and Yellow fever. 1.4.3 Application for a Biological Safety Certificate Application forms for a University Biological Safety Certificate are provided with Explanatory Notes to assist the applicant and can be obtained by contacting the Chemical Control Centre, Laboratory Safety Technician, at (519)253‐3000 ext. 3523, option #4. This application form is also available in electronic format via the Biological Safety homepage at: www.uwindsor.ca/biosafety. The form may then be printed, completed, signed by the applicant and submitted to the Local Hazardous Materials Leader or directly to the Chemical Control Centre for review and approval. The required information must be legibly printed or typed on the application form. In general, the Principal Investigator may use a single form to identify more than one project if these require similar containment conditions, instead of completing a separate application for a Biological Safety Certificate for each project. The project titles must be matched with the corresponding granting agency. Identify and specify the hazardous biological agents to be used (e.g. human whole blood, Hepatitis B virus, chick embryo primary cell culture, CHO cells, E. coli O157). Following the review and approval process, a photocopy of the validated Biological Safety Certificate will be returned to the applicant. The original will be retained on file at the Chemical Control Centre. Information will also be entered into RIS (Research Information System) for review by the Office of Research Services. A valid Biological Safety Certificate must be on file before the University will release grant funds. 1.4.4 Biological Safety Certificate Renewal and Validation Periods Containment Level 2 and Containment Level 3 (1 year only): A Biological Safety Certificate for activities requiring Containment Level 2 or Containment Level 3 conditions is valid for one year from the date of approval by the University of Windsor’s Biological Safety Committee (UWinBSC) Chair. In the case of multi‐year research or recurring teaching programs involving potentially hazardous biological agents, the Biological safety Certificate must be renewed annually. The renewal is valid for one year from the expiration date of the previous Certificate. The Principal Investigator / Course Instructor must submit a new application form, even if the activities involving biological agents have not been altered or modified since the previous submission. 7 | P a g e Containment Level 1 (2 years): A Biological Safety Certificate for activities requiring only Containment Level 1 is valid for 2 years from the date of approval by the University of Windsor’s Biological Safety Committee (UWinBSC) Chair or, in the case of a renewal, from the expiration date of the previous Certificate, after which it must be renewed. The Principal Investigator / Course Instructor must submit a new application form even if the activities involving biological agents have not been altered or modified since the previous submission. 1.4.5 Laboratory Decommissioning At least 30 days prior to the expected date of vacating the laboratory or laboratory space, the Principal Investigator (PI) must notify, in writing, the Biosafety officer. The Principal Investigator must ensure that appropriate decontamination measures have been taken prior to the relocation or disposal of laboratory equipment used for the manipulation of biological agents. After decontamination, the laboratory equipment may be recycled through the Facilities Services – Custodial Services. A "Safe‐To‐Work" tag should be completed and attached to the equipment, prior to it being removed from the laboratory. The tag may be obtained from the Chemical Control Centre at (519) 253‐3000 ext. 3523. Inspection and retesting is mandatory if a biological safety cabinet is relocated. Moves of a minor nature (i.e. within the same room) may be exempt from this requirement if the move is observed by the testing technologist and the cabinet has not been subjected to excessive stress or rough handling which could result in damage. 1.4.6 Enforcement of Biological Safety Policies In the event that a Permit Holder fails to observe the rules and regulations governing the safe use of biological agents, the BSO, shall advise such Permit Holder of the violation(s) and shall report same to the Committee. The Committee shall review reports of violations and when appropriate issue a written warning to the Permit Holder and/or suspend or withdraw approval of the user(s) permit. If, in the judgment of the BSO, there is an emergency situation involving a biological hazard(s), he/she shall take immediate action to ensure the safety of personnel and the environment. A meeting of the Committee shall be called as soon as possible following such a situation to review the circumstances of the event. Decisions of the Committee will be reported to the Vice‐President, Research, through the BSO, for action. Disagreement with any Committee decision may be appealed to the President of the University. Such appeals must be forwarded in writing to the President and a copy must be sent to the Committee. 8 | P a g e 1.4.7 Information and inquiries Explanatory Notes offering more detail are provided with the University of Windsor’s Biological Safety Certificate application form. Should you encounter difficulty or have any questions regarding the completion or submission of your application form, please contact: Chemical Control Centre Manager TEL: (519) 253 ‐ 3000 ext. 3524 1.5 Materials Safety Data Sheets Material Safety Data Sheets for infectious micro‐organisms (biological agents) have been prepared by the Office of Laboratory Security, Public Health Agency of Canada (http://www.phac‐aspc.gc.ca/msds‐ ftss/index.html). In addition, all MSDS, including for infectious micro‐organisms, can also be located on the University of Windsor’s online MSDS service (www.uwindsor.ca/msds) The MSDS are organized to contain health hazard information such as infectious dose, viability (including decontamination), medical information, laboratory hazard, recommended precautions, handling information and spill procedures. The intent of these documents is to provide a safety resource for laboratory personnel working with these infectious substances. Because these workers are usually working in a scientific setting and are potentially exposed to much higher concentrations of these human pathogens than the general public, the terminology in these MSDS is technical and detailed, containing information that is relevant specifically to the laboratory setting. It is hoped along with good laboratory practises, these MSDS will help provide a safer, healthier environment for everyone working with infectious substances. Please note that although the information, opinions and recommendations contained in Material Safety Data Sheets are compiled from sources believed to be reliable, the University of Windsor along with the MSDS author accepts no responsibility for the accuracy, sufficiency, or reliability or for any loss or injury resulting from the use of the information. Newly discovered hazards are frequent and this information may not be completely up to date. Access Material Safety Data Sheets (MSDS) for all biological agents on campus at: www.uwindsor.ca/msds 9 | P a g e 2 APPLICABLE LEGISLATION, GUIDELINES, AND STANDARDS Activities involving the use of biological agents and laboratory animals, the production and disposal of waste, and the use of certain equipment are governed by various legislation, guidelines and standards. Adherence to the requirements of this Manual will ensure that work is performed safely and in compliance with the requirements of external agencies and regulatory bodies. 2.1 Importation, Use, and Distribution of Biological Agents 2.1.1 Importaton of biological agents affecting humans Anyone wishing to import human pathogens requiring containment levels 2, 3, or 4 must have a valid Public Health Agency of Canada permit prior to importation. The importation of human pathogens is regulated by the Importation of Human Pathogens Regulations (IHPR)(1994). Pathogens requiring containment level 1 facilities are not regulated by the IHPR, and therefore a permit is not required for their importation. Permits are required for the importation of all infectious substances into Canada regardless of whether they infect humans, animals or plants. The importation of infectious agents which are predominantly pathogenic to animals is regulated by means of the Health of Animals Act and Regulations administered by Agriculture and Agri‐Food Canada. It may also be necessary to obtain permission to transfer listed pathogens within Canada from one scientist or laboratory to another. Requests for single‐entry and long‐standing permits to import infectious substances affecting humans should be directed to: Director Public Health Agency of Canada 130 Colonnade Road Ottawa, Ontario K1A 0K9 http://www.phac‐aspc.gc.ca A copy of the application for a permit to import biological agents into Canada, or to transfer biological agents within Canada, must be provided to the University of Windsor’s Chemical Control Centre to facilitate the acquisition process. Applications can be located on the University of Windsor’s Biological Safety Committee website (www.uwindsor.ca/biosafety). In addition, if you require assistance or clarification please contact the Chemical Control Centre at (519)253‐3000 ext. 3523 or by email at [email protected]. If the agent can also impact animals, you may require an importation certificate from the Canadian Food Inspection Agency. 10 | P a g e 2.1.2 Importation of biological agents affecting animals The Health of Animals Act (1990) and its Regulations gives Agriculture and Agri‐Food Canada (AAFC) the legislative authority to control the distribution and use of any pathogen which may cause infectious or contagious disease in animals. This includes materials of animal origin which contain potential pathogens. In practical terms, this means that AAFC approval must be obtained for the importation of every animal pathogen. In the case of pathogens which affect both humans and animals, importation permits are required from both Health Canada and AAFC. If an agent was brought into Canada under an import permit which restricts its distribution, further approval must be obtained before transferring it to another scientist or laboratory. Recombinant organisms and their release into the environment may also be restricted. AAFC will also establish the conditions under which the animal pathogens will be maintained and the work will be carried out. It is necessary to consider not only the risk to human health, but also the level of containment needed to prevent escape of an animal pathogen into the environment where it may constitute a risk to any indigenous animal species. Animal pathogens, including pathogens which affect both humans and animals, under the control of AAFC, are listed in a data base maintained by the Animal and Plant Health Directorate, AAFC. This is a dynamic listing which is continuously amended to include emerging pathogens that may require restriction. Animal disease agents considered as not indigenous to Canada form a portion of this data base and are severely restricted. For each animal pathogen, AAFC must be consulted for its importation, use and distribution. Information on the status of veterinary pathogens may be obtained from: Agriculture and Agri‐Food Canada Animal Health Division 59 Camelot Drive Nepean, Ontario K1A 0Y9 (613) 952‐8000 Information regarding veterinary pathogens and import permits may be obtained from: Canadian Food Inspection Agency 59 Camelot Drive Nepean, Ontario K1A 0Y9 (613) 225‐2342 A copy of the application for a permit to import biological agents into Canada, or to transfer biological agents within Canada, must be provided to the University of Windsor’s Chemical Control Centre to facilitate the acquisition process. Applications can be located on the University of Windsor’s Biological Safety Committee website (www.uwindsor.ca/biosafety). In addition, if you require assistance or clarification please contact the Chemical Control Centre at (519)253‐3000 ext. 3523 or by email at [email protected]. If the agent can also impact humans, you may require an importation certificate from the Public Health Agency of Canada. 11 | P a g e 2.2 Export Requirements for Biological Agents Permits are required for the export from Canada of certain micro‐organisms and associated equipment. Canada presently imposes controls on certain toxicological and biological agents, as well as their related equipment, components, materials and technology under item 2007 of the Export Control List. For assistance or advice, contact: Foreign Affairs and International Trade Canada Export Control Division Lester B. Pearson Building 125 Sussex Drive Ottawa, Ontario K1A 0G2 (613) 996‐2387 A copy of the application for a permit to export biological agents from Canada must be provided to the University of Windsor’s Chemical Control Centre. In addition, if you require assistance or clarification please contact the Chemical Control Centre at (519)253‐3000 ext. 3523 or by email at [email protected]. 2.3 Transportation of Biological Agents The careful handling, transport and shipment of diagnostic specimens and infectious agents is absolutely essential if Canada is to maintain an effective health care system. Transportation methods must minimize risks to employees of the carrier, the public and the staff of the receiving laboratory. Hazards are compounded by improper packaging; a broken specimen container may lead to contamination of both laboratory and non‐laboratory personnel, and an improperly labelled package may be opened inadvertently by secretarial, clerical or other untrained staff. In Canada, effective July 1, 1985, Transport Canada has become responsible for regulations concerning the transportation of dangerous goods. Any person handling, offering for transport or transporting dangerous goods must comply with the Transportation of Dangerous Goods Act and Regulations, Registration SOR 85‐77, as amended in 1994. Inquiries regarding these Regulations should be directed to: Director General Transport of Dangerous Goods Directorate Transport Canada Canada Building 344 Slater Street 14th Floor Ottawa, Ontario 12 | P a g e K1A 0N5 (613) 998‐0517 The efficient and safe transfer of infectious substances requires good co‐ordination between the sender, carrier, and receiver to ensure safe and prompt transport and arrival in proper condition. It is important that the sender make advance arrangements with the carrier and the receiver to ensure that specimens will be accepted and promptly processed. In addition, the sender must prepare the appropriate dispatch documents according to the Transportation of Dangerous Goods Act and Regulations. The sender should also forward all transportation data to the receiver. No infectious substances shall be dispatched before advance arrangements have been made between the sender, the carrier and the receiver, or before the receiver has confirmed with national authorities that the substance can be imported legally and that no delay will be incurred in the delivery of the consignment to its destination. Information can be obtained from: Canadian Transport Emergency Centre (CANUTEC) (613) 992‐4624 (during business hours) (613) 996‐6666 (Emergencies: 24 hours per day) Under the Transportation of Dangerous Goods Act and Regulations, biological agents and micro‐ organisms belonging to Risk Groups 2, 3, and 4 as identified and listed in Laboratory Biosafety Guidelines and Section 5.4 of this document, are classed as "infectious substances" in Division 6.2. Very specific packaging and documentation requirements must be met before such materials may be shipped from the University of Widnsor. A certified packaging system (Saf‐T‐Pak, or equivalent) suitable for the legal transport of an "infectious substance" must be used. Risk Group 1 micro‐organisms are not subject to these regulations. Only individuals who are certified in the Transportation of Dangerous Goods are legally able to prepare packages and documentation for all dangerous goods, including biological agents. The University of Windsor’s Office of Occupational Health and Safety offers Transportation of Dangerous Goods Training please contact them by phone at (519) 253‐3000 ext. 2055 or visit their website for more information (www.uwindsor.ca/safety). Contact the University of Windsor’s Chemical Control Centre for assistance in the transportation of biological agents within Risk Group 2 or 3 from the University of Windsor by phone at (519) 253‐3000 ext. 3523 or by email at [email protected]. 13 | P a g e 2.4 Laboratory Animals All aspects of the proposed use of vertebrate animals in research & teaching and their associated operational procedures for the care and maintenance of vertebrate animals must satisfy the Guidelines for the Care and Use of Experimental Animals of the Canadian Council on Animal Care and the local animal care authority as well as this manual if the animals are exposed to or infected with biological agents, in order to ensure not only protection for laboratory personnel and the environment, but to ensure that every care is taken to avoid causing the animals unnecessary pain or suffering and to provide the animals with the highest quality care. Under the Ontario Animals for Research Act, and its Regulations, it is a requirement that all Principal Investigators who intend to conduct research, testing or teaching projects at the University of Windsor that involve the use of vertebrate animals, must obtain the approval of the University of Windsor Animal Care Committee before commencing the project. To obtain such approval, the Principal Investigator must submit the University of Windsor Animal Use Protocol Form which is available electronically at: http://www.uwindsor.ca/acc The completed protocol form must be signed by the Principal Investigator and should then be submitted to the Ethics & Grant Coordinator of the Animal Care Committee for review and approval. Ethics & Grant Coordinator Office of Research Services 519.253.3000 ext. 3948 [email protected] 2.5 Waste Management The University of Windsor is a large diverse workplace which generates many kinds of hazardous and non‐hazardous waste. The handling, packaging, transport and disposal of waste in Ontario are governed by municipal, provincial and federal government legislation. To enable compliance with these regulations, the University has developed programs, procedures and internal services focused on specific waste categories. The Chemical Control Centre’s Environmental Protection Services has prepared a Laboratory Hazardous Waste Management Manual which consolidates existing information and identifies procedures for the packaging, labelling and disposal of biological, chemical, radioactive, sharp, and other hazardous waste at the University of Windsor. A copy of this document may be obtained from Chemical Control Centre at (519) 253‐3000 ext. 3523, option #2. An electronic version is available on their website under Environmental Protection Services at: www.uwindsor.ca/ccc. 14 | P a g e 2.5.1 Liquid Waste Vacuum lines are commonly used to aspirate culture media and other cell culture reagents. This technique serves as a conduit through which air may leave the laboratory. These must be protected in a manner commensurate with the other air exhausts. Reusable filter holders with replaceable elements and sealed disposable filter cartridges are available for this application. Laboratory waste contaminated with or containing biological agents should be autoclaved or disinfected to inactivate the biological agents prior to disposal. Where on‐site functioning autoclaves (steam sterilizers) are not available and the conventional use of chemical disinfectants for the inactivation of hazardous biological agents in laboratory waste is not practicable or not efficacious, other waste handling and disposal methods must be considered. 2.5.2 Solid Waste Reusable items such as glassware should be sterilized by autoclaving whenever this is possible. Otherwise, a specific chemical disinfection procedure, proven to be effective against the particular biological agent, must be used. Disposable items that are contaminated with biological agents only, should be incinerated or must be autoclaved or chemically disinfected before disposal. Disposable sharp waste (sharp or pointed items capable of causing punctures, cuts, or tears in skin or mucous membranes and including hypodermic, surgical, suture, or IV needles, syringes with needles, lancets, scalpels and blades) must be carefully collected in a puncture‐resistant waste container. These containers are available from either the Chemical Control Centre or the Department of Biological Sciences Stockroom. Needles and blades for disposal must be collected in a designated, puncture‐resistant container. After autoclaving, if required, the filled container of needles and blades must be placed into a yellow plastic 20 litre broken glass and/or sharps pail that are provided for the collection of broken and intact glassware for disposal. Intact and broken glassware for disposal must be collected in puncture‐resistant containers. Yellow plastic 20 litre pails are provided for this purpose. If the material collected in the waste container is contaminated with viable hazardous biological agents, the waste must be decontaminated, preferably by autoclaving, to inactivate the biological agents. Chemical disinfection of sharp waste is generally not recommended since it requires additional handling. Disposable non‐sharp items (gloves, empty plastic culture dishes, flasks and tubes, absorbent tissue, etc.) that are contaminated with biological agents must be collected in autoclavable bags. After autoclaving and cooling, these bags of waste must be placed into black plastic garbage bags for disposal. 15 | P a g e Hazardous chemical and radioactive solid wastes may require an additional procedure to inactivate viable biological agents that may be present, before removal from the laboratory. Autoclaving is generally not recommended in all situations involving such wastes, since the high temperature, steam and pressure may contribute to potentially hazardous reactions. It is dangerous and illegal to dispose of hazardous chemicals and radioactive materials in the regular garbage going to landfill. To provide another alternative, the University of Windsor has negotiated a contract with a commercial firm which is licensed to remove and transport biologically contaminated ("pathological") laboratory waste to a designated disposal site. Specific packaging of waste and special documentation is required. For more information, contact the Hazardous Materials Technician Chemical Control Centre – Environmental Protection Services (519) 253‐3000 ext. 3523, option #2. 