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GLOBAL BIORISK MANAGEMENT CURRICULUM Biorisk Characterization & Evaluation This material is adapted from a course in the Global Biorisk Management Curriculum Library (GBRMC) The GBRMC Library is funded by the US DOD/DTRA Cooperative Biological Engagement Program with additional support from the US DOS Biosecurity Engagement Program The library is managed by Sandia National Laboratories International Biological and Chemical Threat Reduction Program For more information on the GBRMC Library: web: biosecurity.sandia.gov/gbrmc email: [email protected] 1

GLOBAL BIORISK MANAGEMENT CURRICULUM This material is … · 2016. 6. 28. · Key Components of Biorisk Management • Performance –The implementation of the entire biorisk management

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  • GLOBAL BIORISK MANAGEMENT CURRICULUM

    Biorisk Characterization & Evaluation

    This material is adapted from a course in the Global Biorisk Management Curriculum Library (GBRMC)

    The GBRMC Library is funded by theUS DOD/DTRA Cooperative Biological Engagement Program

    with additional support from the US DOS Biosecurity Engagement Program

    The library is managed by Sandia National Laboratories

    International Biological and Chemical Threat Reduction Program

    For more information on the GBRMC Library:web: biosecurity.sandia.gov/gbrmc

    email: [email protected]

  • Key Messages

    • A biosafety and biosecurity risk assessment allows a laboratory to determine the relative level of risk its different activities pose, and helps guide risk mitigation decisions so these are targeted to the most important risks.

    • A risk assessment helps prioritize the risks so mitigation measures can target the highest risks

    • The risk assessment helps establish the metrics that will be used to evaluate the performance of the system

    2

    Biorisk Management =Assessment + Mitigation + Performance

    Biorisk Management = Assessment, Mitigation, Performance

    Biorisk Management: the AMPModel

    3

  • Key Components of BioriskManagement

    • Biorisk Assessment– Process of identifying the hazards and

    evaluating the risks associated with biological agents and toxins, taking into account the adequacy of any existing controls, and deciding whether or not the risks are acceptable

    4

    Key Components of BioriskManagement

    • Biorisk Mitigation– Actions and control measures that are

    put into place to reduce or eliminate the risks associated with biological agents and toxins

    5

  • Key Components of BioriskManagement

    • Performance– The implementation of the entire biorisk

    management system, including evaluating and ensuring that the system is working the way it was designed. Another aspect of performance is the process of continually improving the system.

    6

    Introduction

    A biological risk assessment allows a facility, laboratory, or other operation to determine the relative level of risk its different activities pose, and helps guide risk mitigation decisions so these are targeted to the most important risks.

    1. What can go wrong? 2. How likely is it? 3. What are the consequences?

    7

  • IntroductionWhy perform a biological risk assessment?

    A biological risk assessment allows a facility, laboratory, or other operation to determine the relative level of risk its different activities pose, and helps guide risk mitigation decisions.

    8

    RiskQuestion: What is Risk?

    Risk is the likelihood of an undesirable event happening, that involves a specific hazard or threat and has consequences

    Risk = ƒ (likelihood, consequences)or, more simply,

    Risk is a function of both the Likelihood of something happening and Consequences of that occurrence

    Like

    lihoo

    d

    Very High

    Consequences

    Very Low

    LowModerate

    High

    RISK

    9

  • RiskQuestion: What is the risk of being attacked by a tiger?

    What would you need to know to answer this question?

    10

    Like

    lihoo

    d

    Consequences

    RISK

    Like

    lihoo

    d

    Consequences

    RISK

    Like

    lihoo

    d

    Consequences

    RISK

    Risk

    You are in an open field next to a very hungry , aggressive, adult tiger. The tiger is unrestrained and sees you as food.

    You are in the zoo, observing a caged adult tiger, which is well fed, and has a mild temperament.

    You are holding a tiger cub with a playful temperament in your arms.

    Very High

    Very High

    Very High

    Very Low

    Very Low

    Very Low

    For the following scenarios, draw a STAR where the risk would fall on the graph.

