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The most common types of injury were cutting injuries followed by splashes of fluids or
organic materials to mucous membranes. Rare other types of injury included formalin
contact to skin and mucous membranes, different types of stitches and special cutting
injuries from cover glasses, knives or wires.
These exist in exposures to bacteria, viruses, fungi and other living organisms
that can cause acute and chronic infections by entering the body either directly
or through breaks in the skin.
Biohazards are another intrinsic health risk for oral pathologists due to their
work with potentially infective fresh human tissues.
Chemical hazards
Chemical exposure hazard: A chemical for which there is evidence that acute (immediate) or chronic (delayed)
health effects may occur in an exposed population. Exposure is related to the dose (how much), the duration
and frequency of exposure (how long and how often), and the route of exposure (how and where a material
gets in or on the body), whether through the respiratory tract (inhalation), the skin (absorption), the digestive
tract (ingestion), or percutaneous injection through the skin (accidental needle stick). The resulting health
effects can be transient, persistent, or cumulative; local (at the site of initial contact with a substance), or
systemic (after absorption, distribution, and possible biotransformation, at a site distant from initial contact
with a substance).
Inhalation (breathing).
Absorption (through direct contact with the skin).
Ingestion (eating or drinking).
The degree of risk from exposure to any given substance depends on:
Nature.
Potency of the toxic effects.
The magnitude.
Duration of exposure.
Latex One of the most common chemicals that laboratory workers are exposed to is
latex, a plant protein. The most common cause of latex allergy is direct contact with
latex, a natural plant derivative used in making certain disposable gloves and other
products. Some healthcare workers have been determined to be latex sensitive,
with reactions ranging from localized dermatitis (skin irritation) to immediate,
possibly life-threatening reactions.
Exposure to formaldehyde:
A toxic, irritant and possibly (debatable) carcinogenic substance.
Widely used in a watery solution called formalin in pathology laboratories
worldwide for the fixation of human tissues.
Exposure to formaldehyde can also cause allergies and irritative reactions.
Physical hazards
May be factors, agents, or circumstances that can cause harm without or with
contact.
Radiation, heat and cold stress, vibrations, and noise, for example, are types of
physical hazards.
Cut injuries, accidental fires, radiation etc.
Musculoskeletal Disorders:
The daily routine work of an oral pathologist researcher includes several hours of
microscope and computer work.
Microscopes are often not ergonomically optimized and do not allow a neutral
sitting position, requiring the oral pathologist to bend forward.
Researchers suffer from musculoskeletal discomfort including headache, neck
pain, stiffness, back pain and upper-extremity discomfort.
The most common locations for musculoskeletal problems are neck and
shoulders.
Other locations and problems included hip, face/head, ankles and a so called
“pathologists’ hump” (allegedly related to microscope work).
The musculoskeletal disorders have a huge impact in the health care settings,
emerging as a new growing problem in our modern societies; they contribute to
the second largest cause of short-term or temporary work disability after the
common cold.
Ergonomics
Human error
A system design, procedure, or equipment that is error provocative.
Psychosocial hazards:
Affect researcher’s psychological health.
These hazards affect their ability to take part in a work environment with other
colleagues.
Psychosocial hazards are associated with how the research was designed,
organized, and managed.
They are also related to the social and economic contexts of the research.
The research laboratory is a unique, ever-changing environment. Research experiments change frequently and
may involve a wide variety of hazards (for example, chemical, physical, biological, radiological, and so forth).
The individuals or teams of people conducting the experiments may be at varying stages in their academic or
professional careers. Their backgrounds and experiences may vary, but hazard identification, hazard
evaluation, and hazard mitigation in laboratory operations are critical skills that must be part of any laboratory
worker’s education. Furthermore, integrating these concepts into research activities is a discipline researchers
must establish to ensure a safe working environment for themselves and their colleagues.
Always check with your health care provider, Stamps Health Services or another travel health clinic before
traveling out of the country to learn about specific health risks for the region in which you will conduct your
research.