16 | P a g e Guide to Waste Management – Solid Waste Disposal – Phone: 519-253-3000 Ext. 3523 • E-mail: [email protected] • Web: www.uwindsor.ca/ccc Location: Essex Hall / B-37 • Hours: 8:30 am to 4:30 pm (M-F) Non-hazardous Waste and Recyclables - Housekeeping N O N - HAZAR D OU S W A S TE RECYCLABLE S REGULAR WASTE (Garbage) PAPER Secondary Container: Black garbage bag Secondary Container: “Blue box” Acceptable: • All non-hazardous commercial solid waste Acceptable: • Paper, • Newsprint, • Corrugated cardboard Prohibited: Chemicals, biologically active material, broken glass, and sharps waste BROKEN GLASS WASTE Secondary Container: Yellow - “Broken Glass” Acceptable: • Broken lab glass • Disposable glass pipettes • Glass bottles Prohibited: Plastics (e.g. overheads), food wrappers, paper towels and cups, facial tissue, blue prints, spiral and large metal clip bound books BEVERAGE CONTAINERS Secondary Container: “Metal Cans and Plastic Pop Bottles Only” Acceptable: • All food and beverage cans Prohibited: Paper, hazardous material, and garbage Prohibited: Chemical containers, paint cans, metal lids from glass or plastic containers SHARPS WASTE Secondary Containers: Approved Plastic “Sharps Containers” DO NOT OVERFILL Caution: Please ensure that all materials are properly segregated to maintain the continued safety of our staff and the environment. Acceptable: • Syringe needle, scalpel blades, razor blades which have not been used with biological materials If you believe that waste is improperly segregated, please contact your supervisor, the Chemical Control Centre or Occupational Health and Safety (ext. 2055). Prohibited: Paper, hazardous material, biological hazardous waste and garbage HAZARDOUS WASTE - Chemical Control Centre For more information on biological, chemical or radioactive waste collection and disposal please call the Chemical Control Centre (ext. 3523). NOT COLLECTED BY HOUSEKEEPING. CHEMICAL WASTE BIOLOGICAL WASTE Secondary Containers: Approved chemical waste containers, which are provided free-of-charge from the Chemical Control Center. Secondary Containers: “BIOHAZARDOUS” bags and/or “BIOHAZARDOUS” sharps container. Principle Investigators and/or Departments are responsible for arranging disposal by the Chemical Control Centre. It is illegal to dispose any chemical down either a drain or by placing material within the garbage. Acceptable: • Medical waste (blood or body fluids) • Contaminated plastics and gloves • Animal tissues, etc. • Sharps containers with needles, etc. Must be sterilized or chemically decontaminated to render the waste non-hazardous. The treated waste must be appropriately labeled “non-hazardous” and then can be disposed of as regular waste. RADIOACTIVE WASTE Secondary Containers: Approved “RADIOACTIVE” waste containers, provided free-of-charge from the Chemical Control Center. Principle Investigators and/or Departments are responsible for arranging disposal by the Chemical Control Centre. Contaminated articles Arrange for disposal by the Chemical Control Centre. IN CASE OF Campus Emergency Dial ext. 4444 ( 5 1 9 - 2 5 3 - 3 0 0 0 e x t . 4 4 4 4 ) OF www.uwindsor.ca/biosafety Biohazardous Sharps Container CCC Part #LAB0617 / LAB0618 Biohazardous Sharps Biological Safety Program Double-Lined Corrugated Biohazard Box CCC Part #LAB1245 / Liner LAB1246 Animal Blood and/or Biological Fluids UNIVERSITY Double-Lined Corrugated Biohazard Box CCC Part #LAB1245 / Liner LAB1246 Human Blood and/or Biological Fluids WINDSOR Red Bio-Pail CCC Part #LAB1251 Non-Infected Animal Anatomical Waste September 2007 Red Bio-Pail CCC Part #LAB1251 Infected Animal Anatomical Waste Double-Lined Corrugated Biohazard Box (Third-party disposal only) CCC Part #LAB1245 / Liner LAB1246 Red Bio-Pail CCC Part #LAB1251 Solid Autoclave Bag (Internal Treatment) Third-Party Disposal ( 5 1 9 - 2 5 3 - 3 0 0 0 e x t. 4 4 4 4 ) IN CASE OF Campus Emergency Dial ext. 4444 Third-Party Disposal * Approval from UWindsor Biological Safety Committee required Steam Sterilization (*) Internal Process Material Bulking (Small 14Gal Fiber Drum) Third-Party Disposal * Approval from UWindsor Biological Safety Committee required Steam Sterilization (*) Internal Process Liquid Suitable/Autoclavable Container Treatment Containment Human Anatomical Waste General Biomedical Waste Classification Phone: 519-253-3000, Ext. 3523 • E-mail: [email protected] • Web: www.uwindsor.ca/ccc • Location: Essex Hall / B-37 • Hours: 8:30 am to 4:30 pm (M-F) Biological Materials Segregation 2.6 Autoclaves / Steam sterilizers Autoclaves / steam sterilizers which have steam in the piping at a pressure of 15 psi (pounds per square inch) or higher are covered by Chapter B9 of the Boilers and Pressure Vessels Act of Ontario. This equipment should have a valid certificate of operation issued by a Boiler Inspector holding a valid Certificate of Competency. Generally, in Ontario this service is provided by the Insurer which provides Boiler and Machinery Insurance coverage. The University of Windsor has such insurance coverage through CURIE, an insurance broker. Every autoclave must be inspected at the time of installation and should have a valid certificate from TSSA (Technical Safety and Standards Authority) of Ontario. After the initial installation, this equipment is to be inspected annually by a Boiler Inspector. The scope of inspection will include a visual inspection, a review of the conditions of operation and the protective devices such as the pressure relief valves, temperature controls (if any), steam quality control, and the measures being taken by the user for its safe and efficient operation as required by the Boilers and Pressure Vessels Act of Ontario. Upon satisfactory completion of the inspection, a certificate of inspection will be issued which will authorize operation of the equipment. The user should not operate any sterilizer which has steam heating coils with a pressure of 15 psi or higher without a valid certificate of operation. The persons responsible for the operation should be fully familiar with the requirements of the Boilers and Pressure Vessels Act of Ontario. The University’s insurer maintains a list indicating the locations of autoclaves. Annual inspections are performed automatically, according to this list. If you have received a new autoclave or are using one that has not been inspected during the previous 12 months, please notify the University of Windsor’s Department of Finance (Attn: Manager ‐ Risk Management & Insurance) and provide the information necessary to have this equipment added to the equipment list so that the required inspections are scheduled and performed in future. For autoclave inspection services or information contact: University of Windsor Department of Finance (519) 253 – 3000 ext. 2080 19 | P a g e Autoclave Standard Operating Procedures Phone: 519-253-3000, Ext. 3523 • E-mail: [email protected] • Web: www.uwindsor.ca/ccc Location: Essex Hall / B-37 • Hours: 8:30 am to 4:30 pm (M-F) Anyone using the autoclave must first be trained by a University Technician. Refresher training is required once a year. Biohazardous Waste Treatment Culture Media & Solutions Sterilization Temperature: 121°C Pressure: 15psi Time: 30 minutes Temperature: 121°C Pressure: 15psi Time: 20 minutes • Waste should be placed with in a biohazard bag with autoclave indicator tape attached • Always place containers in chamber, with autoclave tape attached (Container should never be more than 50% full) • Place bag in the steel pan and then into the chamber • A tray must be used to avoid spilling liquid into the chamber. • Close and seal the door, and “Start” the cycle • Once the cycle is complete carefully open the door taking care to avoid the steam • Use autoclave gloves to remove autoclaved materials and check sterilization tape (see Validation Verification) • Place “Treated” sticker on bag and throw in the garbage • Close and seal the door, and “Start” the cycle • Once the cycle is complete carefully open the door taking care to avoid the steam • Use autoclave gloves to remove autoclaved materials and check sterilization tape (see Validation Verification) Liquids can become super saturated causing them to boil over. Sample Treated Label Remove all items carefully! Validation Verification • Autoclave tape indicators confirm that an item has been exposed to the stem sterilization process but does not indicate that the process was sufficient to achieve sterility Pipet Tips & Labware Sterilization • Weekly Biological Indicator tests need to be run by technicians to verify that the autoclave is functioning properly. Should this test fail, there will be an “Out of Service” sign until a contractor has serviced the autoclave. Temperature: 121°C Pressure: 15psi Time: 20 minutes and 15 minutes for drying • Document waste stream as per University of Windsor Steam Sterilization Guidelines • Attach autoclave tape to all labware that will be sterilized • Autoclaves are subject to annual TSSA inspection • Neatly stack labware leaving space between the stacks to assure proper sterilization • Close and seal the door, and “Start” the cycle • Once the cycle is complete carefully open the door taking care to avoid the steam • Use autoclave gloves to remove autoclaved materials and check sterilization tape (see Validation Verification) Spill Control • Using a 5% bleach solution, encircle the spill • Use gloves and move the bleach in towards the spill with paper towels • Let sit for 2 minutes then wipe up For more information visit www.uwindsor.ca/biosafety UNIVERSITY OF WINDSOR Biological Safety Program IN CASE OF Campus Emergency Dial ext. 4444 ( 5 1 9 - 2 5 3 - 3 0 0 0 e x t. 4 4 4 4 ) 2.7 Fume hoods Fume hoods should be tested by qualified personnel in accordance with CSA Standard Z316.5‐94, or equivalent. The University of Windsor’s Fume Hood Standard is available from the Chemical Control Centre’s Laboratory Safety, Assurance, and Compliance website at www.uwindsor.ca/ccc. The Chemical Control Centre’s Laboratory Safety, Assurance, and Compliance group audits fume hood performance works in collaboration with Facilities Services to recalibrate the airflow to meet operational requirements on an annual basis. To report fume hood malfunctions or if you require more information, contact: Facilities Services Heating & Cooling ‐ Energy Conversion Centre (ECC) (519) 253 – 3000 ext. 7027 or Chemical Control Centre Laboratory Safety, Assurance, and Compliance (519) 253 – 3000 ext. 3523, option # 4 2.8 Biological Safety Cabinets: Assessment and Testing The purpose of an air exhaust system is to remove contaminated air from a work area, to convey it through a decontaminating system if necessary, and to discharge it to the outside. Its design should provide adequate air exchanges, a negative pressure differential between the room and the air source to ensure that contaminated air departs only through the exhaust system, and air flow patterns through the room so that all parts of the room are swept by the air flow. The influence of opening and closing doors on these air flow patterns is of particular importance. Decontamination of air is best achieved with a high efficiency particulate air (HEPA) filter. HEPA filters are ineffective unless properly installed. Testing of these filters in situ with an aerosol at the time of installation and at regular intervals is essential to ensure the integrity of the barrier. Normally, HEPA filters will require replacement only when they offer excessive resistance to air flow due to loading or when irreparable leaks are detected. Biological safety cabinets, when properly used in research and teaching activities involving the manipulation of hazardous biological agents, are effective in containing and controlling particulates and aerosols and complement good laboratory practices and procedures. 21 | P a g e Biological safety cabinets used in laboratory activities requiring Containment Level 2 or 3 conditions at the University of Windsor must be inspected, tested and approved for use annually, unless otherwise noted, by trained service personnel to ensure that the cabinet is functioning as intended by the manufacturer. Inspection and testing is mandatory if a biological safety cabinet is relocated. Moves of a minor nature (i.e. within the same room) may be exempt from this requirement if the move is observed by the testing technologist and the cabinet has not been subjected to excessive stress or rough handling which could result in damage. The routine decontamination and testing of used Class II biological safety cabinets shall include the following required procedures and tests which shall be conducted in accordance with, and in the manner described below. 2.8.1 Testing services The testing of biological safety cabinets at the University is conducted by an external contractor. Fees for this service are charged to the Principal Investigator / researcher or, in the case of teaching, to the instructor's department. The University of Windsor’s Chemical Control Centre coordinates the annual testing, servicing or repair of all biological safety cabinets on campus. 2.8.2 Required procedures and tests Decontamination Cabinet decontamination with paraformaldehyde vapour shall be conducted prior to the testing of biological safety cabinets which have been used for activities involving biological agents assigned to the Risk Groups identified by Health Canada. The biological safety cabinet shall be sealed and decontaminated using the paraformaldehyde vapour technique which is described in NSF Standard 49, and cited in CSA Z316.3‐95, or an equivalent procedure acceptable to the University of Windsor. The paraformaldehyde holding / contact time shall be a minimum of 2 hours, after which the paraformaldehyde vapour shall be neutralized or vented to the exterior of the building. Containment System Integrity Containment system integrity (pressure) testing shall be performed on all biological safety cabinets having air plenums which convey potentially contaminated air at positive pressure and where any portion of these plenums also forms part of the containment shell of the cabinet. The cabinet interior shall be pressurized with air to a differential pressure of 2"w.g. A liquid leak detector shall be applied along all welds, gaskets, penetrations, and seals on the exterior surfaces of the cabinet air plenums. Leakage will be indicated by the presence of bubbles or by the feel or sound of escaping air. Detected leakage shall be corrected using acceptable methods and materials and the repaired area shall be retested to confirm the success of the corrective action. Note: The performance of this test is required 22 | P a g e at the time of initial cabinet installation, following cabinet relocation, and at least once in every three year period. Air Velocities and Volumes Air velocities shall be measured at multiple points on a grid, across the face of the HEPA filters. The location and spacing of the co‐ordinates shall be according to the manufacturer's recommendations and / or applicable standards. Additional air velocity measurements may be required by the manufacturer of the cabinet. The blower speed and air dampers shall be adjusted as required so that the final measured and calculated values are within the acceptable ranges indicated by the manufacturer of the biological safety cabinet. HEPA Filter Integrity HEPA filter leak testing shall be performed using sufficient dioctylphthalate (DOP) aerosol (or equivalent) to challenge the air filtration system. The aerosol concentration upstream of the HEPA filters shall be sampled and used as the 100% reference for photometer adjustment prior to testing. All air diffusers and protective grilles downstream of HEPA filters shall be removed to allow direct access to the entire filter surface and perimeter (bond area, gasket, filter frame, and mounting frame) which shall be scanned in overlapping strokes at a traverse rate of not more than 2" per second. Aerosol penetration exceeding 0.01% of the upstream concentration shall be sealed or corrected using generally accepted methods and the repaired area shall be retested to confirm the success of the corrective action. Airflow Smoke Patterns These tests shall be performed using a source of visible smoke to demonstrate the acceptability of airflows associated with the biological safety cabinet: (a) Downflow Supply Air Distribution The source of visible smoke shall be passed along the ('smoke split') centreline of the work surface, from one side of the workspace to the other. The smoke shall show smooth flow with no dead spots or upward flow. No smoke shall escape from the cabinet. (b) Supply Air Entrainment / View Screen Retention The source of visible smoke shall be passed from one side of the cabinet to the other, behind the view screen, and 6" above the top of the front access opening. The smoke shall show smooth downward flow with no dead spots or upward flow. No smoke shall escape from the cabinet. (c) Intake Air Entrainment / Work Access Opening Retention The source of visible smoke shall be passed along the entire work access perimeter, about 1.5" outside of the workspace of the cabinet. No smoke shall escape from the cabinet once it is 23 | P a g e drawn in. For Class II cabinets, no smoke shall pass over the work surface or penetrate the work zone. (d) Window Seal The source of visible smoke shall be passed along the perimeter of the view screen, inside the workspace of the cabinet. No smoke shall escape from the cabinet. Other Procedures and Tests Other procedures and tests (electrical safety, fluorescent and UV lighting intensity, vibration, noise level, etc.) may be recommended or performed, depending on the cabinet design and the circumstances of its installation and usage, but their performance is not required on a routine basis. 24 | P a g e 3 BIOLOGICAL SAFETY PRACTICES AND PROCEDURES 3.1 General Laboratory Safety Practices The following requirements are basic for any laboratory using hazardous biological or toxic agents: 1. All laboratory personnel and others whose work requires them to enter the laboratory must understand the chemical and biological hazards with which they will come in contact during their normal work in the laboratory, and be trained in appropriate safety precautions and procedures. A standard operating procedure (SOP) must be prepared or adopted for use with biological agents. It is the responsibility of the principal investigator and/or laboratory supervisor to ensure that it identifies known and potential biological hazards and specifies the practices and procedures to eliminate or minimize such risks. The SOP must contain an emergency response plan. Personnel must be required to know, understand, and follow standard practices and procedures. Training in laboratory safety shall be provided by the laboratory director / principal investigator and competence in safe technique must be demonstrated before work is allowed with hazardous agents or toxic material. 2. The laboratory must be kept neat, orderly and clean, and storage of materials not pertinent to the work must be minimized. 3. Protective laboratory clothing (uniforms, coats, gowns) must be available, and worn properly fastened by all personnel including visitors, trainees, and others entering or working in the laboratory. Protective laboratory clothing must not be worn in non‐laboratory areas. 4. Suitable footwear with closed toes and heels and preferably with non‐slip soles must be worn in all laboratory areas. 5. Gloves must be worn for all procedures that might involve direct skin contact with toxins, blood, infectious materials or infected animals. Rings or hand jewellery which interfere with glove use must be removed before gloving. The wearing of jewellery in the laboratory should be discouraged. Gloves must be removed carefully and decontaminated with other laboratory wastes before disposal. Reusable gloves (e.g. insulated, chemical resistant, etc.) may be used where necessary and must be appropriately decontaminated after use. 6. Face and eye protection (e.g., glasses, goggles, face shields, or other protective devices) must be worn when necessary to protect the face and eyes from splashes, impacting objects, harmful substances, UV light, or other rays. 25 | P a g e 7. Eating, drinking, smoking, storing food or utensils, applying cosmetics, and inserting or removing contact lenses are not permitted in any laboratory work area. Contact lenses are not protective devices, and must be used only in conjunction with appropriate protective eyewear in eye hazard areas. 8. Oral pipetting is prohibited in any laboratory. 9. Long hair must be tied back or restrained. 10. Hands must be washed after gloves are removed, before leaving the laboratory, and after handling materials known or suspected to be contaminated, even when gloves have been worn. 11. Work surfaces must be cleaned and decontaminated with the appropriate disinfectant at the end of the day and after any spill of potentially hazardous material. Loose or cracked work surfaces must be repaired or replaced. 12. All technical procedures must be performed in a manner that minimizes the creation of aerosols. 13. All contaminated or infectious liquid or solid materials must be decontaminated before disposal or reuse. Contaminated materials that are to be autoclaved or incinerated at a site away from the laboratory must be double‐bagged or placed into containers, the outsides of which are disinfected. 14. Access to Level 1 and 2 laboratories must be at the discretion of the laboratory director / principal investigator (e.g. only persons who have been advised of the potential hazards and meet any specific entry requirements such as immunization should be allowed to enter the laboratory area). Persons under the age of 16 years should not be permitted in the laboratory or support areas. Pregnant women and immunocompromised people who work in or enter the laboratory must be advised of the associated risks. 15. Hazard warning signs, indicating the containment level or the risk group of the agent used, must be posted outside each laboratory operating at Containment Level 2. Where the infectious agent used in the laboratory requires special provisions for entry, the relevant information must be included in the door sign. The agent(s) must be identified in the information provided for signing along with the names of the laboratory supervisor and other responsible person(s), and any special conditions for staff entry. 16. The use of needles and syringes and other sharp objects must be strictly limited. Hypodermic needles and syringes must be used only for parenteral injection and aspiration of fluids from 26 | P a g e laboratory animals and diaphragm bottles. Extreme caution must be used when handling needles and syringes to avoid autoinoculation and the generation of aerosols during use and disposal. Needles must not be bent or sheared. Disposable needles and syringes must not be replaced in their sheath or guard. They must be placed into a puncture‐resistant yellow container and autoclaved, if contaminated, before disposal, or incinerated. Sharps containers are available at both the Biological Sciences Stockroom and Chemical Control Centre. 17. All spills, accidents (needlesticks, punctures, cuts, etc.) and overt or potential exposures must be reported in writing to the laboratory supervisor or acting alternate as soon as circumstances permit. This person must file this report with the University of Windsor, Office of Occupational Health & Safety. Appropriate medical evaluation, surveillance, and treatment must be sought and provided as required. Actions taken to prevent future occurrences should be documented. 