List of laboratory biosecurity incidents

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This list of laboratory biosecurity incidents includes accidental laboratory-acquired infections and laboratory releases of lethal pathogens, containment failures in or during transport of lethal pathogens, and incidents of exposure of lethal pathogens to laboratory personnel, improper disposal of contaminated waste, and/or the escape of laboratory animals. The list is grouped by the year in which the accident or incident occurred and does not include every reported laboratory-acquired infection.

Contents

Date (yyyy-mm-dd)Main articlePathogenCountryDescription
1903 Bacillus mallei United StatesA laboratory worker became infected with bacterium Burkholderia mallei and developed glanders while performing an autopsy on an inoculated guinea-pig. She had a small open wound on her finger while working. The laboratory worker survived. [1]
1932B virusUnited StatesWilliam Brebner died from a viral infection after being bitten by a rhesus monkey during research. The viral agent was later discovered to be the B virus, which was named in memory of Brebner. [2] [3]
1943-05-20 Dora Lush Scrub typhus Dora Lush died after accidentally pricking her finger with a needle containing lethal scrub typhus while attempting to develop a vaccine for the disease.
1960–1993Foot and mouth diseaseEurope Foot-and-mouth disease virus accidentally released at least 13 times from European laboratories, including those producing FMDV vaccines, between 1960 and 1993 causing nearby foot-and-mouth disease outbreaks. [4]
1966 1966 smallpox outbreak in the United Kingdom SmallpoxUnited KingdomThe 1966 smallpox outbreak in the United Kingdom was an outbreak of mild smallpox which began with Tony McLennan, a photographer at the Medical School in Birmingham, which housed a smallpox laboratory and where 12 years later a fatal smallpox outbreak would occur, also beginning with a medical photographer. [5]
1967 1967 Marburg virus outbreak in West Germany Marburg

