Developing Norms for the Provision of Biological Laboratories in Low-Resource Contexts: Proceedings of a Workshop (2019)

Chapter: APPENDIX B: WORKSHOP AGENDA

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Suggested Citation: "APPENDIX B: WORKSHOP AGENDA." National Academies of Sciences, Engineering, and Medicine. 2019. Developing Norms for the Provision of Biological Laboratories in Low-Resource Contexts: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25311.
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APPENDIX B

WORKSHOP AGENDA

A Workshop on Developing Norms for the Provision of Laboratories in Low-Resource Contexts

Location: The Park Hotel, Stadhouderskade 25
1071 ZD Amsterdam | The Netherlands |

DAY ONE: Wednesday, 27 June 2018

9:00 AM Welcome and Goals of the Meeting
Ann Arvin, Chair of the Organizing Committee, Stanford University
9:10 Overview of the 2011 Istanbul Workshop, Biosecurity Challenges of the Global Expansion of High-Containment Biological Laboratories
Fran Sharples, the U.S. National Academies of Sciences, Engineering, and Medicine (the National Academies)
9:25 Session 1: What Are Donors Trying to Accomplish?
Session Chair: Ann Arvin
What are donors’ goals in providing support for biological laboratories in low-resource countries? What level of lab (BSL-2+, 3, other?) are they supporting? What needs are they trying to meet/capabilities they are trying to build? How do they evaluate whether they achieve those goals?
Discussion

An Introduction to the Current Picture for High Containment Labs

10:15 Session 2: The Need for Containment Laboratories: An Overview
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Suggested Citation: "APPENDIX B: WORKSHOP AGENDA." National Academies of Sciences, Engineering, and Medicine. 2019. Developing Norms for the Provision of Biological Laboratories in Low-Resource Contexts: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25311.
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Tom Ksiazek, University of Texas Medical Branch, Galveston National Laboratory
  • Ensuring Safe Handling of Pathogens with Pandemic Potential (PPPs) and Other Infectious Agents in Research and Medicine
  • Providing an Ability to Make Accurate and Rapid Diagnoses for PPPs and Other Infectious Agents to Ensure Appropriate Medical Care and Outbreak Containment
  • Detecting Antimicrobial Resistance in Infectious Agents
  • Disease Surveillance and Facilitating Epidemiological Investigations of Infectious Disease Outbreaks
  • Detecting Biological Attack Agents and Distinguishing Engineered Agents from Natural Infections
Discussion
10:45 BREAK
11:15 Session 3: The Current Picture for Biological Labs—Estimate of Numbers in Low-Resource Countries: Are They Functioning as Planned?
Fran Sharples, the National Academies
11:25 Session 4: Who Is Funding What Where? A Discussion of Building a Map of Projects
Session Chair: David Harper, Chatham House
  • Projects of National Government Donors: Canada, Denmark, France, Germany, Japan, South Korea, Netherlands, UK, USA
  • Projects of International Organizations: EU, World Bank, WHO, OIE, FAO
  • Projects of Non-governmental Organization/Foundation Donors and Institutions (Mérieux, Pasteur)
  • What Others Are Key Players, Are They local or “Imported” and How Are They Involved?—Architects/Designers, Construction Contractors, Equipment Manufacturers, Reagent and Other Suppliers, Inspectors, Biosafety Associations
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Suggested Citation: "APPENDIX B: WORKSHOP AGENDA." National Academies of Sciences, Engineering, and Medicine. 2019. Developing Norms for the Provision of Biological Laboratories in Low-Resource Contexts: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25311.
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  • Current Distribution of Funds Supporting Biological Labs by All of the Key Players
  • What Criteria Do Donors Use for Deciding What to Fund?
12:30 PM BREAK FOR LUNCH
12:45 Luncheon Speaker: Existing International Standards and Codes
Kazunobu Kojima, World Health Organization