18. Baseline serum or other specimens shall be collected from laboratory and other at‐risk personnel and stored when deemed necessary. Additional serum specimens may be collected periodically, depending on the agent handled or the function of the facility. Baseline and periodic serum or other specimens shall be collected and maintained by the University's Occupational Health Service or an equivalent health service. Confidentiality will be maintained according to the legal obligations of the Regulated Health Disciplines Act, or its subsequent revision. Tests will not be performed without the informed consent of the donor. 19. Laboratory workers should be protected by appropriate immunization where possible. Levels of antibody considered to be effective should be documented. Appropriate immunization or evidence of exposure should be maintained in a confidential manner. Particular attention must be given to individuals who are or may become immunocompromised, as vaccine administration may be different than for immunologically competent adults. For more information on various types of safety equipment use in preventing infection from biological agents, please refer to Appendix C – Safety Equipment 3.2 Working with Laboratory Animals Animals can harbour infectious organisms which are acquired naturally. Some infectious agents can give rise to a chronic carrier state, or an agent might be shed intermittently. If the possibility that such an agent may be excreted, secreted, exhaled or shed by an animal during the course of an experiment cannot be excluded, then all those animals should be kept at the containment level appropriate to the risk. 27 | P a g e Animals may also be intentionally inoculated with viruses or other organisms in any of the four Risk Groups or with viable materials (e.g., transformed cells) suspected of containing these agents. Under these circumstances, the animals should be kept at the containment level appropriate to the risk of the agent, recognizing that in some cases, in vivo work may increase that risk. Naturally occurring or experimentally induced infections in laboratory animals may be transmitted to other laboratory animals, invertebrates and laboratory workers. Laboratory animals and insects may scratch or bite or may be the source of an aerosol. Besides the risk from an infection that the animal or insect may be harbouring, there is also a risk that some of the material being injected may adhere to the fur or exoskeleton and remain as a potential hazard. In all situations, it is the responsibility of the principal investigator, laboratory supervisor and the University of Windsor’s Biological Safety Committee, in consultation with Government agencies and the animal care authorities, to determine the risk levels inherent in the proposed activity. The requirements for the maintenance of animals may differ in scale and degree, but the basic principles for microbiological safety will be similar to those outlined in Section 3.1 ‐ General Laboratory Safety Practices and should include the following precautions. 1. Infected animals and insects should be segregated from uninfected animals wherever possible, and it is preferable to separate any handling area from the holding area. 2. Animals or insects in use in an experiment must be maintained at a level of containment that is at least equivalent to the containment level for the biological agent with which it has been infected or treated. 3. Provision must be made to ensure that inoculated animals or insects cannot escape. 4. Dead animals or insects and the refuse from the animal room and cages (e.g. bedding, faeces and food) must be placed in a leakproof container and autoclaved or incinerated. 5. All cages must be properly labelled, and procedures in the holding area must minimize the dispersal of dander and dust from the animals and cage refuse. 6. Protective clothing, including scratch/bite resistant gloves, eye protection, appropriate chemical restraint and proper handling equipment are recommended for the handling of non‐human primates. 7. Disposable latex gloves should be worn by animal care providers while feeding and watering animals or cleaning cages. 8. Non‐disposable gloves, boots, floors, walls and cage racks should be disinfected frequently. 28 | P a g e In addition to the preceding, the following must also be satisfied: 9. All aspects of the proposed use of animals in research & teaching must meet the current veterinary standards and regulations for the care and maintenance of experimental animals as described by the Canadian Council on Animal Care, relevant provincial legislation, and local animal care authorities. 10. The appropriate species must be selected for the animal experiments. 11. The investigator and / or person(s) responsible for the animal experiment must ensure that all those having contact with the animals and waste materials are familiar with and aware of any special precautions and procedures that may be required. Where possible, personnel should be protected by immunization with appropriate vaccines. 12. All incidents, including animal bites and scratches or cuts from cages or other equipment must be documented and the employee should report to the Occupational Health Service for medical assessment and follow‐up. 13. Small laboratory rodents or other small animals that escape from their cages should be killed when captured, their carcasses incinerated, and the area should be thoroughly decontaminated. In the event that animals escape through the containment perimeter, the relevant authorities must be notified promptly and appropriate action initiated. Unexpected illness or deaths among animals must be reported to the principal investigator and the veterinarian, who will be responsible for final disposition. Animals should not be touched until instructions are given by the person‐in‐charge. 3.3 Working with Human Pathogens Some micro‐organisms (viruses, bacteria, fungi, etc.) are species specific, selectively infecting and causing disease in a limited number of, or only one, host species. Unrelated and distantly related species may not be similarly affected by the same infectious micro‐organism due to differences in physiology, metabolism, biochemistry, etc. In general, the risk to a laboratory technician working with a virus that only infects and causes disease in rodents is lower than the risk to a laboratory technician working with tissues and cells from humans or other primates. If the human material contains a viable pathogen, it will likely be a human pathogen, with the potential to infect and cause disease in another human. Although a single mode of transmission may predominate, disease causing micro‐organisms can be spread or transmitted from one host to the next, directly or indirectly, by a number of methods, including aerosol generation and inhalation, ingestion of contaminated food and water, skin and mucous 29 | P a g e membrane contact with contaminated surfaces, contact contamination of an open wound or lesion, and autoinoculation via a cut, laceration or puncture with a contaminated instrument. 3.3.1 Human Bloodborne Pathogens Human blood is recognized as a potential source of pathogenic micro‐organisms that may present a risk to workers who are exposed during the performance of their duties. Although the hepatitis B virus (HBV) and the human immunodeficiency virus (HIV) are often cited as examples, a "bloodborne pathogen" is any pathogenic micro‐organism that is present in human blood or other potentially infectious materials and that can infect and cause disease in persons who are exposed to blood containing this pathogen. "Other potentially infectious materials" means material which has the potential to transmit bloodborne pathogens. This includes infected human tissues and the following body fluids: semen, vaginal secretions, cerebrospinal fluid, synovial fluid, pleural fluid, peritoneal fluid, pericardial fluid, amniotic fluid, saliva in dental procedures, and any other body fluid that is visibly contaminated with blood. The biosafety requirements identified for research & teaching laboratories may not always be applicable to all workplace settings where workers handle or are exposed to human blood, body fluids or other materials potentially containing biological agents. Between 1982 and 1988, the Centers for Disease Control (Atlanta, Georgia) published a series of recommendations and precautions for the protection of healthcare workers (physicians, nurses, phlebotomists, dentists, laboratory workers, etc.) who have, or are likely to have, contact with human blood and certain body fluids and may be at risk of exposure to bloodborne pathogens such as hepatitis B virus (HBV) and human immunodeficiency virus (HIV). These recommendations became known as "Universal Blood and Body Fluid Precautions" or simply, "Universal Precautions". 3.3.2 Universal Blood and Body Fluid Precautions The possibility of undiagnosed infection combined with the increasing prevalence of HBV and HIV led the Center for Disease Control (Atlanta, Georgia) to recommend that blood and certain other body fluids from all humans be considered potentially infectious and that precautions be taken to minimize the risk of exposure. This approach, called "Universal Precautions", is a method of infection control, intended to prevent parenteral, mucous membrane, and non‐intact skin exposure of workers to bloodborne pathogens. All human blood, certain human body fluids, and other materials are considered potentially infectious for hepatitis B virus (HBV), human immunodeficiency virus (HIV), and other bloodborne pathogens. Precautions must be consistently used. Body fluids to which universal precautions apply include blood, body fluids containing visible blood, semen, vaginal secretions, cerebrospinal fluid, synovial fluid, pleural fluid, peritoneal fluid, pericardial fluid, and amniotic fluid. 30 | P a g e Universal precautions generally do not apply to faeces, breast milk, nasal secretions, sputum and saliva, sweat, tears, urine, and vomitus unless they contain visible blood. Although these materials are not implicated in the transmission of bloodborne pathogens, it is prudent to minimize non‐intact skin and mucous membrane contact with these materials. Hepatitis B immunization is recommended as an adjunct to universal precautions for workers who have occupational exposure to human blood or other potentially infectious materials. This immunization is provided to employees at risk is performed by the employee’s personal physician and is covered by the University of Windsor’s extended health plan. Individuals who do not have extended health coverage will be reimbursed by the University of Windsor to facilitate immunization. In the hospital setting, HBV immunization is recommended for personnel in these occupational groups: medical technologists, operating room staff, phlebotomists and intravenous therapy nurses, surgeons and pathologists, dialysis unit staff, emergency room staff, nursing personnel, physicians, and students in schools of medicine, dentistry, nursing, laboratory technology and other allied health professions. Outside the hospital setting, HBV immunization is recommended for healthcare workers who may have exposure to human blood and other potentially infectious materials, such as dental professionals, laboratory and blood bank technicians, dialysis centre staff, emergency medical technicians, morticians, workers in clinical / diagnostic laboratories, and workers in research & teaching facilities that study, produce or manipulate human blood which may contain HBV and HIV. General Precautions All workers should routinely use appropriate barrier precautions to prevent skin and mucous membrane exposure when contact with human blood or other body fluids is anticipated. Eating, drinking, smoking, applying cosmetics or lip balm, and handling contact lenses are prohibited. Gloves should be worn when touching blood and body fluids, mucous membranes, or non‐intact skin, for handling items or surfaces soiled with blood or body fluids, and for performing venipuncture and other vascular access procedures. If a glove is torn or damaged during use, it should be removed and a new glove used as promptly as safety permits. Disposable gloves should not be washed or disinfected for reuse. Washing with surfactants may enhance penetration of liquids through undetected holes in the glove. Disinfecting agents may cause deterioration of the glove material. Masks and protective eyewear or face shields should be worn during procedures that are likely to generate droplets of blood or other body fluids to prevent exposure of mucous membranes of the mouth, nose, and eyes. 31 | P a g e Gowns or aprons should be worn during procedures that are likely to generate splashes of blood or other body fluids. Protective clothing should be removed before leaving the area. Hands and other skin surfaces should be washed immediately and thoroughly if contaminated with blood or other body fluids. Hands should be washed immediately after gloves are removed since no barrier is 100% effective. Alternatively, the University of Windsor’s Biological Safety Program provides Hand Sanitizer stations in all BSL‐1 and BSL‐2 facilities to be used in the decontamination of hands and other skin surfaces. Workers should take precautions to prevent injuries caused by needles, scalpels, and other sharp instruments or devices during procedures, when cleaning used instruments, during disposal of used needles, and when handling sharp instruments after procedures. Needles and syringes should be used only in those situations when there is no alternative. To prevent needlestick injuries, needles should not be recapped, purposely bent or broken by hand, removed from disposable syringes, or otherwise manipulated by hand. After they are used, disposable syringes and needles, scalpel blades, and other sharp items should be placed in puncture‐resistant containers for disposal. The puncture‐resistant container should be located as close to the use area as practical. Contaminated reusable pointed and sharp objects such as large bore needles and scalpels should be placed in a puncture resistant container for transport to the reprocessing area. Mouthpieces, resuscitation bags, or other ventilation devices should be available for use in areas in which the need for resuscitation is predictable. Workers who have exudative lesions, weeping dermatitis, cuts, open wounds or other breaks in the skin should either refrain from all direct contact with blood and other body fluids until the condition resolves, or utilise protective barriers to reduce the risk of exposure. Pregnant workers should be especially familiar with and strictly adhere to precautions to minimize the risk of perinatal transmission of bloodborne pathogens. Additional Precautions for Clinical Laboratories All blood and body fluid specimens should be in a well constructed container with a secure lid to prevent leaking during transport. Gloves should be worn by all persons processing blood and body fluid specimens. Gloves should be removed and replaced and hands should be washed upon completion of specimen processing since no barrier is 100% effective. 32 | P a g e Masks and protective eyewear or a face shield should be worn if mucous membrane contact with blood or body fluids is anticipated. A biological safety cabinet is not necessary for routine procedures such as histologic and pathologic studies or microbiological culturing. However, biological safety cabinets should be used whenever procedures involve activities that have a high potential for generating aerosol droplets (blending, sonicating, vigorous mixing, etc.) Mouth pipetting is prohibited. Mechanical pipetting devices should be used for manipulating all liquids in the laboratory. Laboratory work surfaces should be decontaminated with an appropriate chemical germicide after a spill of blood or other body fluids and when work activities are completed. Hands should be washed after completing laboratory activities and protective clothing should be removed before leaving the laboratory area. Equipment and instruments should be decontaminated and cleaned before being repaired in the laboratory or transported to the manufacturer or repair shop. Contaminated materials should be decontaminated before processing for reuse. Disposable contaminated wastes must be collected in the appropriate containers. Additional Precautions for Autopsies or Morticians’ Services These additional precautions are applicable for work completed at the Schulich School of Medicine – Windsor program. All persons performing or assisting in postmortem procedures should wear gloves, masks, protective eyewear, gowns, and waterproof aprons. Instruments and surfaces contaminated during postmortem procedures should be decontaminated with an appropriate chemical germicide. Gloves should be worn during the cleaning and decontaminating procedure. 3.4 Physical Containment Levels Four levels of containment (1 ‐ 4), appropriate to the four risk groups for potentially hazardous biological agents, are defined. These levels of containment are to be regarded as adequate for most laboratory uses of the listed agents. It remains the responsibility of the principal investigator or 33 | P a g e laboratory director and the University of Windsor to require a higher level of containment for specific manipulations, if these appreciably increase the possibility of infection. Classification of organisms according to risk group is not meant to establish the actual handling of biological hazards in the laboratory setting. For example, the risk group system does not take into account the procedures that are to be employed during the manipulation of a particular organism. Therefore, all researchers who are working with biological agents need to develop site specific instructions which are to be followed by all individuals within their laboratory, such as personal protective equipment requirements, spill response, and methods to reduce exposure. Containment levels are selected to provide the end‐user with a description of the minimum containment required for handling the organism safely in a laboratory setting. In addition to the inherent characteristics of each organism as described in Appendix B – Risk Group Categorization of Agents the containment system includes the engineering, operational, technical and physical requirements for manipulating a particular pathogen. These containment levels are applicable to facilities such as diagnostic, research, clinical, teaching and production facilities that are working at a laboratory scale. 3.4.1 Laboratory Requirements – Biological Containment Level 1 University of Windsor’s Biological Safety Committee has defined well‐characterized agents that are not known to consistently cause disease in healthy adult humans and/or pose a minimal potential hazard to laboratory personnel and the environment as requiring Biological Safety Level 1 containment. A Biological Safety Certificate is required for all BSL‐1 work The following operational procedures must be followed at the University of Windsor for all certified laboratories that handle infectious substances that require a Level 1 Containment Level (BSL‐1), including: 1. Each laboratory must obtain and post in a conspicuous location a valid copy of their University of Windsor Biological Safety Certificate which lists all substances that the laboratory is approved to utilize as part of their research and/or teaching program. 2. A copy of the University of Windsor’s Biological Safety Manual must be made available for all individuals working within the laboratory. A copy of this manual can be downloaded from the University of Windsor’s Biological Safety Program website (www.uwindsor.ca/biosafety) or requested from the Chemical Control Centre (p: 519.253.3000.3523 / e: [email protected]). 3. Personnel must receive training on the potential hazards associated with the work involved and the necessary precautions to prevent exposure to infectious agents and release of contained material; personnel must show evidence that they understood the training provided; training 34 | P a g e must be documented and signed by both the employee and supervisor; retraining programs should also be implemented. The University of Windsor’s Biological Safety Program is currently developing general biological safety training programs to be delivered electronically within a web‐based format on the following topics: (1) General Biological Safety; (2) Biological Containment – Level 1; (3) Biological Containment – Level 2; and (4) Safe and effective utilization of a Biological Safety Cabinet. Principle Investigators are responsible for providing and documenting laboratory and agent specific training. Physical Requirements • • • • • • A room separated from public areas by a door is required. There are no particular restrictions on locating the facility near public or heavily travelled corridors; however, doors should remain closed. Coatings on walls, ceilings, furniture, and floors should be cleanable. Windows that can be opened should not be near working areas or containment equipment and should be equipped with fly screens. There are no special air handling requirements beyond those concerned with proper functioning of the biological safety cabinets, if used, and those required by building codes. Handwashing facilities must be provided, preferably near the point of exit to public areas. Separate locations should be provided for hanging street clothing and laboratory coats at the entrance/exit. Eye wash stations should be available. Operational Requirements • • • • • • • • The basic laboratory safety practices described in Section 3 must be followed. In addition, where chemical disinfection procedures are employed, effective concentrations and contact times must be used. Chemical disinfectants used to decontaminate materials to be removed from the laboratory must be replaced regularly. Eating, drinking, smoking, storing of food, personal belongings, or utensils, applying cosmetics, and inserting or removing contact lenses are not permitted in any laboratory; the wearing of contact lenses is permitted only when other forms of corrective eyewear are not suitable; wearing jewelry is not recommended in the laboratory. Oral pipetting of any substance is prohibited in any laboratory. Long hair is to be tied back or restrained so that it cannot come into contact with hands, specimens, containers or equipment. Access to laboratory and support areas is limited to authorized personnel. Doors to laboratories must not be left open (this does not apply to an open area within a laboratory). Open wounds, cuts, scratches and grazes should be covered with waterproof dressings. 35 | P a g e 3.4.2 Laboratory Requirements – Biological Containment Level 2 University of Windsor’s Biological Safety Committee has defined well‐characterized agents that have a moderate potential hazard to personnel and the environment as requiring Biological Safety Level 2 containment. It differs from BSL‐1 in that (1) laboratory personnel have specific training in handling pathogenic agents and are directed by competent scientists; (2) access to the laboratory is limited when work is being conducted; (3) extreme precautions are taken with contaminated sharp items; and (4) certain procedures in which infectious aerosols or splashes may be created are conducted in biological safety cabinets or other physical containment equipment. A Biological Safety Certificate is required for all BSL‐2 work In addition to the laboratory requirements stipulated in Section 3.4.1 – Laboratory Requirements – Biological Safety Level 1, the following operational procedures must be followed at the University of Windsor for all certified laboratories that handle infectious substances that require a Level 2 Containment Level (BSL‐2), including: 1. Each laboratory must obtain and post in a conspicuous location a valid copy of their University of Windsor Biological Safety Certificate which lists all substances that the laboratory is approved to utilize as part of their research and/or teaching program. 