virus

GermanyThe 1967 Marburg virus outbreak in West Germany was an outbreak of Marburg hemorrhagic fever initial among laboratory workers who were exposed to imported African green monkeys or their tissues while conducting research. A total of 31 people (laboratory workers and their contacts) became sick, seven of whom died. [6]
1971-07-30 1971 Aral smallpox incident SmallpoxSoviet UnionThe 1971 Aral smallpox incident was the outbreak of viral disease which occurred as a result of a field test at a Soviet biological weapons facility on an island in the Aral Sea. The incident sickened ten people, of whom three died, and came to widespread public notice only in 2002. [7]
1972-03 [8] SmallpoxUnited KingdomA 23 year old laboratory assistant at the London School of Hygiene and Tropical Medicine, was infected with smallpox after observing the harvesting of live smallpox virus from eggs without isolation cabinets at that time. The assistant was hospitalised and before being isolated, she infected two visitors to a patient in an adjacent bed, both of whom died. They in turn infected a nurse, who survived. [9]
1963–1977NigeriaBetween 1963 and 1977 at the Virus Research Laboratory, Ibadan, Nigeria: "Two cases of Chikungunya infection occurred and one each with Dugbe, Wesselsbron, and Dengue viruses ... Among 22 staff members who were monitored during this interval, three seroconverted to Orungo virus and two each to Chikungunya and Rift Valley fever viruses, without experiencing any clinically recognized disease". [10]
1976EbolaUnited Kingdom Ebola laboratory infection by the accidental stick of contaminated needle in the United Kingdom. [11]
1977–1979 1977 Russian flu H1N1 influenza virusSoviet Union / ChinaH1N1 influenza virus reappeared circulating in humans in 1977, in the Soviet Union and China. Some virologists, including Joel Wertheim, Shanta Zimmer, and Donald Burke, have suggested the cause of the reappearance was a laboratory escape of a 1949-1950 virus, based on serologic and genetic testing. [12] The WHO conducted an investigation in 1978, after which they concluded the virus was likely not of laboratory origin. [13] [14] Other virologists, such as Peter Palese and Chi-Ming Chu, have suggested the 1977 outbreak was the result of human challenge trials of a vaccine against the 1950 H1N1 virus. [15] [16]
1978-08-11 1978 smallpox outbreak in the United Kingdom SmallpoxUnited KingdomThe 1978 smallpox outbreak in the United Kingdom occurred due to accidental exposure of a strain of smallpox virus that had been grown in a research laboratory in The East Wing of the University of Birmingham Medical School, leading to the illness and death of Janet Parker, who became the last recorded person to die of the disease.
1978 Plum Island Animal Disease Center Foot and mouth diseaseUnited StatesFoot and mouth disease was released to animals outside the center. [17]
1979-04-02 Sverdlovsk anthrax leak AnthraxSoviet UnionSpores of anthrax were accidentally released from a Soviet military research facility near the city of Sverdlovsk, Russia (now Yekaterinburg), resulting in approximately 100 deaths, although the exact number of victims remains unknown. The cause of the outbreak was denied by the Soviet authorities, and all medical records of the victims were removed to hide serious violations of the Biological Weapons Convention that had come in effect in 1975. [18] Scientists from the United States ultimately proved the incident was the result of an aerosolized plume of anthrax spores which were genetically identical to the strain studied in a nearby laboratory, not from environmentally contaminated meat, which was the official Soviet explanation. [19] The accident is sometimes referred to as "biological Chernobyl". [20]
1988 Marburg virus disease Marburg virusSoviet UnionResearcher Nikolai Ustinov was lethally infected with the Marburg virus after accidentally pricking himself with a syringe used for inoculation of guinea pigs. The accident occurred at the Scientific-Production Association "Vektor" (today the State Research Center of Virology and Biotechnology "Vektor") in Koltsovo, USSR (today Russia). [21]
1990 Marburg virus outbreak Marburg virusSoviet UnionThere was an outbreak of Marburg virus due to a laboratory accident in Koltsovo, Soviet Union, killing one lab worker. [22]
2001 2001 anthrax attacks AnthraxUnited StatesOn September 18, 2001, one week after the September 11 terrorist attacks, letters containing anthrax spores were mailed to several news media offices and to Democratic Senators Tom Daschle and Patrick Leahy, killing five people and infecting 17 others. According to the Federal Bureau of Investigation, the ensuing investigation became "one of the largest and most complex in the history of law enforcement". [23] On August 6, 2008, Federal prosecutors declared Bruce Edwards Ivins the sole culprit, based on DNA evidence leading to an anthrax vial in his lab. [24]
2002Anthrax2002 Fort Detrick anthrax containment breach [25]
2002West Nile virusTwo cases of laboratory-acquired West Nile virus infections through dermal punctures. [26]
2002Arthroderma benhamiaeJapanIncident in Japan with Arthroderma benhamiae  [ sv ]. [27]
2003-08 Severe acute respiratory syndrome SARSSingaporeA 27-year-old doctoral student at the Singapore General Hospital (SGH) developed symptoms consistent with severe acute respiratory syndrome (SARS). An investigation found that the student was infected with samples from SARS coronavirus in the Department of Pathology, while its two BSL-2 and BSL-3 laboratories were undergoing renovation, which compromised safety practices. [28]
2003-12 Severe acute respiratory syndrome SARSTaiwanA 44-year-old senior scientist at the National Defense University in Taipei was confirmed to have the SARS virus. He had been working on a SARS study in Taiwan's only BSL-4 lab. The Taiwan CDC later stated the infection occurred due to laboratory misconduct. [29] [30]
2004-04 Severe acute respiratory syndrome SARSChinaTwo researchers at the Chinese Center for Disease Control and Prevention contracted the virus in Beijing, China around April 2004, and then spread the infection to around six other people. The two researchers contracted the virus in two incidents, two weeks apart. [31]
2004-05-05 [32] EbolaRussiaA researcher at Russian biological weapons research facility VECTOR died after accidentally pricking herself with a needle contaminated with the Ebola virus. [33]
2004 Plum Island Animal Disease Center Foot and mouth diseaseUnited StatesTwo incidents of Foot-and-mouth disease outbreak at Plum Island.
2004TBUnited StatesA researcher and two technicians at the Infectious Disease Research Institute were infected with tuberculosis while developing a vaccine for the disease. The exact cause of the infection is unknown, but the accident occurred while infecting guinea pigs in a small chamber with the bacteria. [34]
