The New Zealand Microbiology Network (NZMN) is an advisory group to the Ministry of Health in New Zealand. It was established in 2014 through a contract from the Ministry of Health to the Institute of Environmental Science and Research (ESR). [1]
The group's stated purpose is "to enable a timely and consistent response to issues relating to laboratory testing and to ensure regular communication between microbiology laboratories in New Zealand". [1]
The membership of the group is around 30 people, most of whom are clinical microbiologists. [2] They include:
In addition, there is provision for two standing observers, the Chair of the Public Health Laboratory Network and a nominated representative of the Australian Department of Health. [1] The Chair of the group is Anja Werno, Chief of Pathology and Medical Director of Microbiology at Canterbury Health Laboratories. [3] [4]
The Microbiology Network has published a number of position statements:
In April 2020, the NZMN advised against routine testing for SARS-CoV-2 of people being transferred into aged care. [5] [7] The NZMN's advice was questioned in the Rosewood rest home outbreak, and a cluster of outbreaks that affected six care homes nationally. [8]
In April 2020 NZMN advised that testing for sexually transmitted diseases be restricted because the tests used some of the same components as were needed for COVID-19 testing. [9] Some parts of the tests were subject to international supply chain issues arising from the COVID-19 pandemic. [9] Testing for sexually transmitted diseases was reported as still being "sidelined" in August of that year. [10]
In September 2021, advice from the NZMN was cited as a "key input" to the Ministry of Health's decision-making about saliva testing for SARS-CoV-2. Six months previously the NZMN had recommended the nasopharyngeal swab as the "gold standard" for testing. In September, in light of research showing that many symptomatic New Zealanders were failing to get tested for the virus, they reversed the earlier decision to not recommend saliva testing for COVID-19. [11]
The Ministry of Health also receives advice on Covid-19 testing from the CT TAG advisory group (COVID-19 Testing Technical Advisory Group). [12]
Bronchoalveolar lavage (BAL) is a diagnostic method of the lower respiratory system in which a bronchoscope is passed through the mouth or nose into an appropriate airway in the lungs, with a measured amount of fluid introduced and then collected for examination. This method is typically performed to diagnose pathogenic infections of the lower respiratory airways, though it also has been shown to have utility in diagnosing interstitial lung disease. Bronchoalveolar lavage can be a more sensitive method of detection than nasal swabs in respiratory molecular diagnostics, as has been the case with SARS-CoV-2 where bronchoalveolar lavage samples detect copies of viral RNA after negative nasal swab testing.
Yuen Kwok-yung is a Hong Kong microbiologist, physician and surgeon. He is a prolific researcher, with most of his nearly 800 papers related to research on novel microbes or emerging infectious diseases. He led a team identifying the SARS coronavirus that caused the SARS pandemic of 2003–4, and traced its genetic origins to wild bats. During the ongoing COVID-19 pandemic, he has acted as expert adviser to the Hong Kong government.
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Mel Krajden is a physician and professor of Pathology and Laboratory Medicine at the University of British Columbia in Vancouver, British Columbia, Canada. He is the medical director of the BCCDC Public Health Laboratory. Dr. Krajden obtained his BSc, MD, and FRCPC at McGill University, followed by a fellowship in Infectious Diseases at Stanford University. He is also the medical director of the Public Health Laboratory at the British Columbia Centre for Disease Control. His research focuses on the prevention and care of hepatitis, human papillomavirus, and human immunodeficiency virus.
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