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2. Rapid Diagnostic Testing for Response to the Monkeypox Outbreak — Laboratory Response Network, United States, May 17–June 30, 2022

Author

Aden, Tricia A., primary, Blevins, Patricia, additional, York, Shannon Whitman, additional, Rager, Stacy, additional, Balachandran, Devika, additional, Hutson, Christina L., additional, Lowe, David, additional, Mangal, Chris N., additional, Wolford, Tyler, additional, Matheny, Audrey, additional, Davidson, Whitni, additional, Wilkins, Kimberly, additional, Cook, Rachael, additional, Roulo, Rebecca M., additional, White, Michael K., additional, Berman, LaShondra, additional, Murray, Janna, additional, Laurance, John, additional, Francis, Drew, additional, Green, Nicole M., additional, Berumen, Ricardo A., additional, Gonzalez, Anthony, additional, Evans, Stacy, additional, Hudziec, Meghan, additional, Noel, Diane, additional, Adjei, Michael, additional, Hovan, Gregory, additional, Lee, Phil, additional, Tate, Lisa, additional, Gose, Remedios B., additional, Voermans, Robert, additional, Crew, Jennifer, additional, Adam, Phillip R., additional, Haydel, Danielle, additional, Lukula, Salimatu, additional, Matluk, Nick, additional, Shah, Sandip, additional, Featherston, Joshua, additional, Ware, Daphne, additional, Pettit, Denise, additional, McCutchen, Emily, additional, Acheampong, Edward, additional, Buttery, Erin, additional, Gorzalski, Andrew, additional, Perry, Michael, additional, Fowler, Randal, additional, Lee, Robert B., additional, Nickla, Robert, additional, Huard, Richard, additional, Moore, Amanda, additional, Jones, Katie, additional, Johnson, Renee, additional, Swaney, Erin, additional, Jaramillo, Juan, additional, Reinoso Webb, Cynthia, additional, Guin, Brandon, additional, Yost, Janine, additional, Atkinson, Annette, additional, Griffin-Thomas, Latoya, additional, Chenette, Jessica, additional, Gant, Jessica, additional, Sterkel, Alana, additional, Ghuman, Harjinder K., additional, Lute, James, additional, Smole, Sandra C., additional, Arora, Vaneet, additional, Demontigny, Courtney K., additional, Bielby, Meilan, additional, Geeter, Evelyn, additional, Newman, Kimberly A. M., additional, Glazier, Mark, additional, Lutkemeier, Whitney, additional, Nelson, Megan, additional, Martinez, Raymond, additional, Chaitram, Jasmine, additional, Honein, Margaret A., additional, and Villanueva, Julie M., additional

Published
2022
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3. How To Prepare for the Unexpected: a Public Health Laboratory Response

Author

Charlton, Carmen L., primary, Hull, Noah, additional, Sloma, Cari Roark, additional, Bonifas, Mary, additional, Johnson, Matthew, additional, Strain, Anna K., additional, Wolford, Tyler, additional, Staley, Sherrie, additional, Perkins, Carey, additional, Razzaque, Rafia, additional, Courtney, Colleen, additional, and Bind, Eric P., additional

Published
2021
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4. Evaluation of the Laboratory Response Network and Testing Access During the First 10 Weeks of the Mpox Response, United States, May 17–July 31, 2022

Author

Thomas, Katharine L., Aden, Tricia A., Blevins, Patricia A., Raziano, Amanda J., Wolford, Tyler, Honein, Margaret A., and Villanueva, Julie M.

Abstract

Objectives: The Laboratory Response Network (LRN) consists of US and international laboratories that respond to public health emergencies, such as biothreats. We used a qualitative approach to assess the successes and challenges of the LRN during the initial 10 weeks of the 2022 mpox outbreak (May 17–July 31, 2022).Methods: We conducted 9 unstructured interviews, which included 3 interviews with subject matter experts from the Centers for Disease Control and Prevention (CDC) and 6 interviews with state and local public health laboratories and epidemiologists and Association of Public Health Laboratories (APHL) staff. We asked guiding questions on investments in preparedness, successes, and challenges during the initial mpox response and asked for suggestions to improve future LRN responses to infectious disease outbreaks. We also reviewed data from 2 contemporaneous APHL surveys conducted in June and July 2022 in 84 LRN public health laboratories.Results: Notable successes included availability of an assay that had received clearance from the US Food and Drug Administration (FDA) for testing orthopoxviruses (non-variola Orthopoxvirus[NVO] assay) and a trained workforce; strong relationships among FDA, CDC, and the LRN; and strong communications between LRN laboratories and CDC. Challenges included variability among LRN laboratories in self-reported testing capacity, barriers to accessing the NVO assay for health care providers, and gaps in LRN function during surges of testing needs.Conclusions: The LRN system plays an essential role in the response to emerging infectious disease outbreaks in the United States. Lessons learned from the LRN’s initial response to the mpox outbreak can help guide improvements to better position the LRN for future responses, including continued engagement with health care providers, commercial laboratories, and laboratories in health care settings.

Published
2024
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7. Strengthening the US Public Health Lab System: Summary of Coronavirus Disease (COVID-19) After Action Review Workshop.

Author

Shelton SR, Nelson CD, Sullivan M, Wroblewski K, Mueller E, and Wolford T

Subjects
Humans, United States, Pandemics prevention & control, COVID-19 epidemiology, COVID-19 prevention & control, Public Health methods, Public Health trends, SARS-CoV-2, Laboratories organization & administration, Laboratories standards
Abstract

Context: The COVID-19 pandemic highlighted the significance of public health laboratories across the United States, while also revealing weaknesses in the laboratory system., Objective: To identify actionable recommendations for building a more resilient public health laboratory system based on previously published lessons learned from COVID-19., Design, Setting, and Participants: In April 2023, the Association of Public Health Laboratories, in cooperation with RAND , convened a 1.5-day after action review workshop of approximately 30 public health laboratory stakeholders to reevaluate priorities, improve processes, and affect policies., Main Outcome Measures: Analysis of workshop discussions identified 5 priority areas and 19 recommendations related to clarifying laboratories' unique role and promoting workforce capacity/agility, technology, and collaboration with governmental and nongovernmental partners., Results: Within the identified priority areas, workshop participants described how the recommendations would address challenges encountered during COVID-19 and contribute to strengthening the system., Conclusions: As the risk of novel infectious diseases persists and grows, the importance of maintaining laboratory response capabilities is likely to increase. Addressing the system's weaknesses will require active engagement of laboratories and the many stakeholders who depend on them, along with consistent, adequate funding to strengthen and sustain capabilities., Competing Interests: The authors declare that they have no conflicts of interest., (Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.)

Published
2024
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