A well-established communication through a Rapid Response Ream (RRT) of the MOHCDGEC at the time of the outbreak, investigations may be handled in different laboratories, thus effective intersectoral communications are employed and:
The laboratory is informed when there is a suspected outbreak, and the nature of that outbreak (haemorrhagic, diarrhoeal, etc).
The NHLQATC communicates results of investigations promptly and accurately to the outbreak investigation team (and to others, depending on communications protocol established). Furthermore, the laboratory has an established mechanism for communicating the results of routine surveillance of infections to the appropriate authorities.
Samples are collected and transported with a competent laboratory personnel using a triple packaging system and accompanying data from the outbreak to the laboratory
The NHLQATC provides a suitably-trained laboratory personnel at the outbreak site to organize specimen collection, packing and transport.
The NHLQATC needs to know:
The NHLQATC should provide:
NHLQATC has staff trained in laboratory investigations of the common causes of outbreaks and able to produce reliable results NHLQATC laboratory manager ensures effective operation of investigations, sufficient ongoing input of specimens to ensure capacity to perform reliable identification of priority pathogens on a day-to-day basis; reliable identification implies necessity for regular quality assurance. For compliance with IHR (2005), ‘countries should have the capacity to provide support to public health laboratory analysis of samples (domestically or through collaborating centres)’ For possible causes of outbreaks for which NHLQATC capacity is lacking, protocols has been established for shipping of specimens outside the country to collaborating centres or other international reference centres.