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Prof Stuart D. Blacksell
Mahidol-Oxford Tropical Medicine Research Unit (MORU) Bangkok, Thailand.
FAO Regional Biosafety Coordinator
FAO Regional Biosafety Program
Core and Biosafety Assessments 2012-2016
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Laboratory mapping is an essential basis for:
• Generating reliable and accurate data
• support the development of strong disease prevention and control systems by indicating the overall functionality of a laboratory
• Generating a picture of laboratory functionality within and across regions
• underpinning regional and global approaches to laboratory strengthening
• Analysing needs
• indication of the actions required to update and improve the functionality of individual laboratories or of all the laboratories within a region
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Laboratory mapping is an essential basis for:
• Helping laboratories to assess their own functionality • identify priorities and gaps through comparisons with good
practice scenarios
• Providing a baseline • against which objectives can be set and progress monitored
• Enabling development partners to recognize laboratory functionality and take appropriate and sustainable measures to support the improvement of laboratory capacities
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FAO CORE Lab Mapping Tool
• Developed by FAO as a standardised metric to assess laboratory
capacity and infrastructure
• Identifies gaps (opportunities for funding)
• KPIs for annual assessments
• Initially developed for vet labs
• Developed by FAO HQ in 2012 to assess HPAI labs• Mia Kim, Pawin Padungtad Beatrice Moulle, Gwenaelle Dauphin & others
• Cornerstone of FAO regional biosafety program 2012-2017
• >90 assessments
• 11 countries
• >35 labs
• English, French, Thai, Chinese (more coming soon)
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FAO Biosafety/Safety Lab Mapping Tool (BLMT)
• Developed by FAO 2015-16
• Assessing biosafety and safety capacity
• Developers
• Gwenaelle Dauphin (FAO HQ)
• Beatrice Mouille (FAO HQ)
• Sharon Heitela (UC Davis)
• Stuart Blacksell (MORU/Oxford)
• Field assessments
• USDA - ~10 vet labs in Africa (2015)
• FAO – 7 vet labs in Lao, Vietnam, Myanmar (2015-2017)
• MORU/DTRA – 9 hospital labs in Cambodia (2015-2017)
• FAO/DTRA – 12 vet labs in Thailand (2016)
• FAO – 7 vet labs in Vietnam (2016)
• English, French, Thai, Chinese
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Geographic location
Laboratory Budget
Basic supply
Organization
Infrastructure
Equipment
Reagent supply
Staff skil ls + availabil ity
Sample accession
Available technology
Training
Quality Assurance
Biosafety/Biosecurity
Staff Security/Health
Communication means
National lab networking
Laboratory collaboration
Grand total (%) Lab A
01/10/2011
- Self
Assessment
A
01/10/2012
- Self
Assessment
B
01/10/2014
- Current
assessment
C
Progress
2011-
2014
66.7 66.7 66.7 0.0
44.4 77.8 66.7 22.2
77.8 88.9 83.3 5.6
66.7 66.7 66.7 0.0
40.7 74.1 95.2 54.5
40.0 54.2 75.0 35.0
18.5 29.6 29.6 11.1
57.1 66.7 76.2 19.0
8.3 16.7 25.0 16.7
44.4 77.8 86.1 41.7
23.8 57.1 85.7 61.9
18.2 51.5 51.5 33.3
27.8 33.3 33.3 5.6
22.2 22.2 22.2 0.0
0.0 16.7 33.3 33.3
66.7 55.6 44.4 -22.2
55.6 74.1 70.4 14.8
35.6 54.3 60.3 24.7
Compilation LMT results * for Lab A
LMT - "snapshot" view of functionality and evolution over time• Lab• Country • Region
General Laboratory
Profile
Infrastructure,
equipment,
supplies
Laboratory
Performance
Biosafety/Biosecurit
y
Lab collaboration &
networking
Core LMT• 5 Areas• 17 Categories• 108 Questions
Area Category
Administration
General
Personnel Health & Safety
Training & Competency
Biosafety Manual/ SOPs
Operational
Good Lab Practices
Containment
