WORKSHOP AGENDA

National Academies of Sciences, Engineering, and Medicine; Division on Earth and Life Studies; Board on Life Sciences; Policy and Global Affairs; Micah D. Lowenthal; Frances E. Sharples

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

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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 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
10:15	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 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 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
	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

Bookshelf ID: NBK542558

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

APPENDIX BWORKSHOP AGENDA

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

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