Mapping Maximum Biological Containment Labs Globally

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Clinical work and scientific studies on pathogens,
or disease-causing biological agents, are important for
public health, biomedical advances, and disease prevention.
Some of these activities, however, pose significant risks.

Mapping Maximum
Biological Containment
Labs Globally
M A P P I N G M A X I M U M B I O LO G I C A L C O N TA I N M E N T L A B S G LO B A L LY

                                                                                            Mapping Maximum
                                                                                            Biological Containment
                                                                                            Labs Globally

                                                                                            High-risk                      Work with high-risk pathogens
                                                                                                                           carries substantive safety risks
                                                                                                                                                                        The risks of work with dangerous
                                                                                                                                                                        pathogens mean that extremely
                                                                                            pathogen research              to laboratory workers, the wider             high-levels of safety and security
                                                                                                                           society, and the environment. A lab          protection must be applied and that the
                                                                                                                           worker may be accidentally infected          work must be conducted responsibly.
                                                                                                                           by a pathogen, causing disease in            This is especially important for work
                                                                                            Clinical work and scientific   the individual, and potentially              with pathogens that may have devastating
                                                                                                                           also in other lab workers, family            consequences for local, regional, and
                                                                                            studies on pathogens, or       members, and the wider community.            global communities, if an exposure or
                                                                                            disease-causing biological     A pathogen may also be accidentally          accidental release were to occur.
                                                                                            agents, are important for      released directly into the environment
                                                                                                                                                                        Maximum containment laboratories,
                                                                                                                           through a lab containment breach,
                                                                                            public health, biomedical      leading to potential spread of
                                                                                                                                                                        commonly referred to as biosafety level
                                                                                            advances, and disease          disease in the community.
                                                                                                                                                                        4 (BSL4) labs, are designed and built to
                                                                                                                                                                        work safely and securely with the most
                                                                                            prevention. Some of            Key security risks include pathogens         dangerous bacteria and viruses that can
                                                                                            these activities, however,     or other related material being stolen       cause serious diseases and for which no
                                                                                            pose significant risks.        from a laboratory, and lab insiders          treatment or vaccines exist. There is,
                                                                                                                           using their knowledge, skills, and           however, currently no requirement to
                                                                                                                           access for malevolent purposes. There        report these facilities internationally,
                                                                                                                           is also a risk that scientific knowledge     and no international entity is mandated
                                                                                                                           and methods used by lab workers to           to collect such information and provide
                                                                                                                           understand and manipulate biological         oversight at a global level. Moreover,
                                                                                                                           and epidemiological properties of            there are no binding international
                                                                                                                           pathogens for public health purposes         standards for safe, secure, and
                                                                                                                           is repurposed by others to cause harm.       responsible work on pathogens in
                                                                                                                                                                        maximum containment labs.
                                                                                                                           High-risk pathogen work also carries
                                                                                                                           risks to peace and international security.   This study provides
                                                                                                                           Increases in the number of facilities and    an authoritative resource that:
                                                                                                                           researchers working with dangerous
                                                                                                                                                                        1) m
                                                                                                                                                                            aps BSL4 labs that are planned,
                                                                                                                           pathogens may contribute to a perception
                                                                                                                                                                           under construction, or in operation
                                                                                                                           that capacities to weaponise biology
                                                                                                                                                                           around the world, and
                                                                                                                           are increasing, which may provide
                                                                                                                           justification for a country to initiate      2) identifies indicators of good
                                                                                                                           or expand an offensive biological               biosafety and biosecurity
                                                                                                                           warfare programme.                              practices in the countries
                                                                                                                                                                           where the labs are located.
                                                                                                                                                                        The study aims to increase public
                                                                                                                                                                        knowledge about these specialised
                                                                                                                                                                        facilities, and to strengthen national
                                                                                                                                                                        and international biorisk management
                                                                                                                                                                        policies and practices.

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M A P P I N G M A X I M U M B I O LO G I C A L C O N TA I N M E N T L A B S G LO B A L LY
59
                   maximum
                   containment
                   facilities

Key message 1:

