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National Academies of Sciences, Engineering, and Medicine; Division on Earth and Life Studies; Board on Life Sciences; Policy and Global Affairs; Lowenthal MD, Sharples FE, editors. Developing Norms for the Provision of Biological Laboratories in Low-Resource Contexts: Proceedings of a Workshop. Washington (DC): National Academies Press (US); 2019 May 1.

APPENDIX ELIST OF LABS IDENTIFIED IN LOW-RESOURCE COUNTRIES

Country# of BSL-2/3/4aType of LabbFundercStatusdCapability
AfghanistanBSL-2, no known BSATCPHLUnknownPCR, ELISA, microbiology
ArmeniaBSL-2?, no known BSATMDC (Govt/Military?, Academic)INTAS (India 2006), ISTC (2014) CRDF (2011)OperationalGeneral and applied research, maintains strain collection
Bangladesh(2) BSL-2, Modular Work with Nipah for US CDC; works with B. anthracis human outbreaksOne locally built) (Min Health)

IEDCR (one modular from TechComp—China
US CDCLocally built is operational

Modular likely in use but BAS-HVAC malfunctions
Microbiology, serology, ELISA
BSL-2
No known BSAT
icddr,b (nonprofit, Health)Gates Foundation, DFID (UK), DFATD (CA), Sida (SWE), USAID, othersBSL-2 operational, BSL-3 decommissioned 2016; new BSL-3 in constructionMicrobiology, serology, ELISA; PCR, sequencing (Nipah, CCHF) TB, influenza, NIPAH for US CDC, V. cholera
BSL-2
possible BSAT
BLRI, Min Ag (veterinary reference lab)OIEOperationalELISA, PCR, DNA sequencing, vaccine development, basic research
BSL-2
Isolates BSAT- B. abortus, Brucella ssp
CDIL Min Ag (veterinary reference lab)USAID, OIEOperationalPCR, serology, histopathology ELISA, HPAI preparedness
Burkina FasoBSL-3 Container LabCentre MurazSeveral sourcesOperationalArbovirus (yellow fever, dengue, chikungunya, zika) and VHF (RVF, CCHF) research and diagnostics; serology/PCR; limited sequencing capacity
CambodiaBSL-3

Work with BSAT, XDR TB, emerging influenza
IP, C Min HealthFunds: INSERM, ANRS, IRD, Fondation Mérieux and Institut Pasteur

WHO Global Influenza Surveillance Center
OperationalResearch and diagnostics: virology, bacteriology, FACS, gene sequencer, multiplex assays
BSL-2
BSAT unknown
NaVRI
Veterinary Reference Lab
OIEOperationalDiagnostics, HPAI, unknown capability
CameroonBSL-3
No known BSAT
PC, C Min Health,Institut Pasteur (?), WHO National Reference Center for Avian FluOperationalDiagnostics, epidemiology, research on local disease
Congo (Dem. Rep)BSL-3
BSAT include Ebola, Marburg
INRB Min Health, (WHO Natl Ref Lab for measles and other disease)Presidents Malaria Initiative (USA) 2016
Japan International Cooperation Agency (JICA) 2017
OperationalHuman diagnostics, ELISA, research
Cote d'IvoireBSL-3
BSAT (Lassa Fever Virus)
IP, Cd'I CommercialUnknownOperationalRegional AI reference lab, human diagnostic tests
DjiboutiBSL-3
No known BSAT
Natl TB Lab Min Health,AFD (Agence Française de Développement) 2010OperationalLocated at Hôpital Paul Faure—human TB diagnosis
EgyptBSL? 2
BSAT
MIRCEN Cairo, AcademicUNESCO; Ain Shams UniversityOperationalCollecting, identifying and preserving microbial strains located at Ain
BSL-3
No known BSAT
U.S. Navy Medical Research Unit-3; Govt/MILDepartment of Defense Global Emerging Infections Surveillance and Response System, 2006Operational (no longer operational?)Shams University. Surveillance sample testing mainly on RT-PCR methodology
EthiopiaBSL-3
Possesses agricultural BSAT
National Animal Health Diagnostic and Investigation Center; Min Health?OperationalNational reference laboratory, coordinates national surveillance programs for transborder animal diseases
BSL-3 (mobile?) Crossover and animal BSATPan African Veterinary Vaccine Centre of the African Union; Academic?OperationalProduce and distribute animal vaccines
BSL-3
No BSAT
Armauer Hansen Research Institute; Min HealthSwedish International Development Cooperation Agency (current); Norwegian Agency for Development Cooperation (current); Ethiopian Government (current)OperationalBiomedical research, basic (immunology and molecular biology), epidemiological, and translational research
BSL-3
No BSAT
Ethiopian Public Health Institute; Min HealthWorld Bank, 2015 ($49M)OperationalMany US, NGO, and other country collaborations
BSL-3
No BSAT
TB Reference LaboratoryPEPFAR, Global Fund to Fight AIDS, TB and Malaria, USAID Tuberculosis Control Assistance Program (?)OperationalAt St. Peter's Hospital-advanced diagnostics for TB and MTB
GeorgiaBSL-3
BSAT-ASF virus and CCHF virus

