DHMH, Laboratories Administration Laboratory Emergency Preparedness and Response Advisory Committee (LEPRAC) MINUTES March 9, 2006 CALL TO ORDER (10:05 a.m.) ATTENDANCE: Present: Lane Ahlburn (via teleconference); Reginald Booker; Jack DeBoy, DrPH; Sgt. Mitchell Dinterman; Asoka Katumuluwa, PhD (for Prince Kassim, PhD); Donald Lewis; Steven Montgomery; Polly Ristaino; Jeffrey Roche, MD, MPH; Jill Santacroce; Jim Svrjcek; Art Thacher, MPH; Robert Waltersdorff, PhD (via teleconference) Absent: Ed Bonner (advance notice given); Michael Deabay (advance notice given); Tom Jacobs, DVM (advance notice given); Prince Kassim, PhD (advance notice given); Julia Kiehlbauch, PhD (advance notice given); Helen McQuay; Robert Myers, PhD (advance notice given); Michael Wajda, MS, JD (advance notice given) Alan Williams (advance notice given) Guest: Steven Montgomery MINUTES (from 12/1/2006) 1. Review and Corrections – Helen McQuay and Dr. Waltersdorff have submitted several corrections to the minutes. Once those corrections have been made, they will be e-mailed to the committee members. OLD BUSINESS 1. Office of Preparedness and Response – Reginald Booker stated that the Office of Preparedness and Response (OPR) has undergone many changes. OPR was formed when DHMH consolidated the Office of Emergency Preparedness and the Office of Public Health Preparedness and Response. Dr. Matthew Minson began his duties as Director of OPR on February 20, 2006. He is in the process of organizing the office, consolidating grants, and reviewing procedures. OPR will oversee all Emergency Preparedness and Response activities and the Physician On-Call System (formerly, the Bioterrorism Physician On Call). Mr. Booker indicated that Dr. Minson has yet to determine who will be assigned to attend the LEPRAC meetings. Until a decision has been made, Mr. Booker will remain the committee’s liaison/member. 2. STARLIMS Update – Steven Montgomery stated that STARLIMS is on schedule. DHMH Laboratories Administration is ready to move the Bioterrorism part of the Microbiology module onto Database. MyLIMS is a web-based application of STARLIMS that will allow interaction directly between the Laboratories Administration and its customers on a secure network (e.g., inventory supplies, order tests, input demographic information, view test results, etc.). DHMH, Laboratories Administration Laboratory Emergency Preparedness and Response Advisory Committee (LEPRAC) MINUTES March 9, 2006 Art Thacher mentioned that NEDSS (National Electronic Disease Surveillance System) should be on line later this month, and that a Food Protection System is also being developed. Mr. Montgomery mentioned that STARLIMS also has an environmental sample report component, and MyLIMS will have the capability to interface with NEDSS. This will allow direct reporting between Epidemiology and Surveillance. Mr. Montgomery also stated that each participant must receive CDC certification before they are allowed to use the system. 3. MDA STARLIMS Update – Donald Lewis told the committee that his workgroup is still waiting to hear from Dr. Prince Kassim from DHMH, Laboratories Administration, Division of Environmental Chemistry. Jim Svrjcek will send Dr. Kassim a reminder to contact Mr. Lewis. Dr. Jack DeBoy stated that the Division of Environmental Chemistry is on schedule with installing STARLIMS, and the “go live” date is set for June 15, 2006. Dr. Asoka Katumuluwa informed that they have begun testing the system and have already encountered problems and have several questions. They are working with Mr. Montgomery and CDC to address these issues. 4. HB 666 Regulations Update – Jim Svrjcek gave the committee an update on the regulations for HB 666 (Biological Agents Registry). A final draft has been submitted to the Assistant Attorney General’s Office for a final review. This was done after receiving final input from representatives from local health departments, first responders, and Dr. Casani’s group in DHMH’s Office of Public Health Preparedness and Response. Once approved, the regulations will be submitted to the Joint Committee on Administrative, Executive and Legislative Review (AELR). The main issues that remain are: a) how information in the Maryland’s Biological Agents Registry (BAR) will be shared with local jurisdictions; b) how MDE, MEMA, MIEMSS, and the Physician On-Call System will obtain access to this information during off-hours; and c) how to ensure that each Maryland facility possessing, maintaining, receiving, or transferring Select Agents submit an Emergency Response Plan to their local jurisdiction’s Emergency Manager. Reginald Booker asked the committee how are penalties levied against Maryland facilities possessing, maintaining, receiving, or transferring Select Agents when infractions are found. Mr. Svrjcek stated that the OLEPR refers those situations directly to the APHIS/CDC Select Agent Program. 5. Laboratory Emergency Preparedness (LEP) Newsletter – Jill Santacroce solicited the committee members for articles for the upcoming issue of the LEP Newsletter. Dr. Tom Jacobs has volunteered to contribute an article for the upcoming issue. Helen McQuay will submit an article for a future issue. The Office of Laboratory Emergency DHMH, Laboratories Administration Laboratory Emergency Preparedness and Response Advisory Committee (LEPRAC) MINUTES March 9, 2006 Preparedness and Response (OLEPR) is always looking for articles, notices, or suggestions for articles. 6. CDC Select Agent Program, Facility Registration – Jim Svrjcek stated that since the committee’s last meeting, the DHMH Laboratories Administration received notification of approval for registration under 42 CFR 73 (Select Agent Program). The certificate became effective on December 8, 2005 and expires on November 16, 2008. This maintains the DHMH Laboratories Administration as Maryland’s Laboratory Response Network (LRN) Laboratory. 