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“Keeping them in or out?” Control of aerosols in loose housed versus caged laboratory research animals for HPAI studies – a case study Principal Consultant, Henriette Schubert 57 th ABSA Conference 2014 San Diego, California

“Keeping them in or out?”...Summary & Conclusions Keeping them in or out? 25 • It has been essential to perform a thorough, holistic risk evaluation of all relevant parameters

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Page 1: “Keeping them in or out?”...Summary & Conclusions Keeping them in or out? 25 • It has been essential to perform a thorough, holistic risk evaluation of all relevant parameters

“Keeping them in or out?”Control of aerosols in loose housed versus caged

laboratory research animals for HPAI studies

– a case study

Principal Consultant, Henriette Schubert

57th ABSA Conference 2014San Diego, California

Page 2: “Keeping them in or out?”...Summary & Conclusions Keeping them in or out? 25 • It has been essential to perform a thorough, holistic risk evaluation of all relevant parameters

Objective of the presentation

The main objective is to discuss the pros and cons of primary barrier caging

systems versus primary barrier facility design for HPAI research in ferrets in a

high containment laboratory

The discussion is based on a case study

2 ABSA San Diego 2014, "Keeping them in or out?", Henriette Schubert

Page 3: “Keeping them in or out?”...Summary & Conclusions Keeping them in or out? 25 • It has been essential to perform a thorough, holistic risk evaluation of all relevant parameters

Case study overview

3

The challenge: Choosing a housing principle for ferrets for HPAI studies

Conclusions

Authorities approach

Facility program intent

Pros and Cons

Regulatory compliance& Housing options

ABSA San Diego 2014, "Keeping them in or out?", Henriette Schubert

Page 4: “Keeping them in or out?”...Summary & Conclusions Keeping them in or out? 25 • It has been essential to perform a thorough, holistic risk evaluation of all relevant parameters

Undisclosed Facility in Scandinavia

4 ABSA San Diego 2014, "Keeping them in or out?", Henriette Schubert

Page 5: “Keeping them in or out?”...Summary & Conclusions Keeping them in or out? 25 • It has been essential to perform a thorough, holistic risk evaluation of all relevant parameters

• Vision / Mission of containment animal facility

5

Program intentHigh containment multi purpose facility

ABSA San Diego 2014, "Keeping them in or out?", Henriette Schubert

Page 6: “Keeping them in or out?”...Summary & Conclusions Keeping them in or out? 25 • It has been essential to perform a thorough, holistic risk evaluation of all relevant parameters

Key factors & Design Drivers

6

• Scientific vision & mission

• Flexibility & Multi use facility

• Regulatory compliance

• Workflow operations

• Biosafety / PPE

ABSA San Diego 2014, "Keeping them in or out?", Henriette Schubert

Page 7: “Keeping them in or out?”...Summary & Conclusions Keeping them in or out? 25 • It has been essential to perform a thorough, holistic risk evaluation of all relevant parameters

High containment facility for HPAI researchNew Facility for research studies – the immune system

studies of the efficiency of vaccines

7

Housing of ferrets?ABSA San Diego 2014, "Keeping them in or out?", Henriette Schubert

Page 8: “Keeping them in or out?”...Summary & Conclusions Keeping them in or out? 25 • It has been essential to perform a thorough, holistic risk evaluation of all relevant parameters

”Keeping them in or out”? Animal housing and barrier principles

Primary barrier CAGE principle

8

Primary barrier ROOM principle

ABSA San Diego 2014, "Keeping them in or out?", Henriette Schubert

Page 9: “Keeping them in or out?”...Summary & Conclusions Keeping them in or out? 25 • It has been essential to perform a thorough, holistic risk evaluation of all relevant parameters

9

Regulations on ContainmentAnimal research work with HPAI

“Infected material including any animal is to be handled in asafety cabinet or isolation or other suitable containment”DIRECTIVE 2000/54/EC ,Annex V

“Loose-housed animals infected with HPAI strains must be contained within BSL-3-Ag facilities”BMBL, Section VIII-E: Viral Agents

ABSA San Diego 2014, "Keeping them in or out?", Henriette Schubert

Page 10: “Keeping them in or out?”...Summary & Conclusions Keeping them in or out? 25 • It has been essential to perform a thorough, holistic risk evaluation of all relevant parameters

The starting Point principleAnimal holding in IVC caging systems

10 ABSA San Diego 2014, "Keeping them in or out?", Henriette Schubert

Page 11: “Keeping them in or out?”...Summary & Conclusions Keeping them in or out? 25 • It has been essential to perform a thorough, holistic risk evaluation of all relevant parameters

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Ferret containment system / CageModified Ferret Cage

Transport module

The starting pointCage system evaluations for ferrets

ABSA San Diego 2014, "Keeping them in or out?", Henriette Schubert

Page 12: “Keeping them in or out?”...Summary & Conclusions Keeping them in or out? 25 • It has been essential to perform a thorough, holistic risk evaluation of all relevant parameters

Cage system evaluations for ferretsWorkflows & operations studies

12

Bedding change activities, work flow & Operations

Waste handling

Research activities, work flow & Operations

ABSA San Diego 2014, "Keeping them in or out?", Henriette Schubert

Page 13: “Keeping them in or out?”...Summary & Conclusions Keeping them in or out? 25 • It has been essential to perform a thorough, holistic risk evaluation of all relevant parameters

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Minimum3000 cm2 per animal

Minimum1400 cm2 per animal

>600g

Animal welfareEuropean vs US housing standards

ABSA San Diego 2014, "Keeping them in or out?", Henriette Schubert

Page 14: “Keeping them in or out?”...Summary & Conclusions Keeping them in or out? 25 • It has been essential to perform a thorough, holistic risk evaluation of all relevant parameters

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Comparison of US and EU animal housing standards & sizes

ABSA San Diego 2014, "Keeping them in or out?", Henriette Schubert

Page 15: “Keeping them in or out?”...Summary & Conclusions Keeping them in or out? 25 • It has been essential to perform a thorough, holistic risk evaluation of all relevant parameters

SpaceErgonomicsWelfareENTRY / EXITPPE & Risk

ABSA San Diego 2014, "Keeping them in or out?", Henriette Schubert15

Page 16: “Keeping them in or out?”...Summary & Conclusions Keeping them in or out? 25 • It has been essential to perform a thorough, holistic risk evaluation of all relevant parameters

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24m2 / 258 sq.ft.