2005H2N2 influenza virusUnited States and 17 other countriesThe 1957 pandemic strain of H2N2 influenza virus was included in routine testing kits sent to over 5,000 laboratories, mostly in the United States. [35] The virus was to be used as a positive control in the testing kits when prepared by Meridien Biosciences, but as no one born after 1968 likely has immunity to the virus, this was considered an "unwise" choice of strain by Klaus Stohr, WHO influenza chief at the time. [36]
2005 - 2015AnthraxUnited StatesFrom 2005 to 2015, the U.S. Army Dugway Proving Ground mistakenly shipped live anthrax at least 74 times to dozens of labs. [37] [38]
2007-07 2007 United Kingdom foot-and-mouth outbreak Foot and mouth diseaseUnited KingdomThe 2007 United Kingdom foot-and-mouth outbreak was the accidental discharge of virus FMDV BFS 1860 O from a laboratory of the Institute for Animal Health in Pirbright, through possible leakage from broken pipework and via unsealed overflowing manholes, leading to foot-and-mouth disease infections at multiple nearby farms and the culling of over 2,000 animals. [39]
2006BrucellaTexas [40] [41] [42]
2006Q FeverTexas [43] [44] [45]
2009-03-12EbolaGermanyInfection of a German researcher following an accidental laboratory exposure to Ebola, a virus with a high fatality rate. [46]
2009-09-13 Malcolm Casadaban Yersinia pestisUnited States Malcolm Casadaban died following an accidental laboratory exposure to an attenuated strain of Yersinia pestis , a bacterium that causes the plague. [47]
2010Classical Swine Fever Virus (Hog cholera)United StatesIn 2010 a release of Classical Swine Fever virus, also known as hog cholera, resulted in the illness of two animals, which were euthanized. [48]
2010CowpoxUnited StatesCross‐contamination led to the first laboratory‐acquired human cowpox virus infection in the US in a laboratory worker conducting research on non-orthopoxvirus. [49]
2011DengueAustraliaA scientist at a research laboratory in Australia got infected with Dengue through a mosquito bite in the laboratory. [50]
2012AnthraxUnited KingdomThe UK's Animal and Plant Health Agency sent out live samples of anthrax by mistake. Its Surrey lab was subject to a Crown Prohibition Notice (CPN), closing it until improvements were made. [51]
2012-04-28 Neisseria meningitidis United StatesRichard Din died after being infected during vaccine research into Neisseria meningitidis bacteria at a lab inside San Francisco's VA medical center. [52]
2013H5N1 influenza virusUnited StatesA researcher at the Center for Infectious Disease Research in Milwaukee accidentally punctured his gloved hand with a needle loaded with H5N1, a highly pathogenic avian influenza. This incident was one of four notifiable accidents involving dermal punctures at the facility. [53]
2014H1N1 influenza virusUnited StatesEight mice, some of which may have possibly been infected with SARS or the H1N1 influenza virus, escaped primary containment at a laboratory at the University of North Carolina-Chapel Hill. [54] The mice were recovered quickly within the lab and no transmission to workers was identified.
2014-03-12H5N1 influenza virusUnited StatesAccidental shipping of H9N2 vials contaminated with H5N1 from the CDC lab to a USDA lab. [55]
2014-06-05AnthraxUnited StatesAccidental exposure of viable anthrax to 75 personnel at CDC's Roybal Campus. [56] [57] [58]
2014-07-01SmallpoxUnited StatesDiscovery of six vials containing viable smallpox from the 1950s labeled as Variola (another word for smallpox) in a Food and Drug Administration-managed room on the campus of the National Institutes of Health. [59]
2014Burkholderia pseudomalleiUnited StatesHighly toxic Burkholderia pseudomallei bacteria escaped from a BSL-3 laboratory at the Tulane National Primate Research Center near New Orleans, likely on employees' clothes, infecting two monkeys that lived in outdoor cages and later infecting others. [60]
2014EbolaSierra LeoneA Senegalese epidemiologist was infected with Ebola at a BSL-4 laboratory in Kailahun, Sierra Leone. The World Health Organization later shut down the lab. [61]
2014DengueSouth KoreaA 30-year-old female laboratory worker in South Korea working at a BSL-2 was infected with Dengue through a needlestick injury. [62]
2016Zika virusUnited StatesResearcher infected with zika virus in a laboratory accident at University of Pittsburgh. [63]
2016Nocardia testaceaAustralia30 members of staff were exposed to toxic Nocardia testacea bacteria at a CSIRO's Black Mountain site in Canberra, Australia. [64] The Australian government has confirmed this incident as one of two biosecurity incidents. [65]
2016 - 2017BrucellaChinaIn 2016 and 2017, hospital cleaning staff in Nanchang (Jiangxi, China) were accidentally infected with Brucella. [66]
2018EbolaHungary Ebola from a laboratory accident led to a single worker being exposed to the Ebola virus, though he did not develop symptoms. [67]
2019-09-17RussiaA gas explosion occurred at Vector. One worker suffered third-degree burns, and the blast blew out window panes. [68] In a statement, Vector said that no biohazard material was stored in the room where the explosion occurred. [69]
2019 2021 French moratorium on prion research PrionsFranceÉmilie Jaumain died from variant Creutzfeldt-Jakob disease (vCJD) ten years after pricking her thumb during an experiment with prion-infected mice at the Research Institute for Agriculture, Food and Environment (INRAE). [70] [71]
2019BrucellaChinaAn accident in a laboratory at the Lanzhou Veterinary Research Institute  [ zh ] caused 65 workers to become infected with brucellosis. [72] More than 10,000 residents of Lanzhou were infected by November 2020. [73] The outbreak was reportedly caused by incompletely sterilized waste gas from a nearby biopharmaceutical factory. The resulting bacteria-containing aerosols were carried in the wind to the Veterinary Research Institute, where the first cases were recorded in November 2019. [74]
2021SARS-COV-2TaiwanIn November 2021, a lab worker at a high-biosecurity facility in Taipei contracted COVID despite there being no other confirmed local cases at the time, raising suspicions of a lab leak. The sequence of the virus was then found to match a SARS-CoV-2 Delta variant contained in the lab, rather than the local strains of the virus previously in circulation in the community. This is deemed the first reported lab leak of the COVID-19 virus. None of the 110 contacts later identified as exposed to the worker tested positive for the virus. [75]
2022 Polio NetherlandsRoutine wastewater surveillance of the vaccine production facility at Utrecht Science Park/Bilthoven  [ nl ] detected infectious poliovirus from a sample collected on 15 November 2022. Full genome sequencing indicated the sample was shedded from an active human infection of wild poliovirus type 3 (WPV3), and further testing of all employees with access to WPV3 found one employee was infected. The employee was isolated until their polio infection was resolved. It remains unclear how the employee became infected given the biosafety measures used at the facility. [76]