Vehicle Accident Worldwide Distractive Driving, Fatigue, Roadway Issues, Impaired Driving Injuries vary Wear
Seatbelt Follow the posted speed limit Obey the traffic laws Only allow nine (9) passengers in a van
Slips/Trips and Falls Worldwide Improper footing Obstruction Improper footwear Unsafe walking surface
Improper use of ladder . Contusions Fractures Not paying attention to surroundings. Wear proper footwear
(PPE) Training Awareness
Dehydration Worldwide Lack of fluids Increased thirst Flushed face, Weakness Drink Plenty of fluids
Sunburn Worldwide Excessive exposure to the sun Irritated skin Use sun block. Wear protective clothing
Heat Exhaustion Hot Climate Prolong physical exertion in hot climate Excessive thirst Heavy Sweating Fatigue
HIV/AIDS Worldwide Exposure to blood or body fluids infected with HIV Flu-like symptoms 14-60 days post
infection Opportunistic infections/cancers Follow Bloodborne Pathogen training when handling any human
blood or tissue Do not engage in risky activities
HAZARD IDENTIFICATION AND EVALUATION.
EXPERIMENT PREDICTION
Explore – Determine the scope of your work, beginning with your research
objective. What scientific question(s) are you trying to answer or problem(s) are you
trying to solve? Conduct a broad review of the literature. Consider querying other
disciplines. Talk with others who have done similar work.
Plan – Outline your procedure/tasks. This may include a deeper dive into specific
topics in the literature. Determine hazards associated with each step/task and the
control measures for reducing risk. EH&S can help with more detailed guidance on how
to control certain hazards.
Challenge – What assumptions did you use? Question the importance of each
step. Seek advice from others to challenge your thinking. Ask yourself “what could go
wrong?” Assign a risk rating (revising steps or controls particularly if risk category is
“high” or “unacceptable”).
Assess – Implement a model, prototype, or trial run. Can you perform a dry run to
familiarize yourself with equipment and procedures? Can you test your experimental
design at a smaller scale or with a less hazardous material? Determine if any design
changes are needed. Run your experiment and monitor how your controls perform.
Assess as you go and make changes as necessary.
Labeling:
Label all chemical containers with the identity of the contents.
Do not use abbreviations or acronyms.
Include hazard warning and chemical concentration information.
Transporting:
Use appropriate safety carriers (secondary containment) when transporting
chemicals, either inside or outside of the building.
Make sure the jar carrying the sample is biologically safe.
Make sure that the sample is statically fixed in one position to avoid disruption.
Lab cleanliness
Keep work areas clean and uncluttered.
Clean up work areas on completion of an experiment or at the end of the day.
Cold and warm rooms.
As most controlled temperature rooms (i.e. cold or warm rooms) lack mechanical
exhaust (100% recirculated air), storage and use of toxic substances, flammable
solvents, and open flames (e.g. Bunsen burners) is strictly prohibited.
Promptly report accidents and unsafe conditions to your supervisor and lab PI.
Complete all required health and safety training.
Participate in the medical surveillance program, when required.
Provide the PI or laboratory supervisor with a written scope of work for your proposed
research.
Notify and consult in advance with the PI or laboratory supervisor if they intend to
deviate from their written scope or scale of work.
Laboratories must be inspected to identify and address potential safety and health
deficiencies and to comply with regulations.
At least monthly.
At least weekly.
At least quarterly.
Biological Safety
Handle all biological material as potentially infectious;
Are biological materials used in this area? If yes…
Biological materials are not stored in hallways in unlocked freezers or refrigerators.
Biohazard signs are posted in labs handling infectious materials (BSL2 and higher).
Disinfectants are on hand for sanitizing bench tops and treating spills.
Biological safety cabinet(s) was certified within the last 12 months.
Do not use a microscope for more than 5 hours per day. (This interval is the
recommendation of the CDC and was not modified.) The number may be
arbitrary. However, the message is clear: greater exposure duration to risk-
associated activities will increase the probability of developing a CTD (cumulative
trauma disorder).
