Linster Martin, Ng Benson, Vijayan Viji
Duke-NUS Medical School, Emerging Infectious Diseases, Singapore.
Duke-NUS Medical School, Safety, Health, and Emergency Management, Singapore.
Appl Biosaf. 2020 Sep 1;25(3):169-173. doi: 10.1177/1535676020943394.
An infectious disease outbreak like the current COVID-19 pandemic can lead to particularly high infection rates in areas where diagnostic laboratory support is limited. The deployment of mobile laboratories can help to detect pathogens, monitor the presence in a population, and inform public health authorities to take measures aimed at reducing pathogen spread.
Available layouts and operational descriptions of mobile laboratories were analyzed for their suitability for the envisioned purpose and to assure high standards of biosafety and biosecurity. Recent media coverage on creative solutions for the diagnostics of SARS-CoV-2 (drive-through test centers, self-swab, inverse gloveboxes to protect health care workers) from various countries were considered.
A minimalistic and optimized design to construct a multifunctional laboratory on the chassis of a regular-sized box truck is proposed and can serve as a blueprint to rapidly develop additional diagnostic capacities.
For acute health threats including the current COVID-19 outbreak, rapid diagnosis of infection is key to recommend measures aimed at preventing the spread of the pathogen. Laboratory layouts that are similar to the one proposed here are used in stationary setups, and mobile laboratories have been built on varying platforms (trailers, shipping containers, etc).
像当前新冠疫情这样的传染病爆发,在诊断实验室支持有限的地区可能导致特别高的感染率。部署移动实验室有助于检测病原体、监测人群中的病原体存在情况,并告知公共卫生当局采取旨在减少病原体传播的措施。
分析了移动实验室现有的布局和操作说明,以评估其是否适合预期目的,并确保达到生物安全和生物安保的高标准。考虑了近期各国媒体对新冠病毒诊断创新解决方案(免下车检测中心、自行采样、保护医护人员的反向手套箱)的报道。
提出了一种简约且优化的设计,用于在常规尺寸厢式货车底盘上构建多功能实验室,该设计可作为快速发展额外诊断能力的蓝图。
对于包括当前新冠疫情在内的急性健康威胁,快速诊断感染是推荐旨在预防病原体传播措施的关键。这里提出的类似实验室布局在固定设施中使用,并且移动实验室已在不同平台(拖车、集装箱等)上建造。