Four biosafety levels (BLs) are described in BMBL5; each consists of a combination of laboratory practices and techniques, safety equipment, and laboratory facilities. Each combination is specifically appropriate for the operations performed, the documented or suspected routes of transmission of the infectious agents, and the laboratory function or activity. The BLs described in BMBL5 should be differentiated from Risk Groups, as described in the NIH Guidelines and the World Health Organization Laboratory Biosafety Manual. Risk groups are the result of a classification of microbiological agents based on their association with, and resulting severity of, disease in humans. The risk group of an agent should be one factor considered in association with mode of transmission, procedural protocols, experience of staff, and other factors in determining the BL in which the work will be conducted.
The recommended biosafety level(s) for the organisms in BMBL5 Section VIII (Agent Summary Statements) represent those conditions under which the agent ordinarily can be safely handled. Not all of the organisms capable of causing disease are included in Section VIII; the other resources listed in Chapter 2 of this manual must be utilized to perform risk assessments for agents not listed in Section VIII. Generally, work with known agents should be conducted at the biosafety level recommended in Section VIII. When information is available to suggest that virulence, pathogenicity, antibiotic resistance patterns, vaccine and treatment availability, or other factors are significantly altered, more (or less) stringent practices may be specified. Often an increased volume or a high concentration of agent may require additional containment practices.
Biosafety Level 1 practices, safety equipment, and facility design and construction are appropriate for undergraduate training and teaching laboratories, and for other laboratories in which work is done with defined and characterized strains of viable microorganisms not known to consistently cause disease in healthy adult humans. Bacillus subtilis, Nigeria gruberi, infectious canine hepatitis virus, and exempt organisms under the NIH Guidelines are representative of microorganisms meeting these criteria. Many agents not ordinarily associated with disease processes in humans are, however, opportunistic pathogens and may cause infection in the young, the aged, and immunodeficient or immunosuppressed individuals. Vaccine strains that have undergone multiple in vivo passages should not be considered avirulent simply because they are vaccine strains. BSL-1 represents a basic level of containment that relies on standard microbiological practices with no special primary or secondary barriers recommended, other than a sink for hand washing.
Biosafety Level 2 practices, equipment, and facility design and construction are applicable to clinical, diagnostic, teaching, and other laboratories in which work is done with the broad spectrum of indigenous moderate-risk agents that are present in the community and associated with human disease of varying severity. With good microbiological techniques, these agents can be used safely in activities conducted on the open bench, provided the potential for producing splashes or aerosols is low. Hepatitis B virus, HIV, the Salmonella, and Toxoplasma are representative of microorganisms assigned to this containment level. BSL-2 is appropriate when work is done with any human-derived blood, body fluids, tissues, or primary human cell lines where the presence of an infectious agent may be unknown. (Laboratory personnel working with human- derived materials should refer to the OSHA Bloodborne Pathogen Standard for specific required precautions). Primary hazards to personnel working with these agents relate to accidental percutaneous or mucous membrane exposures, or ingestion of infectious materials. Extreme caution should be taken with contaminated needles or sharp instruments. Even though organisms routinely manipulated at BSL-2 are not known to be transmissible by the aerosol route, procedures with aerosol or high splash potential that may increase the risk of such personnel exposure must be conducted in primary containment equipment, or in devices such as a BSC or safety centrifuge cups. Personal protective equipment should be used as appropriate, such as splash shields, face protection, gowns, and gloves. Secondary barriers, such as hand washing sinks and waste decontamination facilities, must be available to reduce potential environmental contamination.
Biosafety Level 3 practices, safety equipment, and facility design and construction are applicable to clinical, diagnostic, teaching, research, or production facilities in which work is done with indigenous or exotic agents with a potential for respiratory transmission, and which may cause serious and potentially lethal infection. Mycobacterium tuberculosis, St. Louis encephalitis virus, and Coxiella burnetii are representative of the microorganisms assigned to this level. Primary hazards to personnel working with these agents relate to autoinoculation, ingestion, and exposure to infectious aerosols. At BSL-3, more emphasis is placed on primary and secondary barriers to protect personnel in contiguous areas, the community, and the environment from exposure to potentially infectious aerosols. For example, all laboratory manipulations should be performed in a BSC or other enclosed equipment, such as a gas-tight aerosol generation chamber. Secondary barriers for this level include controlled access to the laboratory and ventilation requirements that minimize the release of infectious aerosols from the laboratory.
Biosafety Level 4 is beyond the scope of this manual.
Standard and special practices, safety equipment, and facility requirements applicable to each BL are detailed in
Multi-User Research Labs
The advent of large open labs (BRC) and lab suites (LSB) creates problems for separation of BL1 and BL2 areas and activities. The following NIH Guidelines, which shall apply to all biological activities at Clemson, make a multi-PI lab problematic.
Note that lab coats are not required in the BL1 area. This has application in BRC as student desks and computers are located in BL1 areas.
The BSO shall work with the occupants of each multi-PI lab to determine the most effective way of complying with the cited Guidelines for each lab. The default solution is to designate the entire lab BL2, with clearly demarcated BL1 section(s) as required. Note that BL2 waste must be kept in the BL2 area until decontaminated. The highlighted training requirement above will be met by maintaining a notebook containing a Pathogen Safety Data Sheet (PSDS) for each BL2 agent in use. See Appendix G and