2. Good microbiological laboratory practices intended to avoid the release of infectious agents are to be employed. 3. Appropriate signage indicating the nature of the hazard being used (e.g., biohazard sign, containment level) must be posted outside each laboratory; if infectious agents used in the laboratory require special provisions for entry, the relevant information must be included on the sign; the contact information of the laboratory supervisor or other responsible person(s) must also be listed. 4. Entry must be restricted to laboratory staff, animal handlers, maintenance staff and others on official business. 5. All people working in the containment area must be trained in and follow the operational protocols for the project in process. Trainees must be accompanied by a trained staff member. Visitors, maintenance staff, janitorial staff and others, as deemed appropriate, must also be provided with training and/or supervision commensurate with their anticipated activities in the containment area. 36 | P a g e 6. Emergency procedures for spill clean‐up, BSC failure, fire, animal escape and other emergencies must be written, easily accessible and followed. A record must be made of other people entering the facility during an emergency. For more information on each of these areas, please see Section 4 – Emergency Procedures within this manual. Operational Requirements: • Class I or II biological safety cabinets (see Appendix D – Biological Safety Cabinets) are required for all manipulations of agents which may create an aerosol. The biological safety cabinet must have been tested and certified within the previous 12 months according to accepted standards (see Section 3.8). • Inspection and retesting is mandatory if the cabinet is relocated. Moves of a minor nature may be exempt if the move is supervised by the testing technologist to ensure that the equipment has not been subjected to undue stress. At the time certification is carried out, the testing technologist should ascertain that the users are familiar with the containment capability of the equipment under various operating conditions and familiarize such individuals with precautions to be taken in its use. • Air from these cabinets may be recirculated to the room only after passage through a high efficiency particulate air (HEPA) filter. • Good microbiological laboratory practices intended to avoid the release of biological agents are to be employed. Centrifugation must be conducted with closed containers or aerosol proof safety heads or cups. These should be opened only in the biological safety cabinet. • Organisms which have been experimentally infected must remain in the laboratory or appropriate animal containment facility. • An emergency plan for handling spills of infectious materials must be provided as part of the principle investigators application for a University of Windsor Biological Safety Certificate (UWinBSC) and be ready for use whenever needed. Laboratory workers must be educated about the emergency plans. A record must be made of other people entering the facility during an emergency. • Vacuum lines used for work involving the agent must be protected from contamination by HEPA filters or equivalent equipment. 37 | P a g e • Laboratory coats should be worn only in the laboratory area. Either front‐button coats or wrap around gowns are acceptable. These coats shall not be worn outside the containment laboratory. • Special care should be taken to avoid contamination of the skin with infectious materials. Gloves must be worn when handling infected organisms or when hands may be exposed to biological agents. • Contaminated glassware must not leave the facility. Decontamination must be carried out using procedures demonstrated to be effective. If there is no autoclave or incinerator in the laboratory, contaminated materials must be disinfected chemically or be double bagged and transported to the autoclave or incinerator in durable, leakproof containers which are closed and wiped on the outside with disinfectant before leaving the laboratory. Periodic intensive cleaning must be done at regular intervals. Cleaning and maintenance staff should receive appropriate immunization and medical surveillance. • 38 | P a g e 4 EMERGENCY PROCEDURES 4.1 Biological Spill Response Spills, accidents or exposures to infectious materials and losses of containment must be reported immediately to the laboratory supervisor; written records of such incidents must be maintained, and the results of incident investigations should be used for continuing education. Emergency plans and procedures to be readily available and to include appropriate equipment and training for emergency response to spills or accidental release of organisms (i.e., personal protective equipment, disinfectants); training to be documented. Laboratory bench tops and surfaces are to be decontaminated after any spill of potentially infectious materials and at the end of the working day. If there is a spill during use, surface decontaminate all objects in the cabinet; disinfect the working area of the cabinet while it is still in operation (do not turn the cabinet off). Decontamination of the laboratory space, its furniture and its equipment requires a combination of liquid and gaseous disinfectants. Surfaces can be decontaminated using a solution of sodium hypochlorite (NaOCl); a solution containing 1 g/l available chlorine may be suitable for general environmental sanitation, but stronger solutions (5 g/l) are recommended when dealing with high‐risk situations. For environmental decontamination, formulated solutions containing 3% hydrogen peroxide (H2O2) make suitable substitutes for bleach solutions. Whenever possible, suitable gloves should be worn when handling biohazardous materials. However, this does not replace the need for regular and proper hand‐washing by laboratory personnel. Hands must be washed after handling biohazardous materials and animals, and using the toilet, and before leaving the laboratory, and eating. In most situations, thorough washing of hands with ordinary soap and water is sufficient to decontaminate them, but the use of germicidal soaps is recommended in high‐risk situations. Hands should be thoroughly lathered with soap, using friction, for at least 10 minutes, rinsed in clean water and dried using a clean paper or cloth towel (if available, warm‐air hand‐dryers are also recommended). 39 | P a g e 4.1.1 Classification of Spills A MINOR BIOLOGICAL SPILL is one that can be handled safely by laboratory personnel without the assistance of safety and emergency personnel. Minor spills include: • The release of BSL‐1 organisms without splashing or agitation • The release of a small volume of BLS‐1 organisms without splashing or agitation A MAJOR BIOLOGICAL SPILL is one that requires outside assistance. These include: • Any spill involving a biological agent that an individual does not feel confident in their ability to effectively mitigate the spill • The release of any organisms resulting in excessive splashing and agitation • The release of any BSL‐2 organisms • The release of a large volume of BSL‐1 organisms (there is enough present to seek its own level or in other words, to run to a low point) 4.1.2 Biohazardous Spill Procedure – Minor Biological Spill This procedure is applicable to spills on a nonporous surface such as a tile floor or concrete floor. 1. Notify others in the area immediately, to limit potential of further contamination to additional personnel or the environment. 2. Assess the situation and determine classification of the spill: A MINOR BIOLOGICAL SPILL is one that can be handled safely by laboratory personnel without the assistance of safety and emergency personnel. Minor spills include: • The release of BSL‐1 organisms without splashing or agitation • The release of a small volume of BLS‐1 organisms without splashing or agitation A MAJOR BIOLOGICAL SPILL is one that requires outside assistance. These include: • Any spill involving a biological agent that an individual does not feel confident in their ability to effectively mitigate the spill • The release of any organisms resulting in excessive splashing and agitation • The release of any BSL‐2 organisms • The release of a large volume of BSL‐1 organisms (there is enough present to seek its own level or in other words, to run to a low point) 3. For a minor spill, proceed to Step 4. For major biological spills, immediately evacuate area, secure area, and call for assistance (see Major Spill Response). 40 | P a g e 4. Remove any contaminated clothing and lab coats. Wash exposed skin with antiseptic soap and water. Get your biohazard spill kit and review spill procedure before proceeding with cleanup. 5. Remove spill supplies from kit and line bucket/container with a biohazard bag. (Retrieve a sharps container for disposal of sharps if necessary.) 6. At a minimum, wear two pairs of gloves and splash goggles. 7. If applicable, using mechanical means (i.e. dustpan/broom, tongs), pick up any contaminated sharp items (needles, broken glass, etc.) and place them in an approved sharps container for disposal. 8. Cover the spill with an absorbent material and carefully apply decontamination solution pour around the spill allowing it to mix with the material (i.e. 10% Bleach ‐ sodium hypochlorite solution containing 5000‐6000 parts per million, ppm). If using a proprietary disinfectant product, follow the manufacturer’s instructions for proper use concentration and contact time. Make sure the disinfectant is not beyond the expiration date. 9. Allow a contact time of 20 minutes 10. Remove the absorbent material by using a mechanical means (i.e. dustpan and broom, plastic scrapers) and deposit it along with the mechanical tool into a biohazard bag. 11. Remove residual disinfectant with fresh paper towels. Dispose of the towels in the biohazard bag. 12. Repeat steps 8 and 9 for sufficient disinfection of contaminated surfaces, if necessary. 13. Clean the surface with an EPA‐registered disinfectant and allow to air dry. If bleach is used, wipe up bleach residue with water. 14. Remove outer pair of gloves only and dispose of them in the biohazard bag. 15. Remove splash goggles with inner gloves still on, and clean the goggles by autoclaving. 16. Remove inner pair of gloves and place them in the biohazard bag for disposal. 17. Close the bag and dispose of as biohazardous waste. (Please refer to “Safe Operations of Autoclaves in the Treatment of Biomedical Waste” manual) 18. Wash your hands with soap & water and/or by using hand‐sanitization solution as soon as possible. 41 | P a g e 19. Return spill kit to designated location. Ensure that the spill kit is restocked for next use. 20. Notify immediate supervisor, if you have not already done so. Complete an Incident / Accident form to ensure that the incident is reported and medically managed in accordance with reporting requirements 4.1.3 Biohazardous Spill Procedure – Major Biological Spill This procedure is applicable to spills on a nonporous surface such as a tile floor or concrete floor. 1. Notify others in the area immediately, to limit potential of further contamination to additional personnel or the environment. 2. Assess the situation and determine classification of the spill: A MINOR BIOLOGICAL SPILL is one that can be handled safely by laboratory personnel without the assistance of safety and emergency personnel. Minor spills include: o The release of organisms without splashing or agitation o The release of a small volume of organisms without splashing or agitation (i.e. few milliliters) o Type of equipment which is being utilized (i.e. sonication, vortex, etc.) o Contaminated area A MAJOR BIOLOGICAL SPILL is one that requires outside assistance. These include: o The release of organisms resulting in excessive splashing and agitation o The release of a large volume of biological materials (500ML) o Type of Agent (i.e. risk group 2, 2+, or above) 3. For major biological spills, immediately evacuate area, secure area, and contact Campus Community Police (dial 911) for assistance. 4.1.4 Biohazardous Spill Procedure – On Body 1. Immediately remove contaminated clothing. All contaminated materials must be treated of as biohazardous. (Please refer to “Safe Operations of autoclaves in the Treatment of Biomedical Waste” manual) 2. Vigorously wash exposed area with soap & water for at least 10 minutes. Alternative, an approved hand‐sanitizer which contains 65% isopropanol can be used. 42 | P a g e 3. If eye exposure occurs, use eye wash per instructions (at least 15 minutes). 4. Obtain medical attention by contacting Campus Community Police (dial 911), if necessary. 4.1.5 Biohazardous Spill Procedure – Inside a Biological Safety Cabinet 1. Allow BSC to operate unattended for five (5) minutes to facilitate aerosol purification. 2. Call for assistance if needed. It is useful to have a second person with “clean” hands get all the materials for clean up. 3. While wearing PPE (gown, safety glasses and gloves) cover the spill with an absorbent material and carefully apply decontamination solution pour around the spill allowing it to mix with the material (i.e. 10% Bleach ‐ sodium hypochlorite solution containing 5000‐6000 parts per million, ppm). If using a proprietary disinfectant product, follow the manufacturer’s instructions for proper use concentration and contact time. Make sure the disinfectant is not beyond the expiration date. Do not place your head inside the cabinet to clean the spill. Keep your face behind the front view screen. If necessary, flood the work surface, as well as the drain pans and catch basins below the work surface, with disinfectant. 4. Spray or wipe cabinet walls, work surfaces, and inside the front view sash with disinfectant. Assume everything in the cabinet is contaminated. a. Lift exhaust grill and tray and wipe all surfaces. b. Discard contaminated disposable materials using appropriate biohazardous waste disposal procedures. (Please refer to “Safe Operations of Autoclaves in the Treatment of Biomedical Waste” manual) c. Wipe down contaminated reusable items with disinfectant then place in biohazard bags or autoclave pans with lids for autoclaving. d. Those items that are non‐autoclavable should be wiped down with disinfectant and kept wet for a minimum of 20 minutes before removal from BSC. 5. After 20 minutes of contact time, soak up the disinfectant and discard the absorbent materials into a biohazard bag and handle as regulated medical waste. 6. Remove outer pair of gloves only and dispose of them in the biohazard bag. 43 | P a g e 7. Remove splash goggles with inner gloves still on, and clean the goggles by autoclaving. 8. Remove inner pair of gloves and place them in the biohazard bag for disposal. 9. Close the bag and dispose of as biohazardous waste. (Please refer to “Safe Operations of Autoclaves in the Treatment of Biomedical Waste” manual) 10. Wash your hands with soap & water and/or by using hand‐sanitization solution as soon as possible. 11. Allow the cabinet to run for 15 minutes after cleaning and before shut off or re‐use. 12. If you have not already done so, notify your immediate supervisor of the spill. The supervisor should be notified if the spill overflows into the interior of the cabinet. It may be necessary to perform a more extensive decontamination of the cabinet. 4.1.6 1. 2. Biohazardous Spill Procedure – within a Centrifuge Shut down the centrifuge Wait five (5) minutes before opening the centrifuge following the end of a run with potentially hazardous biological material. This will allow any aerosols to settle prior to opening secondary containment. 3. If a tube breaks within a centrifuge bucket and the containment has not been breached, open the centrifuge bucket in a Biological Safety Cabinet and proceed to decontaminate the spill per the Minor Spill protocol. If there is no containment of the spill or the containment has been breached: 1. If centrifuge contamination is identified after the safety bucket lid is opened, carefully close the centrifuge lid and allow aerosols to settle for at least 30 minutes. 2. Remove any contaminated protective clothing and place it in a biohazard bag. Wash hands and any exposed skin surfaces with soap and water. 3. Evacuate the laboratory for at least 30 minutes. Post a warning sign on the laboratory door. Notify your supervisor. 44 | P a g e 4. After thirty (30) minutes, enter the laboratory with personal protective equipment and spill clean‐up materials. Fullf‐ace protection, a lab coat and utility gloves should be worn. A respirator may also be recommended to be worn. 5. Transfer rotors and buckets into a biological safety cabinet. Immerse within 70% ethanol or a non‐corrosive appropriate disinfectant effective against the agent in use. A one‐hour contact time is recommended. Uncapped or unbroken tubes may be wiped down with disinfectant after the soak and placed in a new container. Handle broken glass with forceps and place in biohazardous sharps container. 6. Carefully retrieve any broken glass from inside the centrifuge with forceps and place in a sharps container. Smaller pieces of glass may be collected with cotton or paper towels held between the forceps. Place all broken glass within biohazardous sharps container. 7. Carefully wipe the inside of the centrifuge with papers towels soaked in an appropriate disinfectant. Spray the inside of the centrifuge with an appropriate disinfectant and allow to air dry. Avoid the use of sodium hypochlorite if at all possible because of the corrosive nature of sodium hypochlorite solutions. If sodium hypochlorite solutions are used, rinse thoroughly with copious amounts of water. 8. Remove outer pair of gloves only and dispose of them in the biohazard bag. 9. Remove splash goggles with inner gloves still on, and clean the goggles by autoclaving. 10. Remove inner pair of gloves and place them in the biohazard bag for disposal. 11. Close the bag and dispose of along with the biohazardous sharps container (if used) as biohazardous waste. (Please refer to “Safe Operations of Autoclaves in the Treatment of Biomedical Waste” manual) 12. Wash your hands with soap & water and/or by using hand‐sanitization solution as soon as possible. 4.1.7 Biohazardous Spill Procedure – during Transportation This procedure is applicable to spills on a nonporous surface such as a tile floor or concrete floor. 1. Notify others in the area immediately, to limit potential of further contamination to additional personnel or the environment. 2. Assess the situation and determine classification of the spill: 45 | P a g e A MINOR BIOLOGICAL SPILL is one that can be handled safely by laboratory personnel without the assistance of safety and emergency personnel. Minor spills include: • The release of BSL‐1 organisms without splashing or agitation • The release of a small volume of BLS‐1 organisms without splashing or agitation A MAJOR BIOLOGICAL SPILL is one that requires outside assistance. These include: • Any spill involving a biological agent that an individual does not feel confident in their ability to effectively mitigate the spill • The release of any organisms resulting in excessive splashing and agitation • The release of any BSL‐2 organisms • The release of a large volume of BSL‐1 organisms (there is enough present to seek its own level or in other words, to run to a low point) 3. If minor, follow clean‐up steps outlined within the Minor Spill Response Section. For major biological spills, immediately evacuate area, secure area, and contact Campus Community Police (dial 911) for assistance. 4.1.8 Biohazardous Spill Procedure – Involving Prions Prions, also referred to as “unconventional” infectious agents or “agents of transmissible spongiform encephalopathies”, are believed to contain protein only. As mentioned previously, they can cause Creutzfeldt‐Jakob disease in humans, scrapie in sheep, bovine spongiform encephalopathy in cattle, etc. These infectious agents are unusually resistant to inactivation by most physical and chemical agents and materials suspected of containing them require special processing before reuse or disposal. To date, available data indicate that prions can be inactivated by a solution of 2 mol/l sodium hydroxide (NaOH) containing 4.0 mol/l guanidinium hydrochloride (HNC(NH2)2.HCl) or guanidinium isocyanate (HNC(NH2)2.HNCO) and sodium hypochlorite (NaOCl) (> 2% available chlorine) followed by steam autoclaving at 132 °C for 4.5 h. Incineration is also an effective means of dealing with prion‐contaminated materials 4.1.9 Disposal of Spill Materials The disposal of laboratory and medical waste is subject to various regional, national and international regulations and the latest versions of such relevant documents must be consulted before designing and implementing a programme for handling, transportation and disposal of biohazardous waste. In general, ash from incinerators may be handled as normal domestic waste and removed by local authorities. 46 | P a g e Autoclaved waste may be disposed of by off‐site incineration or in licensed landfill sites 4.1.10 Biological Spill Reporting MINOR BIOLOGICAL SPILLS: Spills and accidents that result in exposures to organisms to be immediately reported to your supervisor with an incident report forwarded to the University of Windsor’s Biological Safety Officer (ext. 3523). Written records to be maintained (see Pathogen Accountablity). Medical attention and surveillance will be provided as appropriate. MAJOR BIOLOGICAL SPILLS: Emergency procedures for spill clean‐up, BSC failure, fire, animal escape and other emergencies must be written, easily accessible and followed. A record must be made of other people entering the facility during an emergency. The University’s Biological Safety Officer (ext. 3523) must be immediately notified. Medical attention and surveillance will be provided as appropriate. Biological Spill Kit The kit should be maintained in a white 6‐gallon leak‐proof bucket and contain the following: • Concentrated household bleach – check expiration date • Spray bottle for making 10% bleach solution • Forceps or tongs for handling sharps • Paper towels or other suitable absorbent • Biohazard bags of various sizes • Disposable gloves • Disposable foot covers • Face protection – at a minimum safety glasses and mask • Spill sign to post on door Biohazardous Spill Kits are available at the Chemical Control Centre. 4.2 Emergency Medical Procedures In life‐threatening situations requiring immediate medical attention, telephone the University of Windsor’s Campus Community Police (Dial 911) and they will contact the appropriate authorities and co‐ ordinate the response. 