Containment BSL3
Waste Disposal
Shipping of Infectious substances
Animal facilities
Engineering
Premises
Chemical hazard containment
Chemical Security
Emergencies
Fire hazard
Electrical
BSC
PPE
General Situation
Use of PPE
PPE disposal
LMT-BM• 4 Areas• 20 Categories• 97 Questions
Details of all LMT results* for YVDL
0.0
10.0
20.0
30.0
40.0
50.0
60.0
70.0
Geographic location
Laboratory Budget
Basic supply
Organization
Infrastructure
Equipment
Reagent supply
Staff skills + availability
Sample accession Available technology
Training
Quality Assurance
Biosafety/Biosecurity
Staff Security/Health
Communication means
National lab networking
Laboratory collaborationAll LMT Results
11/11/2012
01/10/2014
General laboratory profile
Infrastructure, equipment, supplies
Lab performanceQA, Biosafety/BiosecurityLab collaboration and networking
FAO Lab Mapping Tools – Core/Biosafety
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On-site LMT assessment protocols
• Objective • Understand the lab
• Understand the staff
• Time • 1-2 days
• Method • Meetings with staff
• Onsite lab visits
• Output • LMT assessments
• Formal report
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The LMT Excel file
ScoresFor each of the 108 subcategories, one out of four options can be selected
Scores for the 5 areas, the 18 LMT categories and an overall score will be automatically calculated and graphics generated in the ‘’Summary’’
Excel file
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Example LMT Excel file
Spider graph
Sub-cat summary Area summary
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Comparing results following baseline LMT assessmentAssessment 1 Assessment 2
Assessments Overlaid
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LMT Mobile application
• Developed for Core LMT and all LMT modules
• Android and Apple iOS
• Multi-language support
• Can see previous assessments and visualize results
• Can be offline during data collection
• Sends excel to assessors email and FAO portal (voluntary data
sharing)
• Camera integration, pictures can be included for salient points
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LMT App - Some screenshots
Splash screen First launch
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LMT App - Some screenshots
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FAO LMT Portal
• Database compiling all LMT assessments
• Anonymized results
• Published by category and subcategory, for national,
regional or global view.
• Laboratory metadata management
• Assessment and users management
• Data analysis and reporting
• National portals available soon
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FAO Biosafety activities
South and South East Asia
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Laboratory assessments 2012 - 2016• 2012-2015 (FAO) – mainly Core LMT (44 assessments)
• Indonesia 10 labs x 2 assessments
• Lao PDR 1 lab x 3 assessments
• Cambodia 1 lab x 3 assessments
• Myanmar 2 lab x 2 assessments
• Philippines 1 lab x 2 assessments
• Bangladesh 2 lab x 2 assessments
• Nepal 1 lab x 2 assessments
• Bhutan 1 lab x 2 assessments
• Malaysia 1 lab x 2 assessments
• Vietnam 2 lab x 2 assessments
• 2016 (Core and BM-LMT) (17 assessments)
• Thai DLD – DTRA CBEP – MORU/NIAH (11 Labs)
• Vietnam - FAO (4 Labs)
• Myanmar -FAO – (2 Labs)
• Cambodia - FAO – (1 Labs)
• More to follow (Lao PDR, Cambodia, Nepal, Bangladesh)
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0,0
10,0
20,0
30,0
40,0
50,0
60,0
70,0
80,0
90,0
100,0
Available technology
Basic supply
Biosafety/Biosecurity
Communication means
Equipment
Geographic location
Infrastructure
Laboratory Budget
LaboratorycollaborationLinkage with satellite
labsOrganization
Quality Assurance
Reagent supply
Sample accession