ChallengesCage systems vs loose housed animals

75m2 / 807 sq.ft.

ABSA San Diego 2014, "Keeping them in or out?", Henriette Schubert

Page 17: “Keeping them in or out?”...Summary & Conclusions Keeping them in or out? 25 • It has been essential to perform a thorough, holistic risk evaluation of all relevant parameters

ChallengesCage systems vs loose housed animals• Studies of ergonomics & work operations

17

ca. 30 cm

ca. 90 cm

ca. 150 cm

ABSA San Diego 2014, "Keeping them in or out?", Henriette Schubert

Page 18: “Keeping them in or out?”...Summary & Conclusions Keeping them in or out? 25 • It has been essential to perform a thorough, holistic risk evaluation of all relevant parameters

ChallengesCage systems vs loose housed animals

18 ABSA San Diego 2014, "Keeping them in or out?", Henriette Schubert

Page 19: “Keeping them in or out?”...Summary & Conclusions Keeping them in or out? 25 • It has been essential to perform a thorough, holistic risk evaluation of all relevant parameters

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Authorities approach & positionWe may approve a principle where the room provides the primary containmentfor your facility....

BUT we may require a more comprehensive level of PPE and respiratory protection, perhaps even a fresh air supplied system……

ABSA San Diego 2014, "Keeping them in or out?", Henriette Schubert

Page 20: “Keeping them in or out?”...Summary & Conclusions Keeping them in or out? 25 • It has been essential to perform a thorough, holistic risk evaluation of all relevant parameters

ChallengesPrinciple diagrams for entry and exit of facility

20

ENTRY

EXIT

ABSA San Diego 2014, "Keeping them in or out?", Henriette Schubert

Page 21: “Keeping them in or out?”...Summary & Conclusions Keeping them in or out? 25 • It has been essential to perform a thorough, holistic risk evaluation of all relevant parameters

ChallengesPrinciple functional relation diagram

21

Animal holding & procedureBSL3AG

Laboratory spaceBSL3 enhanced

Show

er

Cleanchange

Dirtychange

Deconarea / PPE

ABSA San Diego 2014, "Keeping them in or out?", Henriette Schubert

Page 22: “Keeping them in or out?”...Summary & Conclusions Keeping them in or out? 25 • It has been essential to perform a thorough, holistic risk evaluation of all relevant parameters

Reference facilities – large animal rooms – primary containment

22 ABSA San Diego 2014, "Keeping them in or out?", Henriette Schubert

Page 23: “Keeping them in or out?”...Summary & Conclusions Keeping them in or out? 25 • It has been essential to perform a thorough, holistic risk evaluation of all relevant parameters

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Reference facilities animal welfareCage systems vs loose housed animals

ABSA San Diego 2014, "Keeping them in or out?", Henriette Schubert

Page 24: “Keeping them in or out?”...Summary & Conclusions Keeping them in or out? 25 • It has been essential to perform a thorough, holistic risk evaluation of all relevant parameters

Summing upPros and Cons

24

Spac

e ne

ed

Ergo

nom

ics

Wel

fare

Primary containmentcaging

primary barrier facilitydesign

PPE

Entr

y/Ex

it

??

?

Wor

kflo

w&

op

erar

ions36

?ABSA San Diego 2014, "Keeping them in or out?", Henriette Schubert

Page 25: “Keeping them in or out?”...Summary & Conclusions Keeping them in or out? 25 • It has been essential to perform a thorough, holistic risk evaluation of all relevant parameters

Summary & ConclusionsKeeping them in or out?

25

• It has been essential to perform a thorough, holistic risk evaluation of all relevant parameters (workersaftety, PPE, animal welfare, work operations)

• A high number of single caged / isolated ferrets tendto be a challenge in work load and time consumption– and the animal welfare requirements in Europe arenot really compatible with the system

• In cases with a high number of research animals a primary barrier facility approach may be a more transparent principle

• However – it may consequently require a more extensive level of PPE – depending on the country specific regulations and the interpretations of them

ABSA San Diego 2014, "Keeping them in or out?", Henriette Schubert

Page 26: “Keeping them in or out?”...Summary & Conclusions Keeping them in or out? 25 • It has been essential to perform a thorough, holistic risk evaluation of all relevant parameters

Thank you for your attention!Acknowledgements

Jan Pravsgaard Christensen, Professor in Immunology of Infectious Diseases, University of Copenhagen, PhD

Dr. Vibeke Halkjaer-Knudsen, PhD, Sandia National LaboratoriesSandia National LaboratoriesNNE Pharmaplan colleagues:Karin Hedebo Wassard, Flemming Kjaergaard Nielsen, Jesper Schufri Meyer

Contact details:

Principal Consultant, Laboratory OperationsHenriette Schubert

NNE Pharmaplan, [email protected] phone: +45 30 79 42 93

26 ABSA San Diego 2014, "Keeping them in or out?", Henriette Schubert