47 | P a g e 4.2.1 Medical Surveillance & Immunioprophylaxis Laboratory personnel should be protected against laboratory‐acquired infections by appropriate immunization with relevant, licensed vaccines unless documented to have pre‐existing immunity. Hepatitis B immunization is strongly recommended for all persons who handle or are exposed to human blood, body fluids, organs or tissues. Immunoprophylaxis and information pertaining to the availability and the advisability of immunizing agents are available through the following: Windsor Essex Health Unit – Immunization Unit, 1005 Ouellette Avenue, Windsor, Ontario N9A 4J8 (519) 258‐2416 ext. 1222. Immunizing agents are available to protect laboratory workers against: Anthrax Botulism Cholera Diphtheria Hemophilus influenzae type b Hepatitis A Hepatitis B Influenza A Japanese encephalitis Lyme disease Measles Meningococcus Mumps Pertussis Plague Pneumococcus Polio Rabies Rubella Tetanus Tuberculosis (BCG) Typhoid Vaccinia Varicella Yellow fever 4.2.2 Animal Bites and Scratches The following emergency response procedures shall be followed when a worker has been exposed to zoonotic agents via animal bite or scratch, via mucous membrane contact, or via non‐intact skin contact. Laboratory Worker, Student, and Visitors The exposed site must be washed immediately. A. Wash with soap and water after allowing the wound to bleed freely. B. If mucous (eyes, nose, mouth) membrane or non‐intact (cuts, rash, eczema or dermatitis) skin contact, flush with water at the nearest faucet or eye wash station. The individual must immediately inform the supervisor / principal investigator of the exposure incident. The individual must seek prompt medical attention at the nearest hospital emergency department or emergency clinic, a medical practitioner of their choosing. The individual must provide information for a University of Windsor Accident/Incident (obtained from her / his supervisor / principal investigator), 48 | P a g e describing the incident in detail, including the route of exposure and the emergency actions taken, and a description of the individual’s duties as they relate to the exposure incident. 4.2.3 Exposure to Human Blood and Body Fluids The following emergency response procedures shall be followed when a worker has been exposed to blood or body fluids via a needlestick, cut or puncture wound, via mucous membrane contact, or via non‐intact skin contact. Laboratory Worker, Student, Visitors The exposed site must be washed immediately. A. Wash with soap and water after allowing the wound to bleed freely. B. If mucous (eyes, nose, mouth) membrane or non‐intact (cuts, rash, eczema or dermatitis) skin contact, flush with water at the nearest faucet or eye wash station. The laboratory worker, student, or visitor must immediately inform the supervisor / principal investigator of the exposure incident. 4.2.4 Exposure to Infectious and Communicable Disease Agents The following emergency response procedures shall be followed when a worker has been exposed to infectious or communicable disease agents via inhalation, a needlestick, cut or puncture wound, via ingestion or mucous membrane contact, or via non‐intact skin contact. Laboratory Worker, Student, Visitors The exposed site must be washed immediately. A. Wash with soap and water after allowing the wound to bleed freely. B. If mucous (eyes, nose, mouth) membrane or non‐intact (cuts, rash, eczema or dermatitis) skin contact, flush with water at the nearest faucet or eye wash station. The laboratory worker, student, or visitor must immediately inform the supervisor / principal investigator of the exposure incident. 4.2.5 Important Medical Emergency Numbers & Contacts Emergency Number (Fire, Police, Ambulance) Hospitals: Hotel‐Dieu Grace Hospital 49 | P a g e 911 (519) 973‐4444 Windsor Regional Hospital (Metropolitan Campus) Windsor Regional Hospital (Western Campus) Poison Control Centre (519) 254‐1661 (519) 257‐5100 (800) 268‐9017 UNIVERSITY CAMPUS EMERGENCY NUMBERS Campus Community Police (Emergency) Campus Community Police (Non‐Emergency) Chemical Control Centre (24hrs/day) Office of Occupational Health and Safety University Medical Office Located: (2nd Floor, CAW Student Centre) Monday‐Thursday 9:00 a.m. ‐ 5:00 p.m. Friday 9:00 a.m. ‐12:00 p.m. & 1:00 p.m. ‐ 5:00 p.m. ext. 911 ext. 1234 ext. 3523 ext. 2055 ext. 7002 4.3 Medical Incident Reporting Requirements 4.3.1 Individual: The laboratory worker, student, or visitor must seek prompt medical attention at the nearest hospital emergency department or emergency clinic, a medical practitioner of their choosing. The laboratory worker, student, or visitor must provide information for a University of Windsor Accident/Incident (obtained from her / his supervisor / principal investigator), describing the incident in detail, including the route of exposure and the emergency actions taken, and a description of the individual’s duties as they relate to the exposure incident. 4.3.2 Supervisor/Principle Investigators: 1. The supervisor must refer the affected individual(s) to the nearest hospital emergency department or medical practitioner of their choosing. 2. Supervisors and/or Principle Investigators must complete and sign the University of Windsor’s Accident / Incident report (www.uwindsor.ca/safety) under “Report an Accident”. 3. The supervisor must ensure that the exposure incidents are reported within 24‐hours to both the Chemical Control Centre (519.973.7013 ‐ fax) and the Office of Occupational Health and Safety (519.971.3671 – fax). 50 | P a g e 4.3.3 Chemical Control Centre – Laboratory Safety, Compliance, and Assurance: The Chemical Control Centre’s Laboratory Safety, Compliance and Assurance division shall be forwarded a copy of the Accident / Incident Investigation Report by Occupational Health and Safety. If the individual refuses appropriate post‐exposure prophylaxis and / or testing, this shall be documented in the medical record by the Occupational Health and Safety and countersigned by the individual, or a refusal document should be signed and forwarded to Occupational Health and Safety. Counselling regarding potential exposure and infection, immunoprophylaxis and follow‐up testing shall be offered to anyone if her / his exposure is determined to be of a nature that may transmit zoonotic agents. 4.3.4 Office of Occupational Health & Safety The Office of Occupational Health & Safety shall confer with the affected individual(s) and / or attending physician(s) / caregiver(s) to determine whether the exposure is of a nature that may transmit the biological agent HBV, HIV or any other bloodborne pathogens. Counselling regarding potential HBV, HIV or other bloodborne pathogen exposure and infection, chemo / immunoprophylaxis and follow‐up testing shall be offered to any individual if her / his exposure is determined to be of a nature that may transmit HBV, HIV or other bloodborne pathogens. A hepatitis B vaccine or other appropriate post‐exposure prophylaxis shall be offered if the individual has not been immunized previously or does not demonstrate adequate antibodies. If the individual refuses appropriate post‐exposure prophylaxis and / or testing, this shall be documented in the medical record by the Office of Occupational Health & Safety and countersigned by the employee, or a refusal document should be signed retained. The Office of Occupational Health & Safety will act as the point of contact for all employee related WSIB claims. In addition, they will prepare or have prepared prescribed reports concerning occupational exposures, occupational hygiene, and/or occupational health surveillance programs related to biological agents. These reports shall be presented as prescribed to managers, supervisors, employees, and the appropriate Joint Health and Safety Committee. 51 | P a g e 5 CLASSIFICATION OF BIOLOGICAL AGENTS 5.1 General Information The standards and practices described in this manual apply to all laboratory research and teaching activities conducted within the University of Windsor and its affiliated institutions where such activities involve the use of known biological agents or cultures, or when an agent has been recently isolated or is suspected to be present in the material handled. Judgements of the inherent risks of a pathogen are made on the basis of a variety of factors, including: (1) severity of the disease it causes; (2) the routes of infection; and (3) its virulence and infectivity. This judgement should take into account the existence of effective therapies, immunization, the presence or absence of vectors, quantity of agent and whether the agent is indigenous to Canada, as well as possible effects on other species, including plants and animals. Due to their unknown characteristics, emerging pathogens and novel agents may require more stringent specialized practices and procedures for their safe handling. Biological agents are classified according to Risk Groups, which are analogous to the Containment Levels described in Section 1.4.2. These classifications presume ordinary circumstances in the laboratory, or growth in small volumes for experimental, diagnostic or teaching purposes. The classifications of biological agents reflect the judgements made on their inherent risks. Large volumes and high concentrations of a biological agent in growth media may pose greater risks than smears of the same agent on a microscope slide. Other unusual manipulations may also increase the hazard. 5.2 Genetically Engineered Organisms and Cell Lines The biological hazards associated with the use of mammalian or other cells in culture, and an appropriate Risk Group, will be influenced by the following criteria. Micro‐organisms that are demonstrated to be nonpathogenic, containing no adventitious agents and having a long history of safe industrial use are not considered here. 1. Primary cultures of mammalian or other cells may harbour infectious agents or integrated DNA originally present in the animal or human from which the cultures were derived. Whenever possible, the donor should be tested for suspect pathogens prior to the preparation of the culture, and the culture should be considered to be contaminated until proven to be free of the suspect agents. Such primary cultures should be handled in a manner appropriate to the Risk 52 | P a g e Group of the suspected contaminant, and precautions should be taken to protect laboratory personnel. 2. Cell lines known to contain infectious agents or integrated DNA should be handled in a manner appropriate to the Risk Group for the agent. 3. Cell lines that are deemed to be free of infectious agents rarely pose a biological hazard. If there is unintentional parenteral inoculation, normal immune response should provide protection, prevent progressive growth, and cause rejection of accidentally transplanted cells. For activities involving genetically engineered organisms, • the host organism should be non‐pathogenic, with no adventitious agents, a history of safe use, and limited ability to survive in the environment, • vectors with known inserts should be well characterized and free of sequences that result in adverse effects to humans, animals, plants, or the environment, and • the genomic insert should be limited in size to the smallest sequence required and should not increase the stability of the gene product in the environment. Resistance markers should be transferred with caution, to prevent acquisition of resistance that might compromise the therapeutic use of antimicrobial agents. The resulting recombinant organism should be non‐pathogenic or alternatively posses limited survival characteristics and be without adverse environmental consequences. 5.2.1 Recombinant DNA and Genetic Manipulation Genetic methods such as selection, cross breeding, conjugation and transformation have been used for many years to alter animals, plants and microorganisms. These methods have recently been supplemented with newer and much more efficient ones, of which the best known are the techniques of recombinant DNA. Some newer techniques include: • the production of transgenic plants and animals, • the cloning of microbial toxin or other virulence genes in an expression vector or in a host background in which it may be expressed, and • the production of full‐length infectious viral clones, including the reconstruction of infectious virions from recombinant constructs (reverse genetic engineering). For the purposes of this document, recombinant DNA includes: • DNA molecules produced outside living cells by joining natural or synthetic DNA segments to DNA molecules capable of replication in living cells, • DNA molecules produced in living cells by joining enriched or natural segments to intracellular DNA, and, 53 | P a g e • DNA molecules resulting from replication of such recombinant molecules. Guidance in assessing potential risks in recombinant DNA research can only be very general; each case requires individual assessment. It is unrealistic to define all of the genetically engineered organisms which might be created or used in the laboratory. The vast majority of this research involves only the remotest possibility of creating a hazard because the source of the DNA being transferred, the vector and the host are all innocuous or have low risk characteristics. However, some genetic manipulation does raise a significant possibility of risk. Factors to consider when determining the containment level of a recombinant organism should include: • containment level of the recipient organism • containment level of the donor organism • replication competency of the recombinant organism • property of the donor protein to become incorporated into the recombinant particle • potential pathogenic factors associated with the donor protein In general, containment levels for activities involving recombinant DNA will be assigned according to the following criteria and considerations: 1. If none of the components of the genetic manipulation (DNA, vector, host) presents any known hazard and none can be reasonably foreseen in their combination, then no restrictions beyond the requirements of Containment Level 1 are necessary. 2. If one of the components used in the procedure is hazardous, then, in general, determination of the containment level required will begin at the level appropriate to the known hazard. The level of containment may be increased or decreased depending on the particular gene transferred, the expression of the gene in the recombinant organism, the envisaged interactions between the transferred gene and the host‐vector system, and other relevant factors. 3. In any activity involving genes coding for hazardous products, host‐vector systems with limited ability to survive outside of the laboratory (affording biological containment) should be used. Their use may reduce the level of physical containment required. 4. The containment level may be reduced if it is known that the DNA or vector is mutant and defective in their disease‐causing or replication characteristics. 5. In the case of animal virus vectors, including retroviruses, one must consider the nature of the helper cells and the likelihood that replication‐competent viruses may be produced. Each case needs to have a risk assessment, as it is not realistic to try to define in advance all the possible genetically engineered organisms that might be created or used in the laboratory. Assistance with the 54 | P a g e risk assessment can be provided by the Public Health Agency of Canada’s Office of Laboratory Security, telephone (613) 957‐1779. The vast majority of recombinant research involves only the remotest possibility of creating a hazard, because the source of the DNA being transferred, the vector and the host are all innocuous. However, some genetic manipulation does raise significant possibility of risk. 5.2.2 Transgenic Plants There is considerable potential for commercial production of biological products in transgenic plants and animals. The potential release of transgenic organisms into the environment and transmission of novel genes to other plants and animals must be considered when designing both the production system and facilities to contain the transgenic organisms. In each case, the risk level should be determined in consultation with the appropriate Government agency. Transgenic plants may transmit novel characteristics to other plants, thereby modifying the gene pool of existing species. Since this transmission is mediated by pollen, transgenic plants should be made sterile or contained in a growth chamber or greenhouse designed to prevent pollen release via air or insects. If plants are allowed to mature, care must be taken to contain seeds in the growth chamber or greenhouse. Transgenic animals should be handled according to the Guidelines of the Canadian Council for Animal Care and the University of Windsor’s Animal Care Committee guidelines (www.uwindsor.ca/acc). An important consideration is the ability of the animal to transmit genes by breeding with another animal of the same or a related species. Transgenic animals must be adequately contained to prevent the unintentional spread of genetic modifications. It is recommended that transgenic animals be produced using methodology which restricts the potential for transmission of genes to another host. If viable micro‐organisms are used as vehicles for transfection, the containment level for the plants or animals inoculated with these viable recombinant micro‐organisms must be at least as high as that required for work with that specific micro‐organism. Transgenic plants and animals produced by microinjection, by use of replication defective vectors, or other sequences that are not normally horizontally transmitted, generally may be handled at Containment Level 1. The following recommendations should be considered prior to the initiation of transgenic experiments. • Complete copies of the replication competent genome should not be used. • The constructs should not contain genes capable of causing neoplastic transformation in animals. • The probability of recombination with extraneous micro‐organisms should be minimal or nonexistent. 55 | P a g e 5.3 Animal Cells, Blood and Body Fluids, and Fixed Tissues The biological hazards of animal cells, tissues, blood and body fluids arise from the possibility that they might contain or transmit infectious agents. It is prudent to consider all cell lines to be potentially infectious. Cells known or suspected to contain such agents, or primary cultures from animals and humans known or reasonably suspected to be infected, should be assigned to the risk group for the suspected agent. The following should be handled at Containment Level 2: Primate cell lines derived from lymphoid or tumour tissue, all cell lines exposed to or transformed by a primate oncogenic virus, all samples of human tissues and fluids, all primate tissues, all cell lines new to the laboratory (until proven to be free of adventitious agents), all virus‐containing primate cell lines, and all mycoplasma‐containing cell lines. These are factors that influence the containment level required: • • • • • • • particular source of the material the volume and concentration of the agent the extent of culturing and incubation the types of manipulations to be conducted the use of additional precautions Non‐recombinant cell lines • • • • • For every new cell line that is manipulated in a laboratory, a detailed risk assessment must be done in order to determine the appropriate level of precautions to be taken. A detailed risk assessment should include, but is not limited, to the following: • • • • • • • • source of cell line: the closer phylogenetically to humans, the greater the potential risk (highest to lowest risk: human autologous, human heterologous, primate, other mammalian, avian, invertebrate); source tissue: provides an indication of possible contaminants and latent (oncogenic) viruses; type of cell line highest to lowest risk: primary cell cultures, continuous cell cultures, intensivelycharacterized cell cultures; quantity of cells per culture; source population of the specimen from which the cell line was derived. recombinant cell lines (in addition to the above criteria) properties of the host cell line (in the case of hybridomas, the properties of each of the contributing cells must be considered); 56 | P a g e vector used for transformation (may increase containment level requirements); transfer of viral sequences (may increase containment level requirements); transfer of virulence factors (may increase containment level requirements); activation of endogenous viruses (may increase containment level requirements); recombinant gene product (may increase containment level requirements); helper virus presence (may increase containment level requirements). Once all the relevant information regarding the cell line has been obtained, including any hazards associated with the media to be used during manipulation of the cell culture, it can be assessed to ascertain the hazards posed by manipulating the particular cell line. The cell line is to be handled at the containment level appropriate to the level of risk determined by the assessment. • • • • • • 5.3.1 Primary Cell Cultures and Animal Iissues The following containment requirements apply to primary cell cultures and tissues from human, non‐ human primate and non‐primate animal sources when handled in the laboratory or used for animal passage. Cells and tissues known or suspected to be contaminated or infected with any of the agents included in Appendix B – Risk Group Categorization of Agents must be handled at the containment level appropriate to those agents. Human and non‐human primate material: Containment Level 2 Non‐primate animal material: Containment Level 1 5.3.2 Established Cell Lines Human or other animal cell lines known not to be contaminated or infected with any of the agents included in Appendix B – Risk Group Categorization of Agents (under level 1) may be handled at Containment Level 1. Cultures known or suspected to be contaminated or infected with any of the agents included in Appendix A – Agents not indigenous to Canada or under Risk Groups 2 and above must be handled at the containment level appropriate to those agents. 5.3.3 Blood and Body Fluids The need for precautionary measures extends also to situations in which human blood, saliva, urine and other body fluids or faeces must be handled. The precautions required may be more stringent when the specimens are used for culturing purposes, but initially, their handling should be consistent with Containment Level 2. Reduction of the containment level may be acceptable if potential hazards associated with the material are expected to be diminished because of dilution, use of chemical or other treatments or additional protective measures and practices. Culturing of specimens in research laboratory Blood or blood fractions and other body fluid specimens of human or animal origin that are known or suspected to contain any of the agents included in Appendix A – Agents not indigenous to Canada must 57 | P a g e be handled at the containment level appropriate to those agents when these specimens are cultured in volumes greater than that which is necessary for routine diagnostic work. Routine clinical diagnostic work in laboratory For routine clinical diagnostic work with specimens of human blood, serum and other body fluids (urine, cerebrospinal fluid, etc.) from the general population, Containment Level 1 may be acceptable if the activity does not involve culturing of the specimen beyond the volumes necessary to allow clinical analysis. However, in such cases the workers must be made fully aware of the potential hazards and should take additional precautions. Pre‐exposure immunization against Hepatitis A and B viruses and the use of appropriate face and eye protection and gloves are recommended. For routine clinical diagnostic work with specimens which are known to be from infected individuals, the containment level appropriate to the agent must be maintained. 