                                                                                            3 5
BSL4 labs are booming
                                                                                                  out
Today, there are nearly 60 maximum                                                                of
containment facilities that are
planned, under construction, or in
                                                                                            BSL4 labs are
operation around the world.                                                                 government-run
The number of BSL4 labs being built                                                         public health
and operated has significantly increased                                                    institutions.
over the past ten years. Of the 42 labs
where foundation dates are available,
approximately half have been established
in the last decade. This means potential
risks are proliferating.
                                               Key message 2:                               Less than
The facilities are spread over 23 countries.                                                1/5 are
The largest concentration of BSL4 labs is      More public health                           university labs.
in Europe, which has 25 labs, in Belarus,
Czech Republic, France, Germany,
                                               than biodefence
                                                                                            Less than
Hungary, Italy, the Russian Federation,
Sweden, Switzerland, and the United
                                                                                            1/5 are
Kingdom. Asia and North America
                                               60 percent (36/59) of global BSL4 labs are   defence labs.
                                               government-run public health institutions.
have a roughly proportional number of
BSL4 labs. Asia has 13 labs, located in        These labs serve a number of functions       Only 2 labs are
China, India, Japan, Republic of Korea,        including diagnosis of suspected             wholly privately
Saudi Arabia, Singapore, and Taiwan.           infections, scientific research to better    owned.
North America has 14 labs in Canada            understand the properties of pathogens,
and the United States of America.              and development of new and improved          The vast
Africa has three BSL4 labs in Cote             vaccines, therapeutics, and diagnostics.     majority focus
d’Ivoire, Gabon, and South Africa.                                                          on human health.
                                               There are roughly proportional
Australia has four.
                                               numbers of biodefence-related
More than three quarters (46/59)               institutions (11/59) and academic
of global BSL4 labs are located in             institutions (10/59). Only three percent
urban centres, exacerbating impacts            (2/59) of labs are private institutions.
of any accidental releases.
                                               The research focus of 48 labs is human
                                               health, while seven focus primarily
                                               on animal health and four focus on
                                               both human and animal health.

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M A P P I N G M A X I M U M B I O LO G I C A L C O N TA I N M E N T L A B S G LO B A L LY

                                                                                            Key message 3:
                                                                                            More small labs than large labs
                                                                                            BSL4 labs range in size from 28 m2 to 4084 m2.
                                                                                            Of the 44 labs where BSL4 lab size data is available,
                                                                                            half (22/44) are under 200 m2. One quarter (11/44)
                                                                                            of the labs are in the 200-1000 m2 range, and
                                                                                            a quarter (11/44) of the labs are above 1000 m2.

                                                                                            11      labs are
                                                                                                    over 1000 m2                              11    labs are
                                                                                                                                                    200–1000 m2   22   labs are
                                                                                                                                                                       under 200 m2

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M A P P I N G M A X I M U M B I O LO G I C A L C O N TA I N M E N T L A B S G LO B A L LY
Key message 4:                              percent (9/22) as having ‘low’ levels       of these countries have a score of 90
                                            of biosecurity preparedness. In             percent or greater from the 1540
Sound biosafety and                         comparison, on average for the              Committee on the strength of their

biosecurity practices                       195 countries surveyed by NTI,
                                            around 60 percent have ‘low’
                                                                                        national legislation to prohibit the
                                                                                        hostile use of biology. 67 percent
exist but are not                           levels of biosafety preparedness
                                            and around 80 percent have ‘low’
                                                                                        of these countries have a score of
                                                                                        90 percent or greater from the 1540
widely adopted                              levels of biosecurity preparedness.         Committee on national legislation
                                                                                        regulating access to biological
                                            All countries with BSL4 labs that
                                                                                        materials that could be misused.
                                            have obligations under international
Only one-quarter of countries with BSL4
                                            agreements to self-declare national         Over 70 percent (17/23) of countries
labs score well on best practice indicators
                                            biosafety and biosecurity legislation       with BSL4 labs have national biosafety
for biosafety and biosecurity. Moreover,
                                            and to self-report their labs, do so.       associations or are members of regional
few have dual-use policies, and none have
                                            They all (22/22) report their labs          or international biosafety associations.
yet signed up to a new international
                                            under the confidence-building               40 percent (9/23) of the countries are
biorisk management standard.
                                            information-sharing process of the          members of the International Experts
The Global Health Security Index,           Biological Weapons Convention—              Groups of Biosafety and Biosecurity
developed by the Nuclear Threat             the international treaty that bans          Regulators, a forum for national
Initiative (NTI), characterizes 27          the development and possession of           regulatory authorities to share their
percent (6/22—excluding Taiwan)             biological weapons. To further increase     knowledge, experience, and best
of countries with BSL4 labs as having       their transparency, nine of the countries   practices on biosafety and biosecurity.
‘high’ levels of biosafety preparedness,    make these reports publicly accessible,
                                                                                        No labs have yet signed up to the
50 percent (11/22) as having ‘medium’       and 55 percent (28/51) of the BSL4
                                                                                        voluntary standard-setting biorisk
levels of biosafety preparedness, and       labs in operation provide links to their
                                                                                        management system ISO 35001
23 percent (5/22) as having ‘low’ levels    publications on their institutional
                                                                                        (Biorisk management for laboratories
of biosafety preparedness. The Global       websites. All countries (22/22) required
                                                                                        and other related organisations),
Health Security Index characterizes         to self-report national biosecurity
                                                                                        introduced in 2019 to establish
23 percent (5/22) of countries with         legislation under United Nations
                                                                                        principles, essential components, and
BSL4 labs as having ‘high’ levels of        Security Council Resolution 1540,
                                                                                        management processes to mitigate
biosecurity preparedness, 36 percent        designed to prevent the proliferation
                                                                                        biosafety and biosecurity risks.
(8/22) as having ‘medium’ levels of         of weapons of mass destruction to
biosecurity preparedness, and 41            non-state actors, do so. 86 percent

   Only one-quarter of countries with maximum                                                                  Sample size:
   containment facilities score highly on indicators                                                           22 countries.
   of biosafety and biosecurity preparedness.

