Sentinel Laboratory Outreach The Iowa Model Wanda Reiter Kintz, Ph.D. Director of Emergency Preparedness State Hygienic Laboratory at the University of Iowa SHL Facilities Lakeside Facility Coralville Facility Staff of Approximately 225 People: Disease Control Environmental Health Administration and Finance Offices of the Director Ankeny Facility 1
Mission and Vision Mission: The State Hygienic Laboratory at the University of Iowa protects and improves the quality of life by providing reliable environmental and public health information through the collective knowledge and capabilities of our organization. Vision: Our vision is for Iowa to be a national leader in improving and sustaining quality of life through innovation, practice, and policy. Eleven Core Functions and Capabilities of State Public Health Laboratories Disease prevention, control, and surveillance Integrated data management Reference and specialized testing Environmental health and protection Food safety Laboratory improvement and regulation Policy development Emergency preparedness and response Public health-related research Training and education Partnerships and communication 2
Role of the State Hygienic Laboratory Contact for referred specimens and isolates Identification of suspected agents Use CDC/LRN validated procedures for confirmation of results Coordination between the sentinel lab and the CDC/federal agencies Help with chain of custody protocols Role of the State Hygienic Laboratory (continued) Definitive testing on isolates and specimens Specialized Testing/Rapid Testing Environmental Testing Training of Sentinel Labs Applied Research 3
Preparedness in Iowa It s Complicated 99 Counties and Local Public Health Agencies 118 Hospitals 934 EMS Providers 74 Health Care Coalitions 126 Sentinel Laboratories 22 HazMat Teams It Wasn t Always So Complicated 4
Sentinel Laboratories in the State of Iowa APHL Resources for Sentinel Laboratory Outreach CAP Laboratory Preparedness Exercise Sentinel Laboratory Definition APHL Sentinel Laboratory Biothreat Bench Cards Bioterrorism Agents Poster 5
Sentinel Laboratory Communication SHL Web Page Google Groups -Iowa Laboratory Response Network (217 Members) -Laboratory Benchmarking for Laboratory Managers (81 Members) Urgent Message Drill Lab Link (State Hygienic Laboratory Newsletter) SENTINEL LABORATORY TRAINING 6
Sentinel Laboratory Training/Meetings Fall Forums (Past) In-Person Regional Presentations Webinars (Past) Emergency Response at SHL Chemical Terrorism Packaging and Shipping Cyclospora Outbreak Tier 1 Select Agent Regulations Laboratory Safety Annual Influenza Update (Collaboration with IDPH) Sentinel Laboratory Training/Meetings Online Courses (Past) CLIA Compliance General Training Bioterrorism Rule-Out Series (Five Separate Courses) Laboratory Advisory Committee (Past) 7
One Day Hands-On Training 12 Laboratorians Per Day Annual Wet Workshop Packaging and Shipping Workshop Sponsored by the National Laboratory Training Network and APHL May 24th and 26 th Coralville and Ankeny Facilities Instructor Dr. Pat Payne 21 Participants Coralville Facility 24 Participants Ankeny Facility 8
Emergency Response Kits The Blue Box Urgent Courier Service An on-demand courier service is available for sentinel laboratories and local public health agencies Examples of samples/specimens Suspect organisms for confirmatory testing Outbreak samples Animals for rabies analysis (human exposure) Availability is 24/7/365 9
Urgent Courier Service FY15 Category Number of Cost Specimens Regular Transports 11,900 $223,430 Urgent/Special Transports 189 $10,726 Ankeny Flat Rate $77,051 Newborn Screening Flat Rate $418,834 Total 12,089 $730,041 Future Work and Initiatives Funded Through ELC Drew Fayram Biosafety Officer Biosafety Risk Assessment Tool Infection Prevention Meetings (Regional) Treatment and Assessment Hospital Site Visits Biosafety In-Person Workshop (Fall 2016) 10
In my past experiences with public health officials, it s often the laboratory that is the underappreciated component of public health needs. ~Dr. Margaret Hamburg, Former Commissioner of the FDA 11