5.3.4 Fixed Tissues and Tissue Sections Tissues and tissue sections from human and animal sources are routinely fixed by treatment with chemical agents to preserve structures for later examination and study. Generally, these chemical treatments inhibit all biological activity. Most, but not all, intracellular and intercellular biological agents are inactivated during this treatment. A notable exception is the group of unconventional agents known as ‘prions’. In general, fixed tissues and tissue specimens should be handled under at least Containment Level 1 conditions. A higher level of containment may be required depending on the source of the material, the nature of the agent and whether or not it is inactivated. Where a biological agent which usually requires a higher level of containment is present in the tissue, the laboratory director / principal investigator should provide documentation to the University of Windsor’s Biosafety Committee to support a request for a lower level of containment. 5.4 Cell Line Contamination with Infectious Agents Bacteria and fungi Cell lines contaminated with bacteria and fungi are readily identified when grown in antibiotic‐free media because they quickly overgrow the cells. Viral contamination Unlike bacteria and fungi, viruses are not readily identified and so can pose a significant hazard to those manipulating primary cell lines. Because of the varying risks associated with cell line material, the World Health Organization proposed a classification of cell lines based on each line’s likelihood of carrying viruses pathogenic to humans. Low likelihood: 58 | P a g e cell lines derived from avian and invertebrate tissues. Medium likelihood: mammalian nonhematogenous cells, such as fibroblasts and epithelial cells. High likelihood: blood and bone marrow cells derived from human or non‐human primates; human pituitary cells, caprine and ovine cells, especially those of neural origin;and hybridoma cells when at least one fusion partner is of human or non‐human primate origin. Both viral and cellular oncogenes have been recognized, most notably the human T‐cell leukemia virus (HTLV‐I). HTLV‐I is a human oncogenic virus that transforms normal cells into malignant cells. Cell lines with known or potential viral contaminants are to be handled at the containment level appropriate for the contaminating agent of the highest risk. One of the primary hazards of manipulating cell cultures is the expression of latent viruses. Endogenous viral sequences have been found in a variety of cell lines derived from mammalian species, including humans. Cell lines can be grown in an altered manner by applying various treatments (e.g., change in pH, serum level, temperature, medium supplements, cocultivation). These treatments may cause altered expression of oncogenes, expression of latent viruses, interactions between recombinant genomic segments or altered expression of cell surface proteins. Manipulations that may alter the "normal" behaviour of cell lines to a more hazardous state are to be conducted at a containment level appropriate to the new hazardous state. The biological hazards associated with primate cell lines must also be taken into consideration when determining the level of containment required. Primary cell lines derived from the genus Macaca may harbour herpesvirus simiae (Cercopithecine herpes virus, B‐virus), and therefore tissues from Macaca must be manipulated as follows: Containment level 2 is to be used when handling tissues or body fluids from macaques. If material is suspected or known to contain herpesvirus simiae, containment level 3 is required. In vitro primary diagnostic tests are to be done at containment level 3. No culturing / propagation (culturing) of the virus is allowed to be completed at the University of Windsor. Prions The protein‐only infectious particle, or prion, is accepted as the causative agent of transmissible spongiform encephalopathies, such as bovine spongiform encephalopathy (BSE). Cell cultures derived from bovine sources known or suspected to be BSE positive, and in vitro primary diagnostic tests of cell cultures derived from bovine sources known or suspected to be BSE positive are to be handled using TSE specific guidelines. Information and the TSE guidelines can be found by contacting: Canadian Food Inspection Agency (CFIA), Biohazard Containment and Safety Division P: (613) 221‐7074 W: http://www.inspection.gc.ca/english/sci/bio/bioe.shtml 59 | P a g e Mycoplasmas Although mycoplasmas have commonly been identified as sources of cell culture contamination, mycoplasma‐contaminated cultures have not yet been reported as a source of a laboratory‐acquired infection. However, because of the presence of biologically active mycoplasma products and the stability of mycoplasma antigens as well as the fact that a number of mycoplasmas are human pathogens, they are considered hazardous in cell cultures. Cell lines with mycoplasma contaminants are to be handled atthe containment level appropriate for the contaminating agent of the highest risk. Parasites Freshly prepared primary cell lines may be at risk of parasite contamination if the cell line was obtained from a specimen known or suspected to be infected with a human parasite. Parasites have many lifecycle stages, and not all stages are infective. This must be taken into consideration when determining the appropriate level of containment. Cell lines in which the life‐cycle stage of the infecting parasite is not known are to be manipulated at the containment level appropriate for the contaminating agent of the highest risk. 5.5 Biological Agent Risk Group Criteria and Categories A risk group classification has traditionally been used to categorize the relative hazards of infective organisms. The factors used to determine which risk group an organism falls into is based upon the particular characteristics of the organism, such as pathogenicity; infectious dose; mode of transmission; host range; availability of effective preventive measures and the availability of effective treatment. These classifications presume ordinary circumstances in the research & teaching laboratories or growth in small volumes for diagnostic and experimental purposes. Four levels of risk have been defined as follows. Risk Group l (low individual and community risk) A biological agent that is unlikely to cause disease in healthy workers or animals. Risk Group 2 (moderate individual risk, limited community risk) A pathogen that can cause human or animal disease, but under normal circumstances is unlikely to be a serious hazard to healthy laboratory workers, the community, livestock or the environment. Laboratory exposures rarely cause infection leading to serious disease. Effective treatment and preventive measures are available and the risk of spread is limited. Risk Group 3 (high individual risk, low community risk) 60 | P a g e A pathogen that usually causes serious human or animal disease, or which can result in serious economic consequences but does not ordinarily spread by casual contact, from one individual to another, or that can be treated by antimicrobial or antiparasitic agents. Risk Group 4 (high individual risk, high community risk) A pathogen that usually produces very serious human or animal disease, often untreatable, and may be readily transmitted from one individual to another, or from animal to human or vice‐versa, directly or indirectly, or by casual contact. Appendix B – Risk Group Categorization of Agents contains a listing of Risk Group categories for biohazardous agents. For the current risk group classification of an agent, contact Office of Laboratory Security directly at: Public Health Agency of Canada Office of Laboratory Security P: (613) 957‐1779 W: http://www.phac‐aspc.gc.ca/ols‐bsl/. Or for agents which can infect animal, contact the Biohazard Containment and Safety Division of CFIA at: Canadian Food Inspection Agency (CFIA), Biohazard Containment and Safety Division P: (613) 221‐7074 W: http://www.inspection.gc.ca/english/sci/bio/bioe.shtml NOTE: Risk Group 4 agents are not approved for use at the University of Windsor and shipments including such agents should not be accepted. As a general precaution, agents should be elevated to the next risk group when manipulation may result in the production of infectious droplets and aerosols. Agents with similar pathogenic characteristics but which are not included in the following lists, should be considered to belong in the same risk group. Certain biological agents which are animal pathogens are considered not indigenous to Canada and are subject to control by the CFIA. Appendix A – Agents not indigenous to Canada contains a partial listing of agents not indigenous to Canada. 61 | P a g e 6 SECURITY 6.1 General Biological agents have a dual‐use potential. They can be used in research & teaching for the advancement of science and the diagnosis of disease, but can also be misused, stolen or intentionally released. The handling of infectious disease agents requires a security plan to ensure that biological agents are used as intended and stored securely. 6.2 Physical Protection The physical protection risk assessment should include all levels of a security review: perimeter security, facility security, laboratory security and agent specific security, and outline procedures for securing the area, e.g., card access, key pads, locks etc. All laboratories should adopt security practices to minimize opportunities for unauthorized entry into laboratories, animal and storage areas, as well as the unauthorized removal of infectious materials from their facility. The aim is to have a dedicated and controlled access into the laboratory limited to authorized personnel, laboratory staff, and maintenance staff. Within the laboratory, access to biological agents should be controlled as well. The containment perimeter (i.e., doors, windows) should provide the required level of security and should be kept closed. 6.3 Personnel Reliability & Suitability For all laboratories which have been designated as Containment Level 3, Background checks and security clearances may be required before employees are granted access to containment facilities. It may be appropriate to use photo identification badges for employees and temporary badges for escorted visitors to identify individuals with clearance to enter restricted areas. Procedures must be developed for approving and granting visitors access to controlled areas. In this capacity the access to agents and storage facilities is limited to legitimate use/individuals only. Biosafety training should include address security issues and must be provided to all personnel who are given access. Personnel must demonstrate that they have understood the biosecurity training provided. 62 | P a g e 6.4 Pathogen Accountablity The University of Windsor is required to use a system to properly label, track of internal possession, inactivation and disposal of cultures after use, and transfers within and outside the facility. These controls also assist in the tracking of pathogen storage locations and in clarifying under whose responsibility the pathogens lie. The institution requires all permit holders to update their inventories within the University of Windsor’s Hazardous Materials Information system, including any new additions as a result of diagnosis, verification of proficiency testing, or receipt from other locations as well as to remove agents after transfers or appropriate inactivation and disposal mechanisms have been used. Disposal of agents after use should include all sub‐cultures of that agent as well. Laboratories are required to keep records of all pathogen inventories, who has access to agents, who has access to areas where agents are stored or used, as well as transfer documents. A record of culture collections and other agents not currently used for research should be included in inventory lists as well. A notification process for identifying, reporting, and remediation of security problems, i.e., inventory discrepancy, equipment failure, breach of security, release of agents, etc., should be in place. 6.5 Storage Agents stored and maintained for on‐going research, teaching, or as part of a culture collection should have adequate physical protection. Agents should be stored securely, in consideration of the containment level of the agent itself and should have restricted access. An inventory of stored agents should also be maintained so that pathogen storage locations are tracked, and also so that it is clear who is responsible for the pathogens. Documentation procedures should include proper labelling, tracking of internal possession, inactivation and disposal of cultures after use and transfers within and outside the facility. Other records on who has access to the agents, who has access to where the agents are stored or used and transfer documents, should also be kept. 63 | P a g e Appendixes Appendix A – Agents not indigenous to Canada The following partial list is provided as an example of animal pathogens which are not indigenous to Canada and which are subject to control by the Canadian Food Inspection Agency (CFIA). The CFIA will determine the conditions under which these agents are used and maintained. This list of non‐indigenous agents is not complete. BACTERIA Mycoplasma agalactiae Mycoplasma mycoides Rickettsia ruminantium PARASITES Besnoitia besnoiti Theileria annulata Theileria bovis Theileria hirci Theileria lawrencei Theileria parva Trypanosoma equiperdum Trypanosoma evansi Trypanosoma vivax VIRUSES Bornaviridae Borna disease virus Bunyaviridae Nairobi sheep disease virus Rift Valley fever virus Caliciviridae Swine vesicular disease virus Vesicular exanthema virus Flaviviridae Hog cholera virus Herpesviridae Pseudorabies virus Iridoviridae African swine fever virus 64 | P a g e Orthomyxoviridae Fowl plague virus Paramyxoviridae Rinderpest, Newcastle disease virus: mesogenic, velogenic strains Peste des petits ruminants Picornaviridae Genus Aphthovirus Foot‐and‐mouth disease virus Genus Enterovirus Teschen disease virus Poxviridae Chordopoxvirinae (poxviruses of vertebrates) Genus Orthopoxvirus Smallpox (Alastrim) virus Genus Capripoxvirus Sheeppox virus Goatpox virus Lumpy skin disease virus Genus Suipoxvirus Swinepox virus Camelpox virus Reoviridae Genus Orbivirus Bluetongue virus African horsesickness virus Rhabdoviridae Genus Vesiculovirus Ephemeral fever virus Vesicular stomatitis virus (animal inoculation) Togaviridae Louping ill virus (animal inoculation) Wesselsbron disease virus Venezuelan equine encephalitis (VEE) virus 65 | P a g e Appendix B – Risk Group Categorization of Agents Risk Group 1 – Low individual and community risk This group includes those micro‐organisms, bacteria, fungi, viruses and parasites which are unlikely to cause disease in healthy workers or animals. Many agents are referred to in the literature by a variety of names and, before assuming that an unlisted agent is assigned to Risk Group 1, its characteristics and pathogenicity must be verified in consultation with the University of Windsor’s Biological Safety Committee or the Office of Biosafety, Public Health Agency of Canada. 66 | P a g e Risk Group 2 – Moderate individual risk and limited community risk A pathogen that can cause human or animal disease but, under normal circumstances, is unlikely to be a serious hazard to healthy laboratory workers, the community, livestock or the environment. Laboratory exposures rarely cause infection leading to serious disease. Effective treatment and preventive measures are available and the risk of spread is limited. BACTERIA, CHLAMYDIA, MYCOPLASMA Actinobacillus: all species Actinomyces pyogenes (C. pyogenes) Bacillus cereus Bartonella bacilliformis, B. henselae, B. quintana, B. elizabethae Bordetella pertussis, B. parapertussis and B. bronchiseptica Borrelia recurrentis, B. burgdorferi Campylobacter spp: C. coli, C. fetus, C. jejuni Chlamydia pneumoniae, C. psittaci (non‐avian strains), C. trachomatis Clostridium botulinum, Cl. chauvoei, Cl. difficile, Cl. haemolyticum, Cl. histolyticum, Cl. novyi, Cl. perfringens, Cl. septicum, Cl. sordellii, Cl. tetani Corynebacterium diphtheriae, C. haemolyticum, C. pseudotuberculosis, C. pyogenes (A. pyogenes) Edwardsiella tarda Erysipelothrix rusiopathae (insidiosa) Escherichia coli: enterotoxigenic / invasive / hemorrhagic strains Francisella tularensis Type B, (biovar palaearctica), F. novocida Fusobacterium necrophorum Haemophilus influenzae, H. ducreyi Helicobacter pylori Legionella spp. Leptospira interrogans: all serovars Listeria monocytogenes Mycobacteria: all species except M. tuberculosis and M. bovis (non‐BCG strain), which are in Risk Group 3 Mycoplasma pneumoniae, M. hominis Neisseria gonorrhoeae, N. meningitidis Nocardia asteroides, N. brasiliensis Pasteurella: all species except P. multocida type B, which is in Risk Group 3 Pseudomonas aeruginosa Salmonella enterica (S. choleraesuis) Salmonella enterica serovar arizonae (Arizona hinshawii) Salmonella enterica serovar gallinarum‐pullorum (S. gallinarum‐pullorum) Salmonella enterica serovar meleagridis (S. meleagridis) Salmonella enterica serovar paratyphi B (S. paratyphi B) (Schottmulleri) Salmonella enterica serovar typhi (S. typhi) Salmonella enterica serovar typhimurium (S. typhimurium) Shigella boydii, S. dysenteriae, S. flexneri, S. sonnei Staphylococcus aureus Streptobacillus moniliformis 67 | P a g e Streptococcus spp: Lancefield Groups A, B, C, D, G Treponema carateum, T. pallidum (including T. pertenue), T. vincentii Ureaplasma urealyticum Vibrio cholerae (including El Tor), V. parahaemolyticus, V. vulnificus Yersinia enterocolitica, Y. pseudotuberculosis FUNGI Cryptococcaceae Candida albicans Cryptococcus neoformans Moniliaceae Aspergillus flavus Aspergillus fumigatus Epidermophyton floccosum Microsporum spp. Sporothrix schenckii Trichophyton spp. VIRUSES Arthropod‐borne viruses are identified with an asterisk (*). Only those viruses which may be associated with human or animal disease have been included in this list. Agents listed in this group may be present in blood, CSF, central nervous system and other tissues, and infected arthropods, depending on the agent and the stage of infection. Adenoviridae Adenoviruses: all serotypes Arenaviridae Lymphocytic choriomeningitis virus: laboratory adapted strains Tacaribe virus complex: Tamiami, Tacaribe, Pichinde Bornaviridae Borna disease virus Bunyaviridae* Genus Bunyavirus Bunyamwera and related viruses California encephalitis group, including LaCrosse, Lumbo and Snowshoe hare virus Genus Phlebovirus: all species except Rift Valley fever virus (see Appendix A – Agents not indigenous to Canada) Caliciviridae: all isolates, including Hepatitis E and Norwalk virus Coronaviridae Human coronavirus: all strains Genus Torovirus Transmissible gastroenteritis virus of swine Hemagglutinating encephalomyelitis virus of swine Mouse hepatitis virus 68 | P a g e Bovine coronavirus Feline infectious peritonitis virus Avian infectious bronchitis virus Canine, Rat and Rabbit coronaviruses Flaviviridae* Yellow fever virus: 17D vaccine strain Dengue virus: serotypes 1, 2, 3, 4 Kunjin virus Hepatitis C virus Hepadnaviridae Hepatitis B virus, including Delta agent Herpesviridae Alphaherpesvirinae Genus Simplexvirus: all isolates including HHV 1 and HHV 2, except Herpes B virus which is in Risk Group 4 Genus Varicellavirus: all isolates including varicella / zoster virus (HHV 3) and pseudorabies virus (see Appendix A – Agents not indigenous to Canada) Betaherpesvirinae Genus Cytomegalovirus: all isolates including CMV (HHV 5) Genus Muromegalovirus: all isolates Gammaherpesvirinae Genus Lymphocryptovirus: Epstein Barr Virus (HHV 4) and EB‐like isolates Genus Rhadinovirus: all isolates except H. ateles and H. saimiri in Risk Group 3 Genus Thetalymphocryptovirus: all isolates Unassigned Herpesviruses: includes HHV 6 (human B‐lymphotrophic virus), HHV 7, HHV 8, etc. Orthomyxoviridae Genus Influenzavirus: Influenza virus type A: all isolates Influenza virus type B: all isolates Influenza virus type C: all isolates Papovaviridae Genus Papillomavirus: all isolates Genus Polyomavirus: all isolates Paramyxoviridae Genus Morbillivirus: all isolates except Rinderpest virus (see Appendix A – Agents not indigenous to Canada) Genus Paramyxovirus: all isolates Genus Pneumovirus: all isolates Parvoviridae Genus Parvovirus: all isolates Picornaviridae Genus Aphthovirus: (see Appendix A – Agents not indigenous to Canada) Genus Cardiovirus: all isolates Genus Enterovirus: all isolates Genus Hepatovirus: all isolates (Hepatitis A) Genus Rhinovirus: all isolates 69 | P a g e Poxviridae (see Table 1 for restrictions) Chordopoxvirinae (poxviruses of vertebrates) Genus Avipoxvirus: all isolates Genus Capripoxvirus: (see Appendix A – Agents not indigenous to Canada) Genus Leporipoxvirus: all isolates Genus Molluscipoxvirus Genus Orthopoxvirus: all isolates except Variola virus and Monkeypox virus which are in Risk Group 4 Genus Parapoxvirus: all isolates Genus Suipoxvirus: Swinepox virus (see Appendix A – Agents not indigenous to Canada) Genus Yatapoxvirus All other ungrouped poxviruses of vertebrates Reoviridae Genus Orbivirus: all isolates (see Appendix A – Agents not indigenous to Canada) Genus Orthoreovirus: types 1, 2 and 3 Genus Rotavirus: all isolates Retroviridae Oncovirinae Genus Oncornavirus C Subgenus Oncornavirus C avian: all isolates Subgenus Oncornavirus C mammalian: all isolates except HTLV‐I and HTLV‐II Genus Oncornavirus B: all isolates Lentivirinae: all isolates except HIV‐I and HIV‐II Spumavirinae: all isolates Rhabdoviridae Genus Vesiculovirus: all laboratory adapted strains (see Appendix A – Agents not indigenous to Canada) Genus Lyssavirus: Rabies virus (fixed virus) Togaviridae Genus Alphavirus* Semliki forest virus Sindbis virus Chikungunya virus: high‐passage strains O'Nyong‐Nyong virus Ross river virus Venezuelan equine encephalitis virus: only strain TC‐83, no animal inoculation (see Appendix C) Genus Rubivirus Rubella virus Genus Pestivirus Bovine diarrhoea virus Border disease virus Genus Arterivirus Equine arteritis virus Unclassified viruses Other Hepatitis viruses Astro viruses 70 | P a g e Chronic infectious neuropathic agents (CHINAs): Scrapie, BSE (except Kuru and Creutzfeldt‐Jakob Disease agents in Risk Group 3) PARASITES Infective stages of the following parasites have caused laboratory infections by ingestion, skin or mucosal penetration or accidental injection. Preparations of these parasites known to be free of infective stages do not require this level of containment. PROTOZOA Babesia microti Babesia divergens Balantidium coli Cryptosporidium spp. Entamoeba histolytica Giardia spp. (mammalian) Leishmania spp. (mammalian) Naegleria fowleri Plasmodium spp. (human or simian) Pneumocystis carinii Toxoplasma gondii Trypanosoma brucei, T. cruzi HELMINTHS Nematodes Ancylostoma duodenale Angiostrongylus spp. Ascaris spp. Brugia spp. Loa loa Necator americanus Onchocerca volvulus Strongyloides spp. Toxocara canis Trichinella spp. Trichuris trichiura Wuchereria bancrofti Cestodes Echinococcus (gravid segments) Hymenolepis diminuta Hymenolepis nana (human origin) Taenia saginata Taenia solium Trematodes