Digging Deeper into What Factors Determine Success

1:45 Session 5: Key Factors for Building and Sustainably Operating High Containment Labs in Low-Resource Contexts: An Overview
Nancy Connell, Rutgers University
  • Appropriate Infrastructural Components
  • Economic/Political Landscape, Low-Resource vs. Ultra Low-Resource Settings
  • Adequate Budgets for Power, Water, Equipment, Reagents, and Maintenance Services
  • Threats to Safety and Security
  • Safety and Security Mechanisms
  • Effective Regular Inspections
  • Management and Administrative Controls and Culture
  • Regulatory Framework, Standards, and Enforcement Mechanisms
  • Biosafety and Biosecurity Curricula, Training, and Ensuring Professional Competency
2:00 BREAKOUT Session 1: Group Discussion of Factors to Consider When Deciding What Biological Laboratory Capabilities a Low-Resource Country Requires
Breakout Session Chairs: Ann Arvin, David Franz (USAMRIID, ret.)
  • Assessment of Site Specific Challenges and Needs
  • Obtaining Commitments of Support from In-Country Government Officials
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Suggested Citation: "APPENDIX B: WORKSHOP AGENDA." National Academies of Sciences, Engineering, and Medicine. 2019. Developing Norms for the Provision of Biological Laboratories in Low-Resource Contexts: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25311.
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  • Soundness and Availability of Necessary Infrastructure: Power, Water, Transportation Network
  • Presence or Absence of Country- or Region-Specific Regulatory Framework, Guidelines, and/or Standards
  • Availability of Appropriately Trained and Credentialed Local Workforce
  • Access to a National or Regional Biosafety Organization
  • Biosecurity and nonproliferation considerations
3:30 BREAK
4:00 BREAKOUT Session 1 continued
5:00 Report from Chairs of the Breakout Session Groups, Preview of Topics to Be Addressed in Day 2
5:30 Adjourn Sessions
6:00 Reception Discussions of the Workshop and Needs for Day 2
7:30 Adjourn for the day

DAY TWO: Thursday, 28 June 2018

9:00 AM Alternatives to Culture Work in loco: Models of Successful Provision of Lower-Containment Laboratory Capacity That Meet Diagnostic and Research Needs
Session Chair: Charles Chiu, University of California at San Francisco
Molecular diagnostics: state of the art, readiness, potential future developments, steps, timeline, and roles; work with inactivated pathogens; remote analysis; centralized or regional laboratories—in loco, in-country, neighbor-nation, international
A review of recent experience in West Africa and practical considerations from working in the field.
Jonathan Towner, U.S. Centers for Disease Control and Prevention
10:30 BREAK
11:00 Developing a Candidate Set of Norms
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Suggested Citation: "APPENDIX B: WORKSHOP AGENDA." National Academies of Sciences, Engineering, and Medicine. 2019. Developing Norms for the Provision of Biological Laboratories in Low-Resource Contexts: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25311.
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Instructions to breakout groups, and sharing of documents on existing guidance and suggestions in development
BREAKOUT Session 2: Key Dilemmas and Options, Merits, and Downsides to Address Them. Use results to Begin to Develop Candidate Set of Guiding Principles and Common Norms.
Session Chairs: Ann Arvin, David Franz
12:30 PM LUNCH DISCUSSIONS of Morning Session and Goals for Afternoon
1:30 Resume Breakout Session 2: Continuation, Revision of Candidate Norms
3:00 BREAK
3:30 Report from Chairs of the Breakout Session Groups Discussion of Group Candidate Norms, Next Steps
5:00 ADJOURN WORKSHOP
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Suggested Citation: "APPENDIX B: WORKSHOP AGENDA." National Academies of Sciences, Engineering, and Medicine. 2019. Developing Norms for the Provision of Biological Laboratories in Low-Resource Contexts: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25311.
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Suggested Citation: "APPENDIX B: WORKSHOP AGENDA." National Academies of Sciences, Engineering, and Medicine. 2019. Developing Norms for the Provision of Biological Laboratories in Low-Resource Contexts: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25311.
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Suggested Citation: "APPENDIX B: WORKSHOP AGENDA." National Academies of Sciences, Engineering, and Medicine. 2019. Developing Norms for the Provision of Biological Laboratories in Low-Resource Contexts: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25311.
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Page 67 Cite Bookmark
Suggested Citation: "APPENDIX B: WORKSHOP AGENDA." National Academies of Sciences, Engineering, and Medicine. 2019. Developing Norms for the Provision of Biological Laboratories in Low-Resource Contexts: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25311.
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Page 68 Cite Bookmark
Suggested Citation: "APPENDIX B: WORKSHOP AGENDA." National Academies of Sciences, Engineering, and Medicine. 2019. Developing Norms for the Provision of Biological Laboratories in Low-Resource Contexts: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25311.
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Page 69 Cite Bookmark
Suggested Citation: "APPENDIX B: WORKSHOP AGENDA." National Academies of Sciences, Engineering, and Medicine. 2019. Developing Norms for the Provision of Biological Laboratories in Low-Resource Contexts: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25311.
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Page 70 Cite Bookmark
Suggested Citation: "APPENDIX B: WORKSHOP AGENDA." National Academies of Sciences, Engineering, and Medicine. 2019. Developing Norms for the Provision of Biological Laboratories in Low-Resource Contexts: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25311.
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Next Chapter: APPENDIX C: WORKSHOP PARTICIPANTS AND CONTRIBUTORS
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