8 BSL-3—no info
Central Public Health Reference Laboratory; Min Health, Min AgUSG—$100M in 2011OperationalHuman and animal disease surveillance and research
GhanaBSL-3
BSAT- Nipah virus
Kumasi Center for Collaborative Research in Tropical Medicine, AcademicUnknownOperationalReference Lab/Culture Collection, research on tropical diseases
BSL-3
No BSAT
Department of Virology, Noguchi Memorial Institute for Medical Research, Academic25+ funding sources listed with no date or confirming infoOperationalReference Lab/Culture Collection, antiviral research, molecular epidemiology of polioviruses, enteroviruses, HIV, and others
3 other BSL-3, 2 with BSAT, B. anthracisLocated in Accra, Takoradi, and TamaleGlobal Affairs Canada GPP programOperationalGovernment veterinary services labs, human and animal disease surveillance (B. anthracis and avian influenza)
GuatemalaBSL-3
1 BSAT- B. abortus
National Health Laboratory; Min Health?OperationalReference Lab/Culture Collection
GuineaBSL-3
2BSAT- EBOV, Lassa
Virology Lab, Department of Infectious and Tropical Diseases; AcademicHoward Hughes Medical Institute, (?); European Union (?)OperationalAt Donka Hospital; viral hemorrhagic fever research, many outside collaborators listed (no date)
BSL-3Institute of Microbiology, University of Conakry; AcademicSeveral EU and corporate funders listed (no date/$)OperationalBest-equipped lab for VHF and YF diagnostics in this part of West Africa
HaitiBSL-3
3 BSAT: Y. pestis, C. botulinum, B. anthracis
Tuberculosis Laboratory, University of Florida Public Health Research Center; Haiti; AcademicArmed Forces Health Surveillance Center (US); NIH (US)OperationalTB, cholera, and viral disease epidemiology and diagnostics
BSL-3
No BSAT
GHESKIO; Min Health (2 campuses with another? BSL-3 complete 2010)4 funders listed (no data), includes USAID and UNITAIDOperationalHIV, STD, and TB diagnostics, treatment, and research
BSL-3
No BSAT
National Public Health Laboratory; Min HealthNumerous engagers; Funders: US CDC Foundation; GE Foundation (US); Kaiser Permanente; Robert Wood Johnson FoundationOperationalVirology, bacteriology, immunology, epidemiology, has US CDC onsite
India44 BSL-3 collected—Many with BSATMix of private vaccine/drug manufacturers, MIL, academic, hospital labs, human and animalIn general, no data on fundersOperationalVirology, bacteriology, diagnostics, vaccine production, epidemiology, etc.
BSL-4National Institute of Virology; Pune (Min Health, possible MIL)WHO Arbovirus Collaborating CenterOperational‘Biodefense lab', virus epidemiology (Influenza, Nipah, CCHF, KFD, SARS, etc.
Indonesia22 listed as BSL-3 (3 seen—confirm) 7 w/ BSAT, another 10 unknown, 8 RVDLs not listed (BSL-2); 2 RVDL have BSL-3 donated by JapanMIL, academic, hospital labs, Min Health, Min AgFunded by Indonesia Govt; Vet labs have received significant contributions of equipment, reagents, PPE and i.e. BSC certification—repair from OIE, FAO, JICA for HPAI and some USAID training22 operational
10 unknown
8 vet labs operational at BSL-2; 2 Japanese donated BSL-3 container labs at RVDL are not functional (no funding for power; airflow not working)
Diagnose human and animal virus, bacteria, parasite infection (rabies is a big problem), epidemiology, HIV research, etc.
Kenya9 BSL-3
7 listed as possessing BSAT
Min Health, Min Ag, MILGenerally no discussion but mention of Wellcome Trust, U.S. Army Medical Research Unit-Kenya9 operational, 3 in construction or planningDiagnosis and research on human and animal virus, bacteria, infection; collection and repository; vaccine–drug production
Kyrgyz RepublicBSL-3 (modular-German built) No BSATNational Reference Laboratory; Min HealthGerman Development Bank (2013); Global Fund to Fight Aids, Tuberculosis and Malaria (2003-2009)OperationalReference Lab/Culture Collection; TB treatment, diagnostics, prevention
Lao, PDRBSL-3
1 BSAT- B. pseudomallei
National Tuberculosis Reference Center; Min Health, MILWellcome Trust, WHOOperationalAt Central Mahosot Hospital; Reference Lab/Culture Collection and research on epidemiology, treatment of malaria, typhoid, typhus, and other community acquired pathogens.
BSL-2
BSAT- Unknown
National Animal Health Center; Min AgStaff are affiliated with Oxford Univ & Wellcome TrustOperational- upgrade status unknownDiagnosis of animal disease
LiberiaBSL-2
BSAT – EBOV strains
Liberian Institute for Biomedical Research; Min Health, MILDuring EBOV outbreak 2014 received staffing, reagents, equipment from US CDC, USMRIID, USAID, US NIHOperationalNational lab for diagnosis of hep B, malaria, cholera, and in 2014 ebola; limited Lassa fever PCR capacity
MadagascarBSL-3
2 BSAT- RVF virus and Y. Pestis
Institut Pasteur in Madagascar, Min Health, commercialInstitut Pastuer (Paris)—2017 providing staff and RT-PCR equipment – reagents.
14 funders (most NGOs some commercial) listed with no $ or year