See also

Related Research Articles

<span class="mw-page-title-main">Biological warfare</span> Use of strategically designed biological weapons

Biological warfare, also known as germ warfare, is the use of biological toxins or infectious agents such as bacteria, viruses, insects, and fungi with the intent to kill, harm or incapacitate humans, animals or plants as an act of war. Biological weapons are living organisms or replicating entities. Entomological (insect) warfare is a subtype of biological warfare.

<span class="mw-page-title-main">Bioterrorism</span> Terrorism involving biological agents

Bioterrorism is terrorism involving the intentional release or dissemination of biological agents. These agents include bacteria, viruses, insects, fungi, and/or their toxins, and may be in a naturally occurring or a human-modified form, in much the same way as in biological warfare. Further, modern agribusiness is vulnerable to anti-agricultural attacks by terrorists, and such attacks can seriously damage economy as well as consumer confidence. The latter destructive activity is called agrobioterrorism and is a subtype of agro-terrorism.

<span class="mw-page-title-main">Zoonosis</span> Disease that can be transmitted from other species to humans

A zoonosis or zoonotic disease is an infectious disease of humans caused by a pathogen that can jump from a non-human to a human and vice versa.

<span class="mw-page-title-main">Biosafety</span> Prevention of large-scale loss of biological integrity

Biosafety is the prevention of large-scale loss of biological integrity, focusing both on ecology and human health. These prevention mechanisms include the conduction of regular reviews of biosafety in laboratory settings, as well as strict guidelines to follow. Biosafety is used to protect from harmful incidents. Many laboratories handling biohazards employ an ongoing risk management assessment and enforcement process for biosafety. Failures to follow such protocols can lead to increased risk of exposure to biohazards or pathogens. Human error and poor technique contribute to unnecessary exposure and compromise the best safeguards set into place for protection.