7. Challenge Set Sub-Committee – Jim Svrjcek stated that as a result of the sub-committee’s work searching for an alternative to the College of American Pathologist (CAP) Laboratory Preparedness Survey (LPS), he has been invited to serve on an Association of Public Health Laboratories (APHL) workgroup looking into revamping the CAP LPS. Dr. Maurice Knuckles (Director, DC Public Health Laboratory) has applied to the Department of Homeland Security (DHS) for a grant to pay for the surveys for the Sentinel Labs. The grant will cover the National Capitol Region (NCR) which includes Virginia’s approximate 120 labs, the District of Columbia’s 20 labs, and Maryland’s 56 labs. In the meantime, Maryland has money in the CDC Cooperative Agreement earmarked for testing the Sentinel Labs to ascertain their readiness and what training would benefit them. Barring any unforeseen circumstances, the challenge sets used this year will be the Wisconsin State Laboratory of Hygiene (WSLH) Bioterrorism Preparedness Education Exercise. WSLH will ship (two samples, twice a year – September & March) directly to the Sentinel Labs. Once the testing is completed, the Sentinel Labs will send their responses back to WSLH. WSLH will then provide copies of each Sentinel Labs report and a cumulative analysis of all participating labs to the appropriate jurisdiction (MD, VA, or DC). The OLEPR will send out a letter to the Maryland Sentinel Labs in the near future explaining the registration and testing procedure, and requesting shipping information (specific to receive the kits) 8. Blast E-Mail & Blast Fax Lists (and Sentinel Lab Survey) – Jim Svrjcek updated the committee on the status of the Blast E-Mail/Fax System (BEFS). Currently there are 56 Sentinel Labs registered in the Maryland Laboratory Response Network (MLRN). The OLEPR has updated their contact information, and has used the BEFS twice in the past six months: in September during the Washington Mall event and in February to notify the Sentinel Labs of a training opportunity. The National Laboratory Training Network (NLTN) and the Microbial Diseases Laboratory of the California Department of Health Services is offering free access to their on-line course Bioterrorism Preparedness Training for LRN Sentinel Laboratories. DHMH, Laboratories Administration Laboratory Emergency Preparedness and Response Advisory Committee (LEPRAC) MINUTES March 9, 2006 The course is offered monthly. Once a participant is registered, they have a month to complete the course, and they will be awarded a P.A.C.E.® CEU certificate for 1.5 credit hours if their score is 70% or above on the post test for each module. NEW BUSINESS 1. Parking Policy – Jim Svrjcek informed the committee members that the two-hour parking lot across from the DHMH building on Preston Street is no longer a free lot. He also informed the committee of the recent changes in DHMH's Parking Policy. In order to request a visitor-parking slot in the garage, Central Services requires the make, model, and tag number of the vehicle, in advance. In order to streamline the process, committee members not located in the State Office Complex, should e-mail the OLEPR at least two weeks prior to each LEPRAC meeting if they are planning to attend, and would like to apply for a garage parking space for that time. They will need to include the make, model, and tag number of the vehicle they will be driving to the meeting in their request for a parking space. The OLEPR will submit the request to Central Services. Parking in the garage is not guaranteed, so the member will be contacted by the OLEPR if a parking space has been procured. Otherwise, the member will have to use either a pay lot or a metered spot on the street. 2. CT Workshop – Dr. Asoka Katumuluwa announced that the DHMH, Laboratories Administration, Division of Environmental Chemistry will be conducting a training workshop, entitled “LRN Level 3 Chemical Terrorism Preparedness: A training workshop in specimen collection and laboratory analysis for sanitarians, local health professional and first responders,” on May 17, 2006 at the Hilton in Columbia, Maryland. This conference will provide participants with hands-on experience in packing clinical samples. Topics covered will included: 1) an introduction to environmental chemistry laboratory services; 2) an overview of chemical terrorism agents; 3) the roles and responsibilities in preparation and response to chemical terrorism; 4) regulations affecting diagnostic specimen transportation for chemical analysis; and 5) packing and shipping diagnostic specimen for chemical analysis. The conference will target local health departments, hospitals, MDE, DHMH, and first responders. Brochures will be mailed out soon. Dr. Katumuluwa extended an invitation to the committee members. She asked that they contact the Division of Environmental Chemistry (phone: 410-767-5839; fax: 410-333-5237) if they are interested in attending or sending people. 3. Automated External Defibrillator Re-Certification and Training – Reginald Booker stated that DHMH lost its Automated External Defibrillator (AED) certification last year. The Office of Preparedness and Response is now in the process of applying for re- certification, and will be providing training on March 15, 2006 in Room L-1 and March 17, 2006 in Room L-2. DHMH, Laboratories Administration Laboratory Emergency Preparedness and Response Advisory Committee (LEPRAC) MINUTES March 9, 2006 NEXT MEETING Thursday, June 8, 2006, 10:00 am – 12:00 noon, Lab Tower, Room L-37 Please let us know as soon as possible if you cannot attend the meeting. ADJOURNMENT: 11:45 a.m. Note: Please submit any items you would like placed on the agenda to Michele Piorek (email@example.com) as soon as possible prior to next meeting. ).