    11

  • Risk Assessment Strategy:

    Source: CWA 15793:2011

    Biorisk Management = Assessment, Mitigation, Performance

    28

    procedure

    What is the Objective?Risk assessment informs the selection of appropriate laboratory biosafety and laboratory biosecurity risk mitigation measures to reduce likelihood and consequences of:

    13

  • Risk Characterization

    Risk Characterization is the actual process of determining the likelihood and consequences of a particular risk within a Risk Assessment.

    Please recall that risk is associated with a particular adverse event. We can only determine the likelihoodand consequences of a very clearly defined risk.

    14

    Risk CharacterizationPart of this process is the identification of the appropriate hazard or threat.

    The hazard or threat is the source or causative agent of a particular risk.

    The term hazard is used in the biosafetycontext, and threat is used in the biosecurity context.

    15

  • Like

    lihoo

    d

    Very High

    Consequences

    Very Low

    LowModerate

    High

    RISK

    Scenario: A lab worker has just prepared a culture of Mycobacterium tuberculosis in order to conduct a drug sensitivity test. He is wearing gloves, a surgical mask, and lab coat, and is using a Biosafety Cabinet which has not been certified in three years.

    What is the hazard in this scenario?What is the likelihood of exposure?

    What are the consequences of exposure?

    What are some factors that should be considered?

    Risk Characterization

    16

    Risk Characterization

    Discussion:

    How would the risk change if the lab worker wore a respirator instead of a surgical mask, and was working in a biosafety cabinet that had been certified in the last six months?

    OR

    If there were strict physical security measures in place at the laboratory to keep unauthorized people out?

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  • Risk Characterization

    Like

    lihoo

    d

    Very High

    Consequences

    Very Low

    Low

    Moderate

    High

    RISK

    We have thus successfully characterized the risk.

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    Risk CharacterizationAnother consideration in characterizing risk is the concept of relative risk.

    Relative risk is the value of one particular risk (in terms of likelihood and consequences) in the context of another risk. It helps give meaning to risk.

    For example:

    Dependent on certain situation, or the PPE used, the risk of aerosol exposure may be higher than the risk of percutaneous exposure.

    Risk is relative because it will change depending on the situation and the factors that go into determining the risk, themselves, are not absolute.

    19

  • Risk CharacterizationUnderstanding the relative risk associated with different situations or by implementing different risk mitigation strategies is important for the overall process of characterizing risk.

    20

    Risk Characterization

    Naturally, each facility, laboratory, and situation will have its own unique set of factors that will be particularly relevant to fully characterize risks.

    21

  • Risk Evaluation

    Risk Evaluation is a crucial intermediary step between Risk Characterization and taking active steps towards mitigating risk.

    Risk Evaluation is the process of determining, subjectively, whether a risk is high or low, and whether it’s acceptable or not.

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    Risk Evaluation

    What is “acceptable” risk?

    23

  • Risk Evaluation

    The evaluation of risk is highly related to the concept of Risk Acceptance.

    Risk evaluation and acceptance can vary with culture, experience, resources, management, and even current events.

    24

    Risk EvaluationUnfortunately, there is no systematic way of evaluating risk and determining risk acceptability. This will depend on the perceptions of individuals, institutions, and the community.

    25

  • Risk Evaluation

    Only a laboratory can determine whether a particular risk is tooHigh or acceptably Low for them and their situation.

    26

    Risk Evaluation

    Risk Evaluation drives investment decisions in a laboratory. If an institution is particularly risk-averse, it will spend more resources attempting to reduce the risks it faces. If a similar laboratory faces the same risks but is risk-tolerant, it might proceed with procedures others may find too “dangerous”.

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  • The findings and conclusions in this presentation have not been formally disseminated by the Centers for Disease Control and Prevention and should not be construed to represent any agency determination or policy.

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    GLOBAL BIORISK MANAGEMENT CURRICULUM

    Thank You!Don’t forget to complete your evaluation!