<span class="mw-page-title-main">Marburg virus disease</span> Human viral disease

Marburg virus disease is a viral hemorrhagic fever in human and non-human primates caused by either of the two Marburgviruses: Marburg virus (MARV) and Ravn virus (RAVV). Its clinical symptoms are very similar to those of Ebola virus disease (EVD).

<span class="mw-page-title-main">Biosafety level</span> Set of biocontainment precautions

A biosafety level (BSL), or pathogen/protection level, is a set of biocontainment precautions required to isolate dangerous biological agents in an enclosed laboratory facility. The levels of containment range from the lowest biosafety level 1 (BSL-1) to the highest at level 4 (BSL-4). In the United States, the Centers for Disease Control and Prevention (CDC) have specified these levels in a publication referred to as BMBL. In the European Union, the same biosafety levels are defined in a directive. In Canada the four levels are known as Containment Levels. Facilities with these designations are also sometimes given as P1 through P4, as in the term P3 laboratory.

<span class="mw-page-title-main">Biological hazard</span> Biological material that poses serious risks to the health of living organisms

A biological hazard, or biohazard, is a biological substance that poses a threat to the health of living organisms, primarily humans. This could include a sample of a microorganism, virus or toxin that can adversely affect human health. A biohazard could also be a substance harmful to other living beings.

<i>Filoviridae</i> Family of viruses in the order Mononegavirales

Filoviridae is a family of single-stranded negative-sense RNA viruses in the order Mononegavirales. Two members of the family that are commonly known are Ebola virus and Marburg virus. Both viruses, and some of their lesser known relatives, cause severe disease in humans and nonhuman primates in the form of viral hemorrhagic fevers.

<i>Marburgvirus</i> Genus of virus

The genus Marburgvirus is the taxonomic home of Marburg marburgvirus, whose members are the two known marburgviruses, Marburg virus (MARV) and Ravn virus (RAVV). Both viruses cause Marburg virus disease in humans and nonhuman primates, a form of viral hemorrhagic fever. Both are select agents, World Health Organization Risk Group 4 Pathogens, National Institutes of Health/National Institute of Allergy and Infectious Diseases Category A Priority Pathogens, Centers for Disease Control and Prevention Category A Bioterrorism Agents, and are listed as Biological Agents for Export Control by the Australia Group.

<span class="mw-page-title-main">Viral hemorrhagic fever</span> Type of illnesses

Viral hemorrhagic fevers (VHFs) are a diverse group of animal and human illnesses. VHFs may be caused by five distinct families of RNA viruses: the families Filoviridae, Flaviviridae, Rhabdoviridae, and several member families of the Bunyavirales order such as Arenaviridae, and Hantaviridae. All types of VHF are characterized by fever and bleeding disorders and all can progress to high fever, shock and death in many cases. Some of the VHF agents cause relatively mild illnesses, such as the Scandinavian nephropathia epidemica, while others, such as Ebola virus, can cause severe, life-threatening disease.

<span class="mw-page-title-main">State Research Center of Virology and Biotechnology VECTOR</span> Russian government public health agency

The State Research Center of Virology and Biotechnology VECTOR, also known as the Vector Institute, is a biological research center in Koltsovo, Novosibirsk Oblast, Russia. It has research facilities and capabilities for all levels of biological hazard, CDC levels 1–4. It is one of two official repositories for the now-eradicated smallpox virus, and was part of the system of laboratories known as the Biopreparat.

Orthopoxvirus is a genus of viruses in the family Poxviridae and subfamily Chordopoxvirinae. Vertebrates, including mammals and humans, and arthropods serve as natural hosts. There are 12 species in this genus. Diseases associated with this genus include smallpox, cowpox, horsepox, camelpox, and mpox. The most widely known member of the genus is Variola virus, which causes smallpox. It was eradicated globally by 1977, through the use of Vaccinia virus as a vaccine. The most recently described species is the Alaskapox virus, first isolated in 2015.