Clonorchis sinensis Fasciola hepatica 71 | P a g e Opisthorchis spp. Paragonimus westermani Schistosoma haematobium Schistosoma japonicum Schistosoma mansoni 72 | P a g e Risk Group 3 – High individual and low community risk A pathogen that usually causes serious human or animal disease, or which can result in serious economic consequences but does not ordinarily spread by casual contact, from one individual to another, or that can be treated by antimicrobial or antiparasitic agents. BACTERIA, CHLAMYDIA, RICKETTSIA Bacillus anthracis Brucella: all species Burkholderia (Pseudomonas) mallei, B. pseudomallei Chlamydia psittaci: avian strains only Coxiella burnetti Francisella tularensis type A (biovar tularensis) Mycobacterium bovis: non‐BCG strains Mycobacterium tuberculosis1 Pasteurella multocida, type B Rickettsia: all species (see see Appendix A – Agents not indigenous to Canada) Yersinia pestis 1 Preparation of smears and primary culture of M. tuberculosis may be performed at Level 2 physical containment using Level 3 operational procedures and conditions. All other manipulations of M. tuberculosis require Containment Level 3 physical and operational conditions. FUNGI Moniliaceae Ajellomyces capsulatus (Histoplasma capsulatum, including H. capsulatum var. duboisii) Ajellomyces dermatitidis (Blastomyces dermatitidis) Coccidioides immitis Paracoccidioides brasiliensis VIRUSES Arthropod‐borne viruses are identified with an asterisk (*). Arenaviridae Lymphocytic choriomeningitis virus: neurotropic strains Bunyaviridae Unclassified Bunyavirus Hantaan, Korean haemorrhagic fever and epidemic nephrosis viruses including Hantavirus pulmonary syndrome virus Rift Valley fever virus Flaviviridae* 73 | P a g e Yellow fever virus: wild type St. Louis encephalitis virus Japanese encephalitis virus Murray Valley encephalitis virus Powassan encephalitis virus Herpesviridae Gammaherpesvirinae Genus Rhadinovirus: Herpesvirus ateles, Herpesvirus saimiri Retroviridae Oncovirinae Genus Oncornavirus C Human T‐cell leukemia / lymphoma virus2 Genus Oncornavirus D Mason‐Pfizer monkey virus Viruses from non‐human primates Lentivirinae Human immunodeficiency viruses (HIV): all isolates2 Rhabdoviridae Genus Vesiculovirus: wild type strains (see Appendix A – Agents not indigenous to Canada) Genus Lyssavirus Rabies virus (street virus) Togaviridae Genus Alphavirus* Eastern equine encephalitis virus Chikungunya virus Venezuelan equine encephalitis virus (except Strain TC‐83; see Appendix A – Agents not indigenous to Canada) Western equine encephalitis virus Unclassified Viruses Chronic infectious neuropathic agents: Kuru, Creutzfeldt‐Jakob Disease agents (level of precautions depends on the nature of the manipulations and the amount of sera, biopsy / necropsy materials handled) 2 Laboratories engaging in primary isolation and identification of HTLV or HIV may perform these activities in Containment Level 2 laboratories (physical conditions) using Containment Level 3 operational procedures and conditions. All research and production activities require Containment Level 3 physical and operational conditions. PARASITES None 74 | P a g e Risk Group 4 – High individual and community risk A pathogen that usually produces very serious human or animal disease, often untreatable, and may be readily transmitted from one individual to another, or from animal to human or vice‐versa, directly or indirectly, or by casual contact. NOTE: Risk Group 4 agents are not approved for use at the University of Windsor. BACTERIA None FUNGI None VIRUSES Arthropod‐borne viruses are identified with an asterisk (*). Arenaviridae Lassa, Junin, Machupo, Sabia, Guanarito viruses Bunyaviridae* Genus Nairovirus Crimean‐Congo hemorrhagic fever virus Filoviridae Marburg virus Ebola virus Flaviviridae* Tick‐borne encephalitis complex including Russian Spring‐Summer encephalitis virus Kyasanur forest virus Omsk hemorrhagic fever virus Herpesviridae Alphaherpesvirinae Genus Simplexvirus: Herpes B virus (Cercopithecine herpesvirus 1) Poxviridae Genus Orthopoxvirus Variola virus Monkeypox virus PARASITES None 75 | P a g e Appendix C – Safety Equipment An essential element in maintaining personal safety and environmental protection is the correct selection, use and maintenance of safety equipment in the laboratory. Safety equipment must be maintained and regularly serviced. There must also be a regular program of testing and inspection, and accurate records must be kept. The following is a list of safety devices appropriate to the containment laboratory: Type Application Animal cages or boxes partial to total containment of aerosols; provide protection from cross‐ contamination and personnel and environmental protection high temperature steam sterilization aerosol‐free blenders provide containment of aerosols See Appendix D – Biological Safety Cabinets safety cups with sealed heads provide containment of aerosols device for flushing face and eyes with water in event of splash or spray of biological or chemical agents safety glasses, goggles and full‐face shields provide protection from flying objects and splashes provide personnel and environmental protection; for removal or control of gases and vapours. provide hand protection of varying degrees; check technical specifications to determine degree of protection high efficiency particulate air filters available in various sizes, including cartridges; disposable; provide 99.97% removal of 0.3 μM particulates electric or gas with side‐arm to contain splatters when flaming inoculation and transfer loops head covers, shoe covers, coats, gowns or ventilated suits appropriate to hazard variety of containers, preferably of stainless steel and autoclavable, with tight‐fitting lids, and which may be used for transporting waste materials to an autoclave variety of devices which eliminate need to pipette by mouth partial or full‐face protection; provided with variety of filters autoclavable, puncture‐resistant containers which are used for collection and disposal of used hypodermic syringes and needles, blades and other sharp waste Autoclaves Blenders and mixers Biological Safety Cabinet Centrifuge equipment Face / eye wash station Face and eye protection Fume hoods Gloves HEPA filters Incinerators – micro Laboratory clothing Leakproof containers Pipetting devices Respiratory protection Sharps waste containers 76 | P a g e Appendix D – Biological Safety Cabinets A biological safety cabinet is a ventilated cabinet which uses a variety of combinations of HEPA filtration, laminar air flow and containment to provide personnel, product or environmental protection or protection of all components against particulates or aerosols from biohazardous agents. It is distinguished from a chemical fume hood by the presence of HEPA filtration and the laminar nature of the airflow. There are three kinds of biological safety cabinets, designated as Class I, II, and III have been developed to meet various research, teaching, and clinical applications. Class I: Open fronted cabinets with laminar airflow directed away from the user through a HEPA filter. The cabinet may be ducted to exhaust system or may exhaust into the room. Class I cabinets provide personnel and environmental protection, but no product protection. It is similar to the air movement within a chemical fume hood, but has a HEPA filter in the exhaust system to protect the environment. Suitable for some work procedures at Containment 1 and 2. Class II types A, B1, B2, and B3: A Class II biological safety cabinet provides personnel, environmental, and product protection. They utilize a re‐circulated HEPA filtered vertical laminar airflow within a partially contained cabinet with a glass sash leaving 8‐10 inch work opening. The component of the airflow that is exhausted through HEPA filters may be ducted to the outside or re‐circulated to the room. Class II cabinets provide a high degree of protection to the worker, the work and the environment. Suitable for work at Containment Level 1, 2 and 3. Class III: These cabinets were designed for working with microbiological agents assigned to Biosafety level 4 and provide maximum protection to both the environment and the worker. These enclosed cabinets contain a HEPA filtered supplied air, non‐recirculated HEPA filtered laminar flow air over the work surface and hard ducted to outside. The work surface is accessed only through glove ports or sealed air locks. These cabinets provide a totally contained area to protect the worker, the work and the environment. Suitable for work at Containment Level 1, 2, 3, and 4. 77 | P a g e HIGH EFFICIENCY PARTICULATE AIR FILTERS (HEPA): HEPA filters are using the exhaust and/or supply systems of biological safety cabinets. A typical HEPA filter is a single sheet of borosilicate fibers which has been treated with a wet‐strength water‐repellant binder. The filter medium is pleated to increase the overall surface area inside the filter frame, and the pleats are often divided by corrugated aluminum separators HORIZONTAL/VERTICAL LAMINAR FLOW “CLEAN BENCH”: These units discharge HEPA‐filtered air across a work surface towards the user. These devices only provide product protection and can be used for certain clean activities, include the dust‐free assembly of sterile equipment. These units are not biological safety cabinets and should not bused used when handling cell culture materials or drug formulations as individuals can be exposed to materials which can cause hypersensitivity. Use of Biological Safety Cabinets: To help facilitate the registration and certification of any biological safety cabinet, it is requested that you notify the University of Windsor’s Biological Safety Cabinet Coordinator (Chemical Control Centre, ext. 3523 Option 4) if a biological safety cabinet is to be ordered, installed, moved or relocated from another institution. The proposed location for the cabinet must be known. Cabinets acquired from another institution or from another laboratory on campus, must be decontaminated before being moved to University of Windsor laboratories. Documentation will be required. New cabinets or cabinets which have been moved must be recertified after they are installed in the new location. All Class II biological safety cabinets must be recertified annually by an approved testing service A University of Windsor Biological Safety Certificate must have been completed for all of the agents that will be used in the cabinet. Facilities must be consulted for installation requirements. 78 | P a g e Use of Natural gas and propane is not permitted inside Class II cabinets and is not recommended inside Class I cabinets. For more information on Biological Safety Cabinets please see the University of Windsor’s guidelines on the “Safe operation of Biological Safety Cabinets” (www.uwindsor.ca/biosafety) 79 | P a g e Appendix E – Laboratory Design This section is designed to provide guidance on the design and layout required to achieve the four containment levels detailed in Section 3. This section divided into five matrices: Laboratory Location and Access; Surface (i.e., floors, walls, ceilings, sealants) Finishes and Casework; Heating, Ventilation and Air Conditioning (HVAC); Containment Perimeter; and Laboratory Services (i.e., water, drains, gas, electricity and safety equipment). Information on commissioning, certification and recertification of the containment features detailed in the matrices can be found in Section 1. Legend: ‐ Mandatory (Laboratory Biosafety Guidelines, 3rd edition, 2004) ‐ Recommended (Laboratory Biosafety Guidelines, 3rd edition, 2004) 1 2 1 Level 2 3 4 3 4 5 6 7 8 9 10 11 12 13 80 | P a g e Laboratory Location & Access Separated from public areas by door. Access limited to authorized personnel. Laboratory room doors to have appropriate signage (e.g., biohazard sign, containment level, contact information, entry requirements). Size of door openings to allow passage of all anticipated equipment. Doors to the containment laboratory lockable (this does not apply to areas within the containment laboratory). Doors to provide restricted access by installation of a controlled access system (e.g., card key) or equivalent. Electronic locking systems to be backed up with a physical keylock system. Office areas to be located outside of containment laboratory. Paperwork stations for data collection can be within containment laboratory provided they are located away from laboratory work areas. Entry to laboratory to be provided via an anteroom. Anteroom door(s) located between the clean and dirty change rooms not to be opened simultaneously with either the containment laboratory door or the clean change entry door. (Interlock, visual or audible alarms, or protocols are all acceptable means.) Anteroom door(s) located between the clean and dirty change rooms not to be opened simultaneously with either the containment laboratory door or the clean change entry door (interlock only). Interlocked doors, if present, to have manual overrides for emergency exit. Entry to laboratory zone to be provided with clothing change areas separating personal and laboratory clothing dedicated to that zone (i.e., "clean" change area separated from "dirty" change area). 14 Exit from laboratory to be provided with a walk-through shower on the containment barrier (i.e., between “dirty” and "clean" change anterooms). (CL3 laboratories manipulating organisms, such as HIV, that are not infectious via inhalation, are not required to fulfil this criterion.) 15 Entry to laboratory to be provided via anteroom with airtight doors (e.g., inflatable or compression seal); for laboratories using only a Class III BSC biological safety cabinet line, airtight doors are not required. 16 Entry to laboratory zone to be provided with a suit change area, a chemical shower on the containment barrier (i.e., between the laboratory and suit change area) and water shower on exit from the zone (i.e., between "dirty" and "clean" change areas); for laboratories using only a Class III biological safety cabinet line, suit change area and chemical shower are not required. Level 2 3 4 17 18 19 Containment laboratories to be located in close proximity to supporting mechanical services to limit the amount of potentially contaminated services. Containment laboratories to be located away from external building envelope walls. A laboratory support area to be provided adjacent to the containment facility for all supporting laboratory manipulations. 1 1 2 3 4 5 6 7 8 9 81 | P a g e Surfaces, Finishes, and Casework Doors, frames, casework and bench tops to be nonabsorptive (i.e., the use of organic materials should be avoided). Working surfaces of bench tops to be non-absorptive. Surfaces to be scratch, stain, moisture, chemical and heat resistant in accordance with laboratory function. Surfaces to provide impact resistance in accordance with laboratory function. Surfaces to be continuous and compatible with adjacent and overlapping materials (i.e., to maintain adhesion and a continuous perimeter); wall and floor welded seams are acceptable in level 3 laboratories. Continuity of seal to be maintained between the floor and wall (a continuous cove floor finish up the wall is recommended). Interior surfaces to minimize movement of gases and liquid through perimeter membrane. Interior coatings to be gas and chemical resistant in accordance with laboratory function (e.g., will withstand chemical disinfection, fumigation). Interior coatings to be cleanable. 10 11 12 13 14 15 16 17 18 1 Level 2 3 4 Structural stability to withstand 1.25 times maximum design pressure under supply and exhaust fan failure conditions (i.e., no wall distortion or damage). Bench tops to have no open seams. Bench tops to contain spills of materials (e.g., with marine edges and drip stops). Benches, doors, drawers, door handles, etc. to have rounded rims and corners. Backsplashes, if installed tight to wall, to be sealed at wall-bench junction. Reagent shelving to be equipped with lip edges. Drawers to be equipped with catches, i.e., to prevent the drawer from being pulled out of the cabinet. Drawers to be of one piece construction. Cabinet doors not to be self-closing. 1 2 3 Room pressure differential monitoring lines penetrating the containment barrier to be provided with filters of efficiency equal to that of HEPA filtration. Alarm (visual or audible) to be provided in the laboratory and outside laboratory area (i.e., to warn others and maintenance personnel) to signal air handling systems failure. 5 6 7 Supply air system to be interlocked (i.e., fans, dampers, electrical) with exhaust air system, to prevent sustained laboratory positive pressurization. 9 82 | P a g e Where determined necessary by a local risk assessment, supply air duct to be provided with backdraft protection (i.e., HEPA filter; bubble tight backdraft damper). Supply air to be HEPA filtered. Supply air system to be independent of other laboratory areas. CL3 supply can be combined with areas of lower containment when provided with backdraft protection (i.e., HEPA filter, bubble tight backdraft damper) downstream from the connection. (For CL3 laboratories manipulating organisms, such as HIV, that are not infectious via inhalation this criterion is only recommended.) 8 10 11 100% outside air to be supplied. Directional inward airflow provided such that air will always flow towards areas of higher containment (e.g., ± 25 Pa differential). Visual pressure differential monitoring devices to be provided at entry to containment laboratory. 4 Containment perimeter Exhaust air to be HEPA filtered. (CL3 laboratories manipulating organisms, such as HIV, that are not infectious via inhalation are not required to fulfil this criterion.) Exhaust air to be passed through two stages of HEPA filtration. 12 13 14 15 16 17 HEPA filters installed into the supply and exhaust system to conform to the requirements of IEST-RP-CC001.3(1). Supply HEPA filter housings to be designed to withstand structural change at applied pressure of 2500 Pa [10 in. w.g.]. Where HEPA filters are used for backdraft protection in accordance with local risk assessment, supply HEPA filter housings to be designed to withstand structural change at applied pressure of 2500 Pa [10 in. w.g.]. Exhaust HEPA filter housings to be designed to withstand structural change at applied pressure of 2500 Pa [10 in. w.g.] and to be provided with a method of isolation and decontamination. (For CL3 laboratories manipulating organisms, such as HIV, that are not infectious via inhalation this criterion is only recommended.) Exhaust air system to be independent of other laboratory areas. CL3 exhaust can be combined with areas of lower containment when provided with a HEPA filter upstream from the connection. (For CL3 laboratories manipulating organisms, such as HIV, that are not infectious via inhalation this criterion is only recommended.) Supply and exhaust systems located outside of containment to be accessible for repairs, maintenance, cleaning and inspection. 18 Supply air ductwork that is outside the containment perimeter (e.g., between containment perimeter and HEPA filter or bubble tight backdraft damper) to be sealed airtight in accordance with Sheet Metal and Air Conditioning Contractors National Association (SMACNA) Seal Class A(2). 19 Where backdraft protection is required in accordance with local risk assessment, supply air ductwork that is outside the containment perimeter (e.g., between containment perimeter and HEPA filter or bubble tight backdraft damper) to be sealed airtight in accordance with SMACNA Seal Class A(2). 20 Exhaust air ductwork that is outside the containment perimeter (e.g., between containment perimeter and HEPA filter or bubble tight backdraft damper) to be sealed airtight in accordance with SMACNA Seal Class A(2). (CL3 laboratories manipulating organisms, such as HIV, that are not infectious via inhalation are not required to fulfil this criterion.) 21 Airflow control devices and duct sensors to be located downstream of the exhaust HEPA filter and upstream of the supply bubble tight backdraft damper or HEPA filter, or if located upstream, duct penetrations to be sealed in accordance with SMACNA Seal Class A(2). (CL3 laboratories manipulating organisms, such as HIV, that are not infectious via inhalation are not required to fulfil this criterion.) 22 Bubble tight backdraft dampers and HEPA filters to be located in close proximity to the containment perimeter. (CL3 laboratories manipulating organisms, such as HIV, that are not infectious via inhalation are not required to fulfil this criterion.) 83 | P a g e 1 1 Level 2 3 4 Autoclave or other acceptable means of waste treatment/disposal to be provided. 2 Double-door barrier autoclave with bioseal to be located on containment barrier; body of autoclave to be preferably located outside of containment for ease of maintenance. (For CL3 laboratories manipulating organisms, such as HIV, that are not infectious via inhalation it is not mandatory that the autoclave be a double-door barrier model.) Barrier autoclave to be equipped with interlocking doors, or visual or audible alarms to prevent both doors from opening at the same time. 3 4 Barrier autoclave to be equipped with interlocking doors, and visual or audible alarms to prevent both doors from opening at the same time. For materials that cannot be autoclaved (e.g., heat sensitive equipment, samples, film) other proven technologies for waste treatment (e.g., incineration, chemical, or gas) to be provided at containment barrier. All penetrations to be sealed with nonshrinking sealant at containment barrier. All conduit and wiring to be sealed with nonshrinking sealant at the containment barrier. Windows, if they can be opened, to be protected by fly screens. Windows positioned on containment barrier to be sealed in place; window glazing material to provide required level of security. Observation windows to be installed on containment barrier. 1 Level 2 3 4 Laboratory Services (i.e., water, drains, gas, electricity, and safety equipment) 5 6 7 8 Laboratory Services (i.e., water, drains, gas, electricity, and safety equipment) 9 10 1 2 3 4 Hooks to be provided for laboratory coats at laboratory exit; street and laboratory clothing areas to be separated. BSCs and other primary containment devices to be provided. Examples for use include procedures with the potential for producing aerosols and those involving high concentrations, large volumes or particular types of agents. 5 6 84 | P a g e Handwashing sinks to be located near the point of exit from the laboratory or in anteroom. Not applicable to CL4 suit laboratories. Handwashing sinks to be provided with "hands‐free" capability. BSCs and other primary containment devices to be provided. Emergency eyewash facilities to be provided in accordance with applicable regulations (i.e., ANSI Z358.1‐1998(3)). 7 Emergency shower equipment to be provided in accordance with applicable regulations (i.e., ANSI Z358.1‐1998(3)). When it is not possible to limit the quantities of hazardous chemicals within the laboratory, emergency shower equipment to be provided in accordance with applicable regulations (i.e., ANSI Z358.1‐1998(3)). 8 9 10 Domestic water branch piping serving laboratory area(s) to be provided with backflow prevention, in accordance with CAN/CSA‐B64.10‐01/B64.10.1‐01(4) ,and isolation valve, to be located in close proximity to the containment barrier. Drain lines and associated piping (including autoclave condensate) to be separated from lower containment laboratory areas and to go directly to main building sanitary sewer at point of exit from building (downstream of all other connections). 