Staff Security/Health
Staff skills + availability
Training
Use ofdatabases/platforms
Total
Mean 2012
Mean 2014
Core LMT 2012-2014 – Baseline Study
Mean: + 11.6% 2012 : 50.1%2014 : 61.7%
Lab ChangeHighest: +19.8%Lowest : -0.7%
Range2012 : 24.2%-75.4%2014 : 26.2%- 79.6%
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Core LMT 2012-2014 – Analysis
Strengths • Organization• Basic Supplies• Staff skills and availability
Weaknesses <50%• Biosafety/Biosecurity • Staff security and Health• Training• Budget • Sample accession
2013-2014 Focused development activities • Biosafety/Staff health
Improvements• Biosafety/Biosecurity +16.5%• Staff security and Health +21.3%
Range2012 : 24.2%-75.4%2014 : 26.2%- 79.6%
Mean: + 11.6% 2012 : 50.1%2014 : 61.7%
Lab ChangeHighest: +19.8%Lowest : -0.7%
0,0
10,0
20,0
30,0
40,0
50,0
60,0
70,0
80,0
90,0
100,0
Available technology
Basic supply
Biosafety/Biosecurity
Communication means
Equipment
Geographic location
Infrastructure
Laboratory Budget
LaboratorycollaborationLinkage with satellite
labsOrganization
Quality Assurance
Reagent supply
Sample accession
Staff Security/Health
Staff skills + availability
Training
Use ofdatabases/platforms
Total
Mean 2012
Mean 2014
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• 18 Labs assessed • Mean: 55.5% SD=13%• Range: 31% (New Lab) -78% (Nat Ref Lab)• Generally low heterogeneity
• Inter-lab scores (CV:24%)
• Strengths• Organisation• Basic supply
• Weaknesses • Training • Lab budget• LIMS
Core LMT Assessments2016 Summary
0,0
10,0
20,0
30,0
40,0
50,0
60,0
70,0
80,0
90,0
100,0
Geographic location
Laboratory Budget
Basic supply
Organization
Infrastructure
Equipment
Reagent supply
Staff skills + availability
Sample accessionAvailable technology
Training
Quality Assurance
Biosafety/Biosecurity
Staff Security/Health
Communication means
National lab networking
Laboratory collaboration
Mean
SD
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0,010,020,030,040,050,060,070,080,090,0
100,0
Geographiclocation
LaboratoryBudget
Basic supply
Organization
Infrastructure
Equipment
Reagent supply
Staff skills +availability
Sample accessionAvailable
technology
Training
QualityAssurance
Biosafety/Biosecurity
StaffSecurity/Health
Communicationmeans
National labnetworking
Laboratorycollaboration
• 18 Labs assessed • Similar results (pattern)
• LMIC Country A = 59.4% SD 18%• Range: 31% (New Lab) -78% (Nat Ref Lab)
• Other SEA Labs = 49.0% SD 7%• Range: 39%-58%
• Moderate heterogeneity • Inter-lab scores (CV 30%; 14%)
• Strengths• Organisation• Basic supply
• Weaknesses • Training • Lab budget• LIMS
Core LMT Assessments2016 Summary
0,0
10,0
20,0
30,0
40,0
50,0
60,0
70,0
80,0
90,0
Geographic location
Laboratory Budget
Basic supply
Organization
Infrastructure
Equipment
Reagent supply
Staff skills + availability
Sample accession
Available technology
Training
Quality Assurance
Biosafety/Biosecurity
Staff Security/Health
Communication means
National lab networking
Laboratory collaboration
Grand total (%) Lab x
Mean
SDOther SEA labs n=7
Thai labs n=11
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Biosafety LMT Assessments 2016 Summary
• Summary • Mean = 41.3% SD=14%• Range: 18% -64% • Higher heterogeneity
• Inter-lab scores (CV 34%)
• Strengths• BSCs• PPE disposal
• Weaknesses (<40%) • Personnel H&S• Use of PPE• Chemical storage and security • Electrical • Fire hazards• Biosafety manuals/SOPs
0,0
10,0
20,0
30,0
40,0
50,0
60,0
70,0
80,0
General
Personnel Health & Safety
Training & Competency
Biosafety Manual/ SOPs
Good Lab Practices
Containment
Waste Disposal
Shipping of Infectioussubstances
Premises
Chemical hazardcontainment
Chemical Security
Emergencies
Fire hazard
Electrical
BSC
PPE General situation
Use of PPE
PPE disposal
Mean
SD
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0,0