<span class="mw-page-title-main">Emerging infectious disease</span> Infectious disease of emerging pathogen, often novel in its outbreak range or transmission mode

An emerging infectious disease (EID) is an infectious disease whose incidence has increased recently, and could increase in the near future. The minority that are capable of developing efficient transmission between humans can become major public and global concerns as potential causes of epidemics or pandemics. Their many impacts can be economic and societal, as well as clinical. EIDs have been increasing steadily since at least 1940.

The species Bundibugyo ebolavirus is the taxonomic home of one virus, Bundibugyo virus (BDBV), that forms filamentous virions and is closely related to the infamous Ebola virus (EBOV). The virus causes severe disease in humans in the form of viral hemorrhagic fever and is a Select agent, World Health Organization Risk Group 4 Pathogen, National Institutes of Health/National Institute of Allergy and Infectious Diseases Category A Priority Pathogen, Centers for Disease Control and Prevention Category A Bioterrorism Agent, and is listed as a Biological Agent for Export Control by the Australia Group.

<span class="mw-page-title-main">Marburg virus</span> Species of filamentous virus responsible for hemorrhagic fever

Marburg virus (MARV) is a hemorrhagic fever virus of the Filoviridae family of viruses and a member of the species Marburg marburgvirus, genus Marburgvirus. It causes Marburg virus disease in primates, a form of viral hemorrhagic fever. The virus is considered to be extremely dangerous. The World Health Organization (WHO) rates it as a Risk Group 4 Pathogen. In the United States, the National Institute of Allergy and Infectious Diseases ranks it as a Category A Priority Pathogen and the Centers for Disease Control and Prevention lists it as a Category A Bioterrorism Agent. It is also listed as a biological agent for export control by the Australia Group.

Ravn virus is a close relative of Marburg virus (MARV). RAVV causes Marburg virus disease in humans and nonhuman primates, a form of viral hemorrhagic fever. RAVV is a Select agent, World Health Organization Risk Group 4 Pathogen, National Institutes of Health/National Institute of Allergy and Infectious Diseases Category A Priority Pathogen, Centers for Disease Control and Prevention Category A Bioterrorism Agent, and listed as a Biological Agent for Export Control by the Australia Group.

<span class="mw-page-title-main">Ebola</span> Viral hemorrhagic fever of humans and other primates caused by ebolaviruses

Ebola, also known as Ebola virus disease (EVD) and Ebola hemorrhagic fever (EHF), is a viral hemorrhagic fever in humans and other primates, caused by ebolaviruses. Symptoms typically start anywhere between two days and three weeks after infection. The first symptoms are usually fever, sore throat, muscle pain, and headaches. These are usually followed by vomiting, diarrhoea, rash and decreased liver and kidney function, at which point some people begin to bleed both internally and externally. It kills between 25% and 90% of those infected – about 50% on average. Death is often due to shock from fluid loss, and typically occurs between six and 16 days after the first symptoms appear. Early treatment of symptoms increases the survival rate considerably compared to late start. An Ebola vaccine was approved by the US FDA in December 2019.

<span class="mw-page-title-main">Infectious diseases (medical specialty)</span> Medical specialty dealing with the diagnosis, control and treatment of infections

Infectious diseases (ID), also known as infectiology, is a medical specialty dealing with the diagnosis and treatment of infections. An infectious diseases specialist's practice consists of managing nosocomial (healthcare-acquired) infections or community-acquired infections. An ID specialist investigates and determines the cause of a disease. Once the cause is known, an ID specialist can then run various tests to determine the best drug to treat the disease. While infectious diseases have always been around, the infectious disease specialty did not exist until the late 1900s after scientists and physicians in the 19th century paved the way with research on the sources of infectious disease and the development of vaccines.

Gain-of-function research is medical research that genetically alters an organism in a way that may enhance the biological functions of gene products. This may include an altered pathogenesis, transmissibility, or host range, i.e., the types of hosts that a microorganism can infect. This research is intended to reveal targets to better predict emerging infectious diseases and to develop vaccines and therapeutics. For example, influenza B can infect only humans and harbor seals. Introducing a mutation that would allow influenza B to infect rabbits in a controlled laboratory situation would be considered a gain-of-function experiment, as the virus did not previously have that function. That type of experiment could then help reveal which parts of the virus's genome correspond to the species that it can infect, enabling the creation of antiviral medicines which block this function.

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