    6    countries have ‘high’
         levels of biosafety
                                                                                             5   countries have ‘high’
                                                                                                 levels of biosecurity
                                                                                                 preparedness

  11    countries have ‘medium’
        levels of biosafety’
                                                                                             8   countries have ‘medium’
                                                                                                 levels of biosecurity
                                                                                                 preparedness

    5   countries have ‘low’
        levels of biosafety
                                                                                            9    countries have ‘low’
                                                                                                 levels of biosecurity
                                                                                                 preparedness

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M A P P I N G M A X I M U M B I O LO G I C A L C O N TA I N M E N T L A B S G LO B A L LY

                                                                                            Key message 5:
                                                                                            Risk assessments for
                                                                                            dual-use are lacking
                                                                                            Only three out of the 23 countries have
                                                                                            national policies on dual-use biological
                                                                                            research and development activities with
                                                                                            significant potential to be repurposed by
                                                                                            state or non-state actors to cause harm.

                                                                                            3 23
                                                                                            countries
                                                                                                       out
                                                                                                       of

                                                                                            have dual-use
                                                                                            policies
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M A P P I N G M A X I M U M B I O LO G I C A L C O N TA I N M E N T L A B S G LO B A L LY
Study methodology
and challenges
The study followed a five-step             The study defined BSL4 labs as              There were several
process for collecting and confirming      meeting the criteria for maximum            challenges to the study:
information on BSL4 labs:                  containment as specified in the
                                                                                       • There is no single definition of what
                                           WHO Laboratory Biosafety Manual.
Step 1                                                                                    constitutes a ‘maximum containment’
                                           In general, this relates to labs designed
Collate a list of BSL4 labs from                                                          lab. Physical containment measures,
                                           to work with Risk Group 4 pathogens
previous studies and reports.                                                             as well as biosafety and biosecurity
                                           that usually cause “serious human or
                                                                                          practices, vary across countries.
                                           animal disease and that can be readily
Step 2                                                                                 • Characterizing the size of a BSL4 lab
                                           transmitted from one individual
Analyse institutional websites                                                            will vary depending on whether lab
                                           to another, directly or indirectly.
for information such as lab                                                               space is tightly defined as the space
                                           Effective treatment and preventive
construction date, publications,                                                          where work is actually conducted or
                                           measures are not usually available.”
and ongoing research.                                                                     whether it is more broadly defined
                                           The scope of the study was                     to include supporting infrastructure
Step 3                                     restricted to labs working on                  such as chemical showers, animal
Undertake literature and                   pathogens that can affect humans,              cubicles, utility rooms, etc.
internet searches on reported              including zoonotic disease. Labs            • Some biosafety and biosecurity
BSL4 labs for additional data.             that only work on pathogens causing            concepts and terms do not have
                                           disease in animals were excluded.              well-defined meanings in some
Step 4                                     Mobile BSL4 labs were also excluded.           languages, or translate well
Contact labs directly to verify                                                           between different languages.
and complete the information.
                                                                                       • There was a limited response (13/59)
                                                                                          from labs to information requests.
Step 5
Contact an international group of
experts to review the dataset.

Key recommendations
BSL4 labs must continually work            All countries must ensure comprehensive     International and
to cultivate a culture of biosafety,       risk assessments are conducted for          national structures
biosecurity and responsible research       dual-use activities with significant        must be put in place
with high-risk pathogens at all levels,    potential to be repurposed to cause         to systematically
from students to principal investigators   harm. This is particularly important        register and
to laboratory directors.                   for countries where high-risk pathogen      oversee maximum
                                           work is carried out. Internationally-       containment facilities.
BSL4 labs must adhere to national          recognised guidelines governing high-risk
laws and regulations on biorisk            dual-use work must also be developed.
management, implement and share
best practices, participate in peer        Countries possessing BSL4
reviews, and adopt international           facilities must provide complete,
standards such as ISO 35001 Biorisk        regular, and transparent reporting
management for laboratories and            under the annual confidence-
other related organisations.               building measures of the Biological
                                           Weapons Convention, and under
                                           UN Security Council Resolution 1540.

                                                                                                                                                      7
Study leads

   Dr Filippa Lentzos                 Dr Gregory D. Koblentz
   is a Senior Lecturer in Science    is an Associate Professor
   & International Security in the    and Director of the Biodefense
   Department of War Studies, and     Graduate Program at George
   Co-Director of the Centre for      Mason University’s Schar
   Science & Security Studies, at     School of Policy and Government
   King’s College London in the       in the United States.
   United Kingdom.

Designed by psLondon. Approved by brand@kcl.ac.uk. © May 2021
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