11 Drain lines and associated piping (including autoclave condensate) to be separated from areas of lower containment and to be connected to an effluent sterilization system. 12 Drains connected to effluent sterilization to be sloped towards sterilization system to ensure gravity flow; consideration should be given to the installation of valves to isolate sections of piping for in situ decontamination; the effluent sterilization system (e.g., piping, valves, tank) to be heat and chemical resistant consistent with application. Autoclave condensate drain to have a closed connection. For CL3, open connection is allowable if located within containment barrier. Drainage traps to be provided to required deep seal depth in consideration of air pressure differentials. Floor drains not to be provided, except when essential (e.g., body shower and animal rooms). 16 Plumbing vent lines (including effluent sterilization system) to be provided with filter of efficiency equivalent to that of HEPA and provided with a means of isolation and decontamination. 17 18 Plumbing vent lines to be independent of lower containment plumbing vent lines, or combined with lines from lower containment when provided with a filter of efficiency equivalent to that of HEPA upstream from the connection. (CL3 laboratories manipulating organisms, such as HIV, that are not infectious via inhalation are not required to fulfil this criterion.) Compressed gas cylinder(s) to be located outside the laboratory. 13 14 15 Laboratory supply gas piping (e.g., carbon dioxide, compressed air) to be provided with backflow prevention. 20 Portable vacuum pump to be provided in the laboratory. Internal contamination of vacuum pump to be minimized (e.g., HEPA filtration of vacuum line, use of disinfectant traps). 21 22 Compressed breathing air to be provided to positive‐pressure personal protective equipment (i.e., for connection to the air hose of suits), equipped with breathing air compressors and back‐up cylinders (sufficient for 30 minutes per person); air hose connections to be provided in all areas where suits are worn, including chemical shower and suit change room. Emergency lighting to be provided. 19 85 | P a g e 23 24 25 26 Laboratory to be equipped with a communication system between containment area and outside support area. System (e.g., fax, computer) to be provided for electronic transfer of information and data from laboratory area to outside laboratory perimeter. (Note: paperwork from the containment laboratory may be removed after appropriate decontamination, i.e., autoclaving, irradiation, microwaving; such practices are generally not recommended for use on a routine basis). Work area to be monitored (e.g., closed circuit TV) from outside laboratory perimeter (e.g., security/biosafety office). 27 28 86 | P a g e Life safety systems, lighting, HVAC systems, BSCs, security systems and other essential equipment to be supported with emergency back‐up power. Circuit breakers to be located outside biocontainment area. Fluorescent light ballasts and starters to be located outside containment area. Appendix F – References Canadian Council on Animal Care. Guide to the Care and Use of Experimental Animals. 2nd edition. Vol. 1, 1993; Vol. 2. Ottawa, Ontario. Canadian Standards Association. 1995. Biological Containment Cabinets: Installation and Field Testing. Etobicoke, Ontario. Canadian Standards Association. 1995. Evaluation of Single Use Medical Sharps Containers for Biohazardous and Cytotoxic Waste. Etobicoke, Ontario. Canadian Standards Association. 1994. Fume Hoods and Associated Exhaust Systems. Rexdale, Ontario. Canadian Standards Association. 1988. Handling of Waste Materials within Health Care Facilities. Rexdale, Ontario. CRC Handbook of Laboratory Animal Science. Vol. 1. 1974. Melby EC Jr, Altman NH, eds. CRC Press, Cleveland, Ohio. CRC Handbook of Laboratory Safety. 1989. Furr AK, ed. CRC Press, Boca Raton, Florida. Government of Canada. Biotechnology Regulations: A Users Guide. 1991. Supply and Services Canada, Hull, Quebec. Laboratory Centre for Disease Control. 2003. Laboratory Biosafety Guidelines. 3nd edition. Health Canada, Ottawa, Ontario. National Institutes of Health. 1974. Biohazards Safety Guide. Washington, D.C. National Institutes of Health. 1986. Guidelines for Research Involving Recombinant DNA Molecules. Federal Register 51: 16958. National Institutes of Health. 1979. Laboratory Safety Monograph: a supplement to the NIH Guidelines for Recombinant DNA Research. US Dept. of Health and Human Services, Public Health Service. Washington, D. C. National Institutes of Health. 1984. Recombinant DNA Research: Actions under Guidelines. Guidelines for Research involving Recombinant DNA Molecules. Federal Register, parts V & VI, 46256-46291. National Research Council. 1989. Biosafety in the Laboratory: Prudent Practices for the Handling and Disposal of Infectious Materials. National Academy Press, Washington, D.C. Ontario Ministry of the Environment. 1986. Guidelines for the Handling and Disposal of Biomedical Wastes from Health Care Facilities and Laboratories. Toronto, Ontario. Recombinant DNA Advisory Committee. National Institutes of Health. 1989. Minutes of Meeting, October 6. Recombinant DNA Technical Bulletin 12: 213-252. Transportation of Dangerous Goods Act and Regulations. 1992. Ottawa. World Health Organization. 1993. Laboratory Biosafety Manual. 2nd edition. WHO, Geneva. 87 | P a g e APPLICATION FOR BIOLOGICAL SAFETY CERTIFICATE The University of Windsor requires that all Researchers possess a valid biological safety certificate when performing research that involves biological agents. Failure to acquire a biological safety certificate will lead to the withholding of funding until the application process is completed. Section A: Applicant Information: Principle Investigator: Department: Mailing Address: Building: Email Address: Telephone Ext.: Section B: Project Title(s) / Funding Sponsor and/or Agency Information: Title Agency Grant No. Start / End Dates Agency Grant No. Start / End Dates Grant No. Start / End Dates Title Title Agency Section C: Facilities / Project Location Building Room Containment Level (1 ‐3)1 Biosafety Office Use Only Last Site Visit – Based on Health Canada’s “Laboratory Biosafety Guidelines”, 3rd Edition, 2004. 1 Site Specific Handling & Emergency Response: Please list the site specific instructions and safety protocols, including waste handling and spills response, that all lab workers will follow when handling the biohazardous materials specified in this application. Section D: Biological Safety Cabinet(s): Please attach a copy of report(s) on testing and certification performed within the last twelve months. UWin ID # Building Room Biosafety Office Use Only DBase Updated Section E: Animal Utilization: Indicate if biological agents are to be used on animals. Provide attachment which briefly outlines procedures which involve animals used in conjunction with biological agents. None – No animals will be used in the projects outlined in “Section B” Non‐primate mammals Other animals: specify Approved by Animal Care Committee (ACC) Animal Research Protocol No: Pending Approval from Animal Care Committee (ACC) ‐ application submitted For more information please visit the University of Windsor’s Animal Care Committee website: www.uwindsor.ca/acc Section F: Radiation Utilization: Indicate if biological agents are to be used in conjunction with radioisotopes. None – No radioisotopes will be used in the projects outlined in “Section B” Radioisotope Other type of radiation Approved by Radiation Safety Committee (UWinRSC) Internal Radiation Permit No. Pending Approval from Radiation Safety Committee (UWinRSC) ‐ application submitted For more information please visit the University of Windsor’s Radiation Safety Program website: www.uwindsor.ca/radiation Section G: Biological Agent Utilization: Provide an attachment which briefly outlines the procedures which involve the use of biological agents. Use of Microorganisms: If no, please proceed to next section. Human pathogen Yes No Name of microbe or parasite Known to be a Animal Plant pathogen pathogen Yes No Yes No Max Qty Cultured Source PHAC Recommended Containment Level: CFIA Use of Cell Culture: If no, please proceed to next section. Human Will be used Yes No Established/ Primary Non‐human primate Rodent Other (specify) Cell Type Specific cell lines Recommended Containment Level: Supplier PHAC CFIA Use of Human Source Materials: If no, please proceed to next section. Will be used Material Yes Specify source / use No Human blood (whole) Human blood (fraction) Human tissue/organs (preserved) Human tissue/organs (unpreserved) Any human source known to have an infectious agent PHAC CFIA Recommended Containment Level: Does your Research Proposal also require approval through the Research Ethics Board. If yes, provide your REB file no: ___________________________ For more information please visit the University of Windsor’s Research Ethics Board website: www.uwindsor.ca/reb Use of Genetically Modified Organisms / Cell Lines: If no, please proceed to next section. Will the genetic sequences be from the following: Yes A human or animal pathogen and their toxin? A Risk Group One microorganism? A Risk Group Two microorganism? Known oncogenes? Gene transduction Yes Will you use a live vector(s)? If yes, specify source/origin(s):_______________________________ If viral, is it (are they) replication defective? If no, specify source/origin(s):_______________________________ Is the virus infectious to humans or animals? No No Section H: Regulatory Oversight: Does any of the work conducted within the specified locations require any additional approvals or permits. If yes, please attach a copy of the approval and/or permit for all applicable biological agents. Permit Required (Yes/No/Unsure): Canadian Food Inspection Agency2 Permit No: 2 – CFIA regulates activities which may cause infections within animals. For more information, please visit their website at http://www.inspection.gc.ca Public Health Agency of Canada3 Permit Required (Yes/No/Unsure): Permit No: 3 – Public Health Agency regulates activities which may cause infections within humans. For more information, please visit their website at http://www.phac‐aspc.gc.ca Section I: Personnel: Please list all personnel, regardless of employment status, who will be using biological agents listed within this application; provide attachment if space is insufficient. Name Title Student / Employee ID Biosafety Office Use Only DBase Updated Section J: Immunization: If answering ‘no’ to any of these questions, please provide explanation on an attachment to this application form. Question Yes No Do all of the above persons demonstrate antibody titres against those hazardous biological agents identified above for which a licensed immunizing agent is available to protect workers against infection? Are medical certificates available to attest to the immunizations and / or adequate antibody titres? Unless known to have pre-existing immunity, are these persons encouraged to obtain relevant immunization with a licensed immunizing agent to protect against infection by the identified hazardous biological agent? Will this work require medical surveillance? If yes, please describe what type of medical surveillance is required: Section K: Declaration: I declare that I am familiar with the contents of Health Canada’s Laboratory Biosafety Guidelines, 3rd Edition (2004) and that the above describes my research program, insofar as this includes the use of hazardous biological agents and materials, in its entirety. As the legally responsible individual, I will ensure that all research conducted under my direction in the above laboratories and by the above personnel conforms to the requirements of the University of Windsor’s Biological Safety Program. In addition, I understand that if either myself and/or designated personal are found to be in breach of either institutional and/or Health Canada guidelines all funding maybe frozen until corrective action is taken. Signature of Principle Investigator Date Biological Safety Program Use Only: Institutional Responsible Official (RO): Select and circle: AP (Approved); CA (Conditionally Approved); Signature of Institutional Responsible Official (RO) RS (Review & Resubmit) Date Conditions/Comments: University of Windsor Biological Safety Committee – Chair (UWinBSC): Select and circle: AP (Approved); CA (Conditionally Approved); Signature of Chair - UWBSC Date Conditions/Comments: Biological Safety Certificate No: Issued Date: Expiry Date: Classification: Restrictions: RS (Review & Resubmit) NOTES: A valid University of Windsor Biological Safety Certificate is required for all University laboratory activities which involve the use or manipulation of potentially hazardous biological agents and materials containing such agents, including bacteria, viruses, fungi, parasites, recombinant DNA, human and animal tissues and cells, and human and animal blood and body fluids. This requirement applies to activities which are either supervised by University employees or conducted within the University, irrespective of the source of the funds used to support this activity. Biological agents need not be overtly pathogenic; even agents which are “unlikely to cause disease in healthy workers or animals” are assigned to Risk Group 1 and require Containment Level 1 conditions for their manipulation. The required information must be typed or printed clearly and as completely as possible on the application form. Illegible applications and those lacking the required information will be returned unsigned. In general, a single application form may be used to identify all projects requiring the same Containment Level. Information attachments may be required and are acceptable if space is insufficient on the application form. Since attachments will not be returned, photocopies should be provided. The original documents should be retained by the Principal Investigator. A. Applicant Information: One name is allowed per application form. In the case of projects which are supervised collaboratively, one individual must be responsible for ensuring that the conditions of the permit are maintained. Generally, only one Biological Safety Certificate is required for each Principle Investigator (P.I.). B. Project Title(s)/Funding Sponsor and/or Agency Information: Project titles must be matched with the corresponding sponsor or agency which is funding the activity. All sources of financial support for the identified activities, whether internal or external, should be listed. Financial details are not required. Activities involving potentially hazardous biological agents and materials which are not directly supported by grants or contracts must also be reported on a University of Windsor Biological Safety Certificate. C. Facilities / Project Location: All laboratory facilities used by the Principal Investigator and her / his group for activities involving hazardous biological agents and materials must be listed, whether or not these are shared with others. The required Containment Level of individual rooms may be determined by referring to Health Canada’s Laboratory Biosafety Guidelines, 3rd edition (2004). The submission of an application for a University of Windsor Biological Safety Certificate implies willingness to allow the University of Windsor Responsible Official, Biological Officer, and/or his or her designate to visit the laboratory sites used by the Biological Safety Certificate holder in order to determine compliance with the requirements of the Biological Safety Program. D. Biological Safety Cabinet(s): Biological safety cabinets used in laboratory activities requiring Containment Level 2 and higher containment must be tested and approved for use annually, unless otherwise noted. For each such biological safety cabinet, attach a copy of the report on the testing and certification performed during the previous 12 month period. If cabinet testing was not performed within the past year or the report is more than 12 months old, please make the necessary arrangements and indicate the scheduled retesting date. For information about arranging this testing, consult the University of Windsor’s Responsible Officer (RO) – Biological Safety or the Biological Safety website. E. Identification of Animal Usage with Biological Agents: Indicate by marking the appropriate boxes, whether or not animals will be used in conjunction with biological agents in the identified project(s). Provide a brief outline identifying those activities involving both animals and biological agents, and the Animal Research Protocol Number(s). For more information, please visit the University of Windsor’s Animal Care Committee website. F. Identification of Radiological Usage with Biological Agents: Indicate by marking the appropriate boxes, whether or not radioisotopes will be used in conjunction with biological agents in the identified project(s). Provide a brief outline identifying those activities involving both radiological and biological agents, and the University of Windsor Radiation Safety Number(s). For more information, please visit the University of Windsor’s Radiation Safety Committee website. G. Identification of Biological Agent Usage: Indicate by marking the appropriate boxes and then specifying the biological agents and materials to be used. Provide and attach a brief outline identifying those procedures, activities and manipulations which involve the use of biological agents in each project. Health Canada has identified four Risk Groups and assigned biological agents to these groups. Descriptions of cell and tissue cultures must indicate the species, whether they are primary or established lines, and whether they contain, or may contain, oncogenic or other viruses. In general, activities involving human blood, organs, tissues and cells must be conducted at a minimum of Containment Level 2. In some circumstances, such work may be conducted at a lower Containment level. However, if such is desired, documentation to justify this request must be attached to the application form for review by the Biological Safety Committee. When standard recombinant DNA techniques are used and the source of the genetic material being transferred, the vector (if any), and the recipient host are all innocuous or have low risk characteristics, no additional details are required. If there is potential for producing recombinant microorganisms with a significantly elevated level of risk, or if any of the constituent parts pose a higher risk, then disclosure is required on an attachment for review. H. Other Agency Approval or Permit: If the proposed activity requires the approval of any other agency (e.g., Public Safety, Canadian Food Inspection Agency, and Agriculture and Agri-Food Canada), evidence of such approval must be provided as an attachment. Provide and attach a copy of the approval or permit. I. Personnel: All personnel, including undergraduate and summer research students, directly involved in the identified project(s) of the Principal Investigator and working within the identified facilities must be listed. If new personnel start working on the project during the validity period of the certificate, the University of Windsor’s Responsible Officer (RO) – Biological Safety must be notified and provided with the information so that the certificate may be amended. J. Immunization: Laboratory personnel should be protected against laboratory-acquired infections by appropriate immunization with relevant, licensed vaccines unless documented to have pre-existing immunity. Hepatitis B immunization is strongly recommended for all persons who handle or are exposed to human blood, body fluids, organs or tissues. Immunoprophylaxis and information pertaining to the availability and the advisability of immunizing agents are available through the following: Windsor Essex Health Unit – Immunization Unit, 1005 Ouellette Avenue, Windsor, Ontario N9A 4J8 (519) 258-2416 ext. 1222. Immunizing agents are available to protect laboratory workers against: Anthrax Botulism Cholera Diphtheria Hemophilus influenzae type b Hepatitis A Hepatitis B Influenza A Japanese encephalitis Lyme disease Measles Meningococcus Mumps Pertussis Plague Pneumococcus Polio Rabies Rubella Tetanus Tuberculosis (BCG) Typhoid Vaccinia Varicella Yellow fever K. Declaration: By signing this declaration, the Principal Investigator acknowledges full responsibility for the activities under her /his supervision, and agrees to maintain and operate her / his laboratory facilities in compliance with the University of Windsor’s Biological Safety Program. Review and Approval: The completed, signed application form must be submitted to the University of Windsor’s Responsible Officer (RO) / Biosafety Officer for review and approval. If the proposed activity requires a permit or the approval of any other agency (e.g., Health Canada, Agriculture and Agri-Food Canada, Canadian Food Inspection Agency), evidence of such approval must be provided. Biological Safety Certificate Validity, Expiration, and Amendments: University Biological Safety Certificates for activities requiring Containment Level 1 are valid for 2 calendar years from the date of approval by the University Biological Safety Committee Chair or, in the case of renewals, from the expiration date of the previous Certificate. Similarly, University Biological Safety Certificates for activities requiring Containment Level 2 or Containment Level 3 are valid for 1 year only. Only those activities and agents identified on the application form and attachments are covered. Significant changes (e.g., use of additional hazardous biological agents and materials, new personnel, animal use) must be reported to the University of Windsor’s Responsible Officer (RO) – Biological Safety so that an appropriate amendment may be made to the Biological Safety Certificate. The submission of another application form may not be necessary. In most cases, amendments will be recorded as an attachment to the current Certificate on file. Requests for an amendment must include the following information: (A) Principal Investigator’s name; (B) Principal Investigator’s signature; (C) Current University of Windsor Biological Safety Certificate number; and (D) Description of the requested amendment. This information must be provided to: Chemical Control Centre University of Windsor Essex Hall – B37 401 Sunset Avenue Windsor, Ontario N9B 3P4 (519) 253-3000 ext. 3523 (p) (519) 973-7013 (f) [email protected] (e) Assistance, Information, and the World Wide Web: The University of Windsor’s Biological Safety Program is available at: http://www.uwindsor.ca/biosafety This site contains the text of the University of Windsor’s Biological Safety Program, reference guides, contact information, MSDS information, and other biological safety related information. Questions remaining unanswered after accessing this site, and requests for assistance should be directed to: University of Windsor’s Responsible Officer – Biological Safety Chemical Control Centre University of Windsor Essex Hall – B37 401 Sunset Avenue Windsor, Ontario N9B 3P4 (519) 253-3000 ext. 3523 (p) (519) 973-7013 (f) [email protected] (e)