10,0
20,0
30,0
40,0
50,0
60,0
70,0
80,0General
Personnel Health & Safety
Training & Competency
Biosafety Manual/ SOPs
Good Lab Practices
Containment
Waste Disposal
Shipping of Infectioussubstances
Premises
Chemical hazardcontainment
Chemical Security
Emergencies
Fire hazard
Electrical
BSC
General Situation
Use of PPE
PPE disposal
Mean
SD
0
10
20
30
40
50
60
70�General
� Personnel Health &Safety� Training & Competency
� Biosafety Manual/ SOPs
�Good Lab Practices
�Containment
�Waste Disposal
!Shipping of Infectioussubstances
�Premises�Chemical hazard
containment�Chemical Security
�Emergencies
�Fire hazard
Electrical
�BSC
�PPE General situation
Use of PPE
�PPE disposalOverall Score
Biosafety LMT Assessments 2016 Summary
Thai labs
Other SEA labs
• Similar results (pattern) • LMIC Country A = 61.7% SD 17%• Other Regional Labs = 36.8% SD 17%
• Context – relatively OK • Variable heterogeneity
• Inter-lab scores (CV 27%; 46%)
• Strengths• BSCs• PPE disposal
• Weaknesses (<40%) • Personnel H&S• Use of PPE• Chemical storage and security • Electrical • Fire hazards• Biosafety manuals/SOPs
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Waste
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Special mention – Electricals
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Biosafety Training and Advocacy
• Team effort-Partnership
• FAO regional biosafety program
• MORU
• CDC
• USAID
• DTRA-CBEP
• Classroom-based
• Basics of biosafety
• Risk assessment
• Risk perception
• Activity-based training • PPE Donning and Doffing • Respirator fit tests• Biosafety Cabinet Certification
• Biosafety toolbox • Activity-based Posters• Stickers• Manuals
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Asian LMT training• 1st training – Thailand
• Feb 2016
• Trainees
• 30 Department of livestock development staff
• Quality/Biosafety
• 2nd training – Thailand
• Trainees
• 25 Regional Vet Lab Biosafety staff
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BSC certification training
• Training of local staff• BSC Certifications
• BSC Decon/Basic repairs
• Cambodia • Collaboration- CDC, MORU, MoH
• MORU SMEs• Rob Dandy/Marcel Fiocchi
• Training and technical mentioning• NSF 49
• Vietnam• FAO – MORU - RAHO6
• BSC ToT 28 Nov-2 Dec 2016
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BSC Testing TrainingOnline Preparation Module - 20-25 minutes
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BSC testing results – 2012-2016
32,0%
23,0%
12,5%
20,0%
22,5%
17,0%
9,0%
15,6%
2012 2013 2014 2016
BSC failures 2012-2016
Overall failure rate Enrolled since 2012
n=130 n=149 n=192 n=162
46
78
9
12 12
15
23
46Number enrolled
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Summary • Independent assessment of lab capabilities using LMT Core and Biosafety
• Identify gaps for future development activities
Safety/Biosafety• Strengths
• BSCs• PPE disposal
• Weaknesses• Personnel H&S• Use of PPE• Chemical storage and security • Electrical • Fire hazards• Biosafety manuals/SOPs
Core • Strengths
• Organization• Basic Supplies• Staff skills and availability
• Weaknesses• Biosafety/Biosecurity • Staff security and Health• Training• Budget • Sample accession
Weaknesses are focus for future activities
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Communication between WHO, OIE, FAO, CDC, DTRA, and other
stakeholders (One Health approach) is crucial and FAO would like to
coordinate with partners to avoid duplication of efforts and look for
synergies on capacity building activities on biosafety/biosecurity and
occupational health
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Thank you
FAO RomeLidewij WiersmaBeatrice MoulleGwenaelle DauphinSharon Heitela
FAO RAP BangkokWantanee KalpravidhFilip ClaesSanipa Suradhat