So Much For Contingency Planning and Following BSL-4/P-4 Safety Protocols – 10/20/2014

So much for contingency planning and not enforcing your own BioSafety Level-4/P-4………:+(

Make no mistake, it is not a lack of knowledge issue, it is a case of carelessness, irresponsibility and false hope that by sweeping the issues under the carpet they will go away, supposedly for politically correct (PC) reasons of trying to avert public panic and allow the survival of Ebola stricken nations who would be “fragilized” by a “quarantine’…:+(

As if the Ebola stricken countries are not already sufficiently “fragilized” by their own making ,recurring social instability……:+(

Is it really just a coincidence ????? I doubt it!!!!……..:+(

Since independence, (since 1974, (1974-2014), forty (40) years) West Africa’s nations are entirely autonomous. Many West African nations have been submerged under political instability, with notable civil wars in Nigeria, Sierra Leone, Liberia, and Ivory Coast, and a succession of military coups in Ghana and Burkina Faso.
Since the end of colonialism, the region has been the stage for some of the most brutal conflicts ever to erupt. Among the latter are:

“The CDC announced “new” Ebola protocols for health care workers including requiring all skin to be covered. ”

“The head of the United Nations Mission for Ebola Emergency Response said Sunday that the global community could not anticipate the spread of the disease. In an interview on NBC’s “Meet the Press,” Anthony Banbury told Chuck Todd that the circumstances surrounding the outbreak were unprecedented.”

“”The world was not prepared for an outbreak of Ebola like this nature,” said Banbury. “We had never seen it before spreading in wide geographical areas, spreading in urban settings, densely populated urban settings.”
“The previous outbreaks had been small and localized. Here it spread real fast, the world wasn’t prepared, U.N., governments, populations and now we’re catching up.””

““[We need] people to manage these complex health Ebola treatment units as well as the doctors, nurses, hygienists, to staff them,” he said. “We’re fighting against a war against Ebola. We need soldiers on the ground. But instead of soldiers in camouflage, we need soldiers in lab coats and PPE suits taking care of the victims.””

“A contingency plan is a plan devised for an outcome other than in the usual (expected) plan.
It is often used for risk management when an exceptional risk that, though unlikely, would have catastrophic consequences. Contingency plans are often devised by governments or businesses. For example, suppose many employees of a company are traveling together on an aircraft which crashes, killing all aboard. The company could be severely strained or even ruined by such a loss. Accordingly, many companies have procedures to follow in the event of such a disaster. The plan may also include standing policies to mitigate a disaster’s potential impact, such as requiring employees to travel separately or limiting the number of employees on any one aircraft.”

“During times of crisis, contingency plans are often developed to explore and prepare for any eventuality. During the Cold War, many governments made contingency plans to protect themselves and their citizens from nuclear attack. Examples of contingency plans designed to inform citizens of how to survive a nuclear attack are the booklets Survival Under Atomic AttackProtect and Survive, and Fallout Protection, which were issued by the British and American governments. Today there are still contingency plans in place to deal with terrorist attacks or other catastrophes.”

“The National Institute of Standards and Technology has published a contingency planning guide for Information Technology Systems (2002).”

“Biosafety Level 4”

This level is required for work with dangerous and exotic agents that pose a high individual risk of aerosol-transmitted laboratory infections, agents which cause severe to fatal disease in humans for which vaccines or other treatments are not available, such as Bolivian and Argentine hemorrhagic feversMarburg virusEbola virusLassa virusCrimean-Congo hemorrhagic fever, and various other hemorrhagic diseases. This level is also used for work with agents such as smallpoxthat are considered dangerous enough to require the additional safety measures, regardless of vaccination availability. When dealing with biological hazards at this level the use of a positive pressure personnel suit, with a segregated air supply is mandatory. The entrance and exit of a level four biolab will contain multiple showers, a vacuum room, an ultraviolet light room, and other safety precautions designed to destroy all traces of the biohazard. Multiple airlocks are employed and are electronically secured to prevent both doors from opening at the same time. All air and water service going to and coming from a biosafety level 4 (or P4) lab will undergo similar decontamination procedures to eliminate the possibility of an accidental release.”

“Agents with a close or identical antigenic relationship to biosafety level 4 agents are handled at this level until sufficient data are obtained either to confirm continued work at this level, or to work with them at a lower level.
Members of the laboratory staff have specific and thorough training in handling extremely hazardous infectious agents and they understand the primary and secondary containment functions of the standard and special practices, the containment equipment, and the laboratory design characteristics. They are supervised by qualified scientists who are trained and experienced in working with these agents. Access to the laboratory is strictly controlled by the laboratory director.”

“The facility is either in a separate building or in a controlled area within a building, which is completely isolated from all other areas of the building. A specific facility operations manual is prepared or adopted. Building protocols for preventing contamination often use negatively pressurized facilities, which, even if compromised, would severely inhibit an outbreak of aerosol pathogens.”

“Within work areas of the facility, all activities are confined to Class III biological safety cabinets, or Class II biological safety cabinets used with one-piece positive pressure personnel suits ventilated by a life support system.”

Like I already said in another previous post, running a full BSL-4 protocol in a Low Developing Country (LDC) with (1) very little planning and coordination in execution discipline;(2)with very little air conditioning and very few full “space suits” with respirators and A/C;(3)consequently “profuse””sweaT” as a body fluid is a major factor, as the towels used and potentially shared to wipe that sweat due to lack of individual towel supplies and/or human factors errors…………:+(

All of these can be corrected by stopping the “polital correctness (PC)””delusion” and starting the enforcement of A/Change ADKAR (Awareness of the need for change, Desire for the change, Knowledge of the necessary change, Ability to change, Reinforcement of the change implemented);B/(1)appropriate process clearly indicating the end-state “smart” (Specific, Measurable, Achievable, Realistic, Time-bound) objective;(2) Standard Operating Procedures (SOPs) implementing that process;(3) proper equipment supplies supporting this process functions, tasks, sub-tasks, motions and sub-motions;(4)the appropriate training supporting this process;(5)independent verification & validation and continuous improvement process roll-out set up……….;+)

http://www.nbcnews.com/storyline/ebola-virus-outbreak/u-n-ebola-chief-world-was-not-prepared-outbreak-n229156
http://en.wikipedia.org/wiki/Contingency_plan
http://www.ifrc.org/en/what-we-do/disaster-management/preparing-for-disaster/disaster-preparedness-tools/contingency-planning-and-disaster-response-planning/
http://www.ifrc.org/PageFiles/40825/1220900-CPG%202012-EN-LR.pdf
http://www.gpo.gov/fdsys/pkg/CFR-2011-title40-vol28/pdf/CFR-2011-title40-vol28-part300.pdf
http://www.nbcnews.com/nightly-news/cdc-updates-ebola-protocol-anxiety-rises-n229416
http://en.wikipedia.org/wiki/Biosafety_level
http://www.cdc.gov/biosafety/publications/bmbl5/bmbl5_sect_iv.pdf
http://en.wikipedia.org/wiki/West_Africa

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