WHO Collaborating Center for Plague; WHO Reference Laboratory for Polio, Measles and Influenza
Operationalnational reference lab; studies malaria entomology, plague, mycobacteria, experimental bacteriology, immunology
MalawiBSL-3
No BSAT
Tuberculosis Central Reference Laboratory, USAID?, MIL/GovtUSAIDOperationalReference Lab/Culture Collection, TB, MDR-TB epidemiology and diagnosis
MaliBSL-3
No BSAT
FMPOS; Min HealthNIAID, 2002 and 2010 (infrastructure for BSL-3)OperationalReference Lab/Culture Collection
MoldovaBSL-3
No BSAT
National Center for Public Health, Min Health???OperationalDevelops legislative, regulatory public health, health promotion, and noncommunicable disease surveillance
Morocco6 BSL-3 listed with BSAT (RVFV, AHS virus); 3 BSL-3 planned.Human and animal health; Min Health, Min AgInstitut Pasteur in Morocco Casablanca is established, no recent funding6 operationalCollection, research, disease diagnosis, veterinary vaccine production
MozambiqueBSL-3
2 BSAT- B. anthracis, Newcastle virus
Agricultural Research Institute of Mozambique, Min AgNone listedOperationalReference Lab/Culture Collection
MyanmarBSL-3
No BSAT
National Tuberculosis Reference Laboratory; Min Health, UNITAIDUNITAID $87.6M but no dateOperationalReference Lab/Culture Collection; TB MDR TB diagnosis
BSL-3
No BSAT
No. 2 Defence Service General Hospital; Govt/MIL?No infoOperationalHospital/clinic with full diagnostic capability
BSL-3
No BSAT
NTRL Regional Laboratory, Min Health, UNITAID, FINDLists several NGOs but no date/amountOperationalTB Reference Lab/Culture Collection
BSL-2
BSAT unknown
YNRL, Min AgBSCs donated 2008 and 2011 OIE and JICAOperationalAnimal health diagnostic lab
BSL-2
BSAT unknown
MVDL, Min AgBSCs donated 2011 OIE and JICAOperationalAnimal health diagnostic lab, bird flu, rabies, etc.
NepalBSL-2
BSAT likely
Central Veterinary Laboratory, Min AgOIE donated HPAI reagents and equipment (BSC, PCR, RT PCR), PPE and lab equipment (approx. 2010).Operational