Biosafety Cabinet
The biological safety cabinet (BSC) is an engineering control designed to provide
protection to personnel, the researcher, and the environment when appropriate
practices and procedures are followed.
It is the primary means of containment developed for working safely with
infectious microorganisms, so proper setup and operation is essential.
The biosafety cabinet requires regular maintenance and certification by a
professional technician to assure that it protects you, your experiments, and the
environment.
Each cabinet shall be certified when it is installed, each time it is moved or
repaired, and at least annually.
If a BSC needs to be relocated outside of its current location (either for disposal,
storage, or re-use in another lab), it must first be professionally decontaminated
with either formaldehyde gas or vaporized hydrogen peroxide (VHP).
To prevent needle stick injuries:
Sharps Safety / Needle Recapping.
Use and Disposal of Sharps.
Avoid using needles whenever possible.
Do not bend, break, or otherwise manipulate needles by hand.
Do not recap needles by hand.
Do not remove needles from syringes by hand.
Immediately after use, discard needle and syringe (whether contaminated or
not) into puncture resistant sharps containers.
Never discard sharps into regular trash.
Never discard sharps into bags of biological waste.
Use care and caution when cleaning up after procedures that require the use of
syringes and needles.
Do not overfill sharps containers.
Close completely when they are 3/4 full.
Although recapping needles is not recommended in the lab, there are times in
which it must be done. In the event that needles must be filled in advance of
their use, there are safe needle recapping methods that can be used to "recap"
them using one hand.
Locate sharps containers in areas in which needles are commonly used.
Make containers easily accessible.
They are an important source of information for the researchers, lab personnel,
emergency responders, and emergency medical personnel.
Emergencies Procedures
Accidental Exposure
Skin Contact
Rinse off affected skin immediately with copious amounts of water for about 15 min; if
necessary, use the safety shower. Remove contaminated clothing.
Eye Contact
Use the eye wash to rinse the eye thoroughly for at least 15 min, occasionally lifting upper
and lower eyelids and rolling the eyeballs.
Inhalation
Move into fresh air immediately.
Ingestion
Do not induce vomiting. Rinse mouth with water.
If any symptoms persist after following first aid procedures, seek medical attention
immediately.
Spills
Spills must be cleaned up thoroughly.
Storage
The containers should be stored in secondary containment preferably made from glass,
porcelain, ceramic, or other non-absorbing, non-combustible material.
Disposal
Discarding Contaminated Sharps:
The following is a list of regulated sharps that must be disposed of in red plastic sharps disposal containers
(SDCs):
Hypodermic, intravenous, or other medical needles;
Blood vials;
Specimens of blood or OPIM (other potentially infectious materials) must be placed in a labeled or color-coded
container that prevents leakage during collection, handling, processing, storage, transport, or shipping.
If contamination of the primary specimen container occurs, place the primary container within a second
container that prevents leakage during handling, processing, storage, transport, or shipping, and that is labeled
or color-coded.
Warning Labels
Warning labels shall be affixed to containers of regulated waste; refrigerators, and freezers containing blood or
OPIM; and other containers used to store, transport, or ship blood or OPIM.
If labels are not used, red bags or red containers shall be used.
Be fluorescent orange or orange-red or predominately so, with lettering or symbols in a contrasting color;
Be affixed as close as possible to the container by string, wire, adhesive, or other method that prevents their
loss or unintentional removal.
, Chemicals that are classified as carcinogens, mutagens or reproductive toxins are referred to as health hazard
chemicals. Use of these chemicals should be minimized; if possible they should be substituted with less
hazardous chemicals.
Chemicals with a high degree of acute toxicity can cause serious injury or even death upon exposure to small
amounts. In particular the handling of highly toxic chemicals requires extra care:
• Quantities of these chemicals used and stored in the laboratory should be minimized, as should their
concentrations in solution or mixtures.
