Sentinel Laboratory Outreach – The Iowa Model · 6/28/2016 8 Analysis. Answers. Action. Annual Wet Workshop • One Day Hands-On Training • 12 Laboratorians Per Day Analysis

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Analysis. Answers. Action. www.aphl.org

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

Ankeny Facility

Coralville Facility

Lakeside Facility

Staff of Approximately 225 People:

• Disease Control

• Environmental Health

• Administration and Finance

• Offices of the Director

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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

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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

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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…

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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

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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

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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)

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Annual Wet Workshop

• One Day Hands-On Training

• 12 Laboratorians Per Day


Packaging and Shipping Workshop

• Sponsored by the National Laboratory Training Network and APHL

• May 24th and 26th – Coralville and Ankeny Facilities

• Instructor – Dr. Pat Payne

• 21 Participants – Coralville Facility

• 24 Participants – Ankeny Facility

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Emergency Response KitsThe “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

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Urgent Courier Service – FY15

Category Number of Specimens

Cost

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)

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“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

Documents

Sentinel Laboratory Outreach – The Iowa Model · 6/28/2016 8 Analysis. Answers. Action. Annual Wet Workshop • One Day Hands-On Training • 12 Laboratorians Per Day Analysis