Located in Kathmandu
Lab tests for HPAI, rabies, Newcastle, peste des petites ruminants, Infectious bursar disease, bacteria, etc.
NicaraguaBSL-3
No BSAT
Veterinary Diagnostic Laboratory, Min AgSources from US, EU, El Salvador but no date/amountOperationalAnalysis and diagnosis of veterinary and food products
Nigeria10 BSL-3 with numerous endemic BSAT (e.g., Ebola, Lassa)Institutes are academic, Min Ag, Lagos State Min Health, Mainland HospitalGlobal Affairs Canada GPP program and numerous other engagements and possible fundersOperational, one just completedWHO National Influenza Center, WHO reference center for arboviruses; human and animal virus epidemiology, surveillance, isolation, diagnostics, characterization, and research. Capacity to handle unknown pathogens; PCR, sequencing; reference lab/culture collection (TB/HIV), biobank
BSL-2Min Ag, Lagos State Min HealthGlobal Affairs Canada GPP programJust completedHuman and animal disease surveillance and diagnostics
Pakistan5 BSL-3, 2 with BSAT (B. anthracis); 6 BSL-3 unknownAcademic, commercial, medical, Min Ag, Min Health, MIL?WHO Collaborative Centre for Research and Training in Viral Diagnostics; No info on funding or engagements5 operational 6 unknown, or in planning/constructionResearch on antimicrobial resistance and emerging viral and bacterial infections; culture collection; human and animal clinical diagnosis; TB Reference Laboratory
Philippines3 BSL-3, 1 w/BSAT (B. melitensis) 6 unknownAcademic, Govt/MIL, Min HealthFunding info is largely blank; Global Fund to Fight AIDS, Tuberculosis and Malaria (Japan, 2011)3 operational 6 unknown BSL, in construction or not collectedReference Lab/Culture Collection, human disease diagnosis.
BSL-2Philippines Animal Health Center, Min AgUNDP/FAO equipment provided 2007-2009OperationalVeterinary Reference Lab Quezon City
SenegalBSL-3
BSAT Unknown
Institut Pasteur in Dakar, Min HealthWHO Collaborating Centre for arboviruses and VHFs; WHO National Lab for flu, measles and polio. Funding from French Govt and EU ERDF program; Unknown funding from Pasteur Inst, WHOOperational (2016)Diagnosis, treatment, and vaccination of arboviruses, VHF, and enteroviruses; Reference Lab/Culture Collection
Sierra LeoneBSL-3
2 BSAT (EBOV spp, Lassa)
Kenema Government Hospital, Viral Hemorrhagic Fever LaboratorySignificant collaboration with US CDC, USAMRIID, universitites and companies; UK foundations. Recent funding unknownOperationalDiagnosis and treatment of Lassa fever and other diseases
BSL-3
No BSAT
Central Public Health Reference LaboratoryAmount/year of funding unknownOperationalReference Lab/Culture Collection for HIV and other
BSL-3
BSAT unknown
Chinese Mobile Container BSL-3 Lab (3 containers)???OperationalVHF diagnosis
Sri LankaBSL-3
1 BSAT (Y. pestis)