• Work should only be performed within a functioning fume hood, ventilated glove box, sealed system, or
other system designed to minimize exposure to these substances. (The exhaust air from the ventilation systems
may require scrubbing release into the atmosphere.)
• Where appropriate, an area within the laboratory should be designated for work with highly toxic chemicals
or chemicals dangerous to health. This area should be marked with an appropriate hazard warning such as
"DANGER, specific agent, AUTHORIZED PERSONNEL ONLY" or comparable warning sign.
• The use of acutely toxic materials requires wearing eye protection, lab coat, and gloves.
• The designated working area should be cleaned after each work procedure and thoroughly decontaminated
at regular intervals determined by the laboratory supervisor based on the frequency of usage and level of
hazard.
• All laboratory workers with access to a designated area for use with extremely toxic chemicals must be
trained about the deleterious effects of these substances, signs and symptoms regarding exposure, and how to
respond in an emergency situation like a spill or exposure. This training is required even for those who do not
actually work with the substances.
Chemical Storage Chemicals should be stored safely in cabinets and on shelves in an upright position. Toxic or
corrosive liquids and any fragile containers (glass) should not be stored above 5 feet.
Waste Management Wastes are not discarded via trash or drain disposal unless specifically approved by the
appropriate institutional authority (e.g., Environmental Health and Safety)?
Chemical inventory management/ordering system in place and checked before ordering new chemicals?
Waste containers tightly closed unless actively adding or removing waste?
Waste containers are in good condition (not leaking, rusted, bulging or damaged)?
Waste containers storing liquid hazardous waste at or near sinks and drains are stored within secondary
containment?
Secondary containment is in good condition (e.g., free of cracks, gaps and impervious to leaks)?
Is sharps waste (e.g., needles, syringes, scalpel blades, or other instruments that has the potential to cut,
puncture, or abrade skin) generated in this area? If yes…
Sharps wastes are immediately discarded into proper puncture resistant containers?
Sharps containers are readily available and managed appropriately (e.g., not overfilled)?
Reiterative training, enforce lab rules, supervision, ascertaining worker knowledge, ensure worker is
wellinformed, practice small, SOPs, buddy system. Ensure student has taken all relevant training including
emergency response. Student should be directly supervised until he/she has shown proficiency in all aspects of
hazard control and emergency response. Student should write SOP and review with senior lab staff.
Since PCR is a highly sensitive technique, the most critical point along all analysis procedure is the
considerable risk of carry-over contaminations, and the false positive results that could be obtained in this
situation. The contamination could be due to the ASFV itself present in the positive analyzed samples or in the
positive controls included in the DNA extraction procedure. It could also be due to ASFV DNA obtained after
amplification and manipulated by agarose gel electrophoresis during the amplicon analysis of a previous PCR. It
is mandatory that personnel working on PCR follow and carry out strict work-flow rules in order to minimize
contamination risk associated to PCR technique. • All steps of sample analysis by PCR must be performed in
separate designated rooms or locations using equipment and material specific for each as follows: sample
preparation, DNA extraction, PCR mix preparation, and analysis of PCR products by agarose gel electrophoresis.
• Personnel must always work with clean nitrile or latex gloves in the PCR laboratory. Whenever personnel go
into a different PCR area, they should change PPE including gloves. • All material/equipment must be used only
at the designated area as per step for the PCR procedure to avoid cross contamination. • Materials/equipment
used in these procedure must be used in the designated area as per where is located/labelled.
• Use a new pipette tip each time that a tube containing any sample or DNA material is to be manipulated. •
Tubes containing amplified products should never be opened and manipulated in other laboratory areas except
in the distinctly assigned areas for their electrophoresis and analysis, where they will be discarded. • Ethidium
bromide (BrEt) is a known mutagen in powdered form and should be handled as a hazardous chemical. It is
highly recommended to order as dropper solution to minimize its manipulation. Ethidium bromide handling
must be performed exclusively in the laboratory assigned to it while observing laboratory safety measures. In
case of any unintended contact, wash immediately with abundant water and contact the biosafety officer.