3 other entries w/no data
Medical Research Institute, Colombo, Min HealthNone listedUnclear website states both not operational and operatingUnknown
SyriaBSL-3
1 BSAT (B. abortus)
Atomic Energy Commission of Syria; Govt/MILAmount/year of funding unknownOperational in DamascusWork on Brucella bacteria
TajikistanBSL-3
No BSAT
National Public Health Reference Laboratory; Min HealthGlobal Fund to Fight Aids, Tuberculosis and Malaria (2013)OperationalReference Lab/Culture Collection Molecular and culture testing for viral and bacterial diseases
BSL-3
No BSAT
National TB Reference Laboratory; Min HealthNo funding describedOperationalAt Machiton Hospital; Reference Lab/Culture Collection diagnostics of TB, HIV, malaria, etc.
Tanzania8 BSL-3
2 w/BSAT (RVF virus, Y. pestis, B. anthracis, Rinderpest)
Min Health, Min Ag, Hospital, Commercial,Amount/year of funding unknown7 operational 1 planned (has BSAT)Reference Lab/Culture Collection; Surveillance of Rift Valley fever, H1N1, and dengue, diagnosis of human and animal diseases
UgandaBSL-2Makerere University Infectious Disease Institute, AcademicAmount/year of funding unknownOperationalReference Lab/Culture Collection, HIV/TB diagnosis
BSL-3
No BSAT
UVRI; Med Research CouncilAmount/year of funding unknown; CDCOperationalHospital; HIV/AIDS; VHF program (serology, PCR, limited sequencing)
6 BSL-3
No BSAT
Min Ag, Min HealthSome funders listed: USAID, Global Fund, UK Medical Research Council, Gates FoundationUnknown, construction, not collectedReference lab, hospital, culture collection
Ukraine4 BSL-3
4 w/ BSAT (B. anthracis, Y. pestis, F. tularensis, B. abortus, Guanarito virus)
(Some part of FSU weapons program). Min HealthNo funding describedOperationalReference Lab/Culture Collection, bacteriologic and arbovirus research, surveillance of ‘plague' diseases
VietnamBSL-3
No BSAT
National Institute of Hygiene and Epidemiology Min HealthJICA (2008), WHO, The Global FundOperationalReference Lab/Culture Collection, human disease prevention and control
BSL-3 and SAPO 4 Likely BSATVirology Reference Laboratory, Min HealthWellcome Trust, Canada PHAC & US HHS provide staffOperationalAt Oxford University Clinical Research Unit; diagnosis/research planned on TB, influenza, rabies, FMD, TBE virus, CHIKV, bat corona viruses
3 others (1 BSL-3 w/ BSAT- Y. pestis)Min Health, Academia, unknownUnknownUnknownUnknown
BSL-2
BSAT unknown
Central Veterinary Research Laboratory, Min AgOIEOperationalAt Hanoi Agriculture University; reference and diagnostic lab for animal health
West Bank aka PalestineBSL-3
No BSAT
PCPHL; Min Health (may have MIL ties, work on Rad Protection)Agence Francaise de Developpement (2011)OperationalHuman diagnostics of highly pathogenic organisms (i.e., TB)
Zambia6 BSL-3
1 with BSAT (B. anthracis, Y. pestis, C. burnetii, Ebola Zaire)
Institutes are academic, veterinary school, and hospital/clinicContainer labs ‘managed' by The Zambia AIDS Related Tuberculosis Project, affiliated with University of Zambia's School of Medicine and the London School of Hygiene & Tropical Medicine; no mention of fundingOperational 4 of 6 are modular 40 ft container labs (ZamLab)Surveillance and diagnosis of hemorrhagic fever viruses, TB, plague bacillus, trypanosome; Reference Lab/Culture Collection
Zimbabwe1 BSL-3
No known BSAT 3 possible BSL-3 (no details)
National TB Reference Laboratory, Min HealthNo funding describedOperationalNational Reference Lab/Culture Collection, works with MDR/XDR TB, HIV
a

BSL indicates BSL-2 is included if there is no known BSL-3.

b

Names of lab(s) and affiliation (academic, commercial, agriculture, military, hospital)

c

Donor paying for lab/operations, last date of funds; specialties (WHO center TB, Polio, flu, etc.)

d

Status: operational, not operational, unknown.

NOTES: Although information is available on laboratory programs in several other countries that are not listed as low-income or lower- to middle-income countries by the World Bank, such as Jordan and Trinidad and Tobago, it was decided to limit the scope of this illustrative list.

Abbreviations:

BLRI,

Bangladesh Livestock Research Institute

BSAT,

Biological Select Agents and Toxins

CDIL,

Central Disease Investigation Laboratory, Dhaka Bangladesh

CPHL,

Central Public Health Laboratories

FMPOS,

Faculty of Medicine, Pharmacy, and Odonto-Stomatology

GHESKIO,

Institute of Infectious Diseases and Reproductive Health, Haitian Group for the Study of Kaposi's Sarcoma and Opportunistic Infections

icddr,b,

International Centre for Diarrhoeal Disease Research, Bangladesh

IEDCR,

Institute of Epidemiology, Disease Control & Research, Bangladesh

INRB,

National Institute of Biomedical Research

IP, C,

Institut Pasteur in Cambodia

IP, Cd'I,

Institut Pasteur in Côte d'Ivoire

MDC,

Microbial Depository Center

MIRCEN,

Egypt Microbial Culture Collection, Cairo Microbiological Resources Centre

MVDL,

Mandalay Veterinary Diagnostic Laboratory

NaVRI,

National Veterinary Research Institute

PC,C,

Pasteur Center, Cameroon

PCPHL,

Palestinian Central Public Health Laboratory

UVRI,

Uganda Virus Research Institute

YNRL,

Yangon National Reference Laboratory.

Copyright 2019 by the National Academy of Sciences. All rights reserved.
Bookshelf ID: NBK542569