National Series Lecture 4 National Measures Tunisia

1. National SeriesLecture 4 National MeasuresTunisia Bradford Disarmament Research CentreDivision of Peace Studies, University of Bradford, UK Picture Image Transparent Globe by digitalart- from: http://www.freedigitalphotos.net/

2. Outline • Public health • WHO Biosafety/Biosecurity Guidelines (2004) • International Health Regulations (2005) • Laboratory Biorisk Management Standard (2008) • Arms control • BTWC (1972) • Chemical Weapons Convention (1993) • Engagement of life scientists • Oversight • Codes of conduct • Education

3. National implementation

4. 1. Public health Picture Image :Protect Heart by digitalart- from: http://www.freedigitalphotos.net/

5. Laboratory measures Objective • The WHO Laboratory Biosafety Manual is a helpful reference for states that accept the challenge to develop and establish national codes of practice for securing their microbiological assets, yet ensuring their availability for clinical, research and epidemiological purposes. • Codes of practice = a codified list [or guideline or standard of required] of essential safety practices and procedures. (WHO 2004)

6. Laboratory measures Biosafety level (BSL) 1-2 • Access • Authorizing access, hazard signs, and gates/doors closed • Personal protection • Uniforms (coveralls, glasses, and footwear), washing hands • Procedures • No pipetting by mouth, limited and written procedures for clean-up, and procedures minimizing the formation of aerosols and droplets • Laboratory working areas • keeping neat, clean and free of potentially dangerous material at the end of the working day • Biosafety management • This is the responsibility of the laboratory director • Training, evaluation, surveillance and treatment should be provided when necessary

7. Laboratory measures Biosafety level (BSL) 3 BSL 1-2 applies except where modified as follows: • Biohazard symbol must include the name of the laboratory supervisor • Laboratory protective clothing upgrade • Open manipulations of all potentially infectious material contained • Respiratory protective equipment may be necessary Biosafety level (BSL) 4 BSL 3 applies except where modified as follows: • The two-person rule should apply, whereby no individual ever works alone • A complete change of clothing and shoes is required prior to entering the laboratory • Personnel must be trained in emergency extraction procedures • A method of communication for routine and emergency contacts

8. Laboratory measures • No substantial information on a national laboratory biosafety network/association was obtained by the National Series. (Please inform)

9. Exercise 1 Laboratory safety/security: whose responsibility? • Who should be responsible for laboratory safety and security measures (scientists, PI, managers of the institutions or government)?. How should such processes be implemented? • Read the document (the case of Thomas Bulter - Texas Tech University ) and report to the class (10 min).

10. Laboratory measures Is physical protection enough for laboratory safety and security? Laboratory Biorisk Management Standard (CWA-15793:2008) Flexible risk assessment approach = not based on an assumed static level of risk agents but situational • Timing and scope – when to review practices? (e.g.) • Commencement of new work or changes to the programme of work including the introduction of new biological agents • New construction / modifications to laboratories, plant and equipment or its operation; • When considering emergency response and contingency planning requirements;

11. Laboratory measures Laboratory Biorisk Management Standard (CWA-15793:2008) Highlighting the role of the top manager “Top management shall take ultimate responsibility for the organization’s biorisk management system.” Top management includes Officers (Director General, Chief Executive Officer, Chief Operating Officer, Chief Financial Officer, etc.) and Directors of the organization.

12. Laboratory measures Laboratory Biorisk Management Standard (CWA-15793:2008) • Planning for hazard identification, risk assessment and risk control • Identifying roles, responsibilities and authorities of actors • Personnel training, awareness and competence • Operational control (physical and technical procedures) • Emergency response and contingency plans = Wider than the physical protection of agents and toxins Each element is detailed and instructions provided in the document

13. Public health measures • The stated purpose of the International Health Regulations (IHR) 2005 are: "to prevent, protect against, control and provide a public health response to the international spread of disease in ways that are commensurate with and restricted to public health risks, and which avoid unnecessary interference with international traffic and trade.” (WHO 2012a) “3 top priorities of the IHR” (WHO 2012) - States should: • Establish a functioning National IHR Focal Point • Ensure adherence to reporting requirements and verification of public health events. • Assess and strengthen national capacities

14. Public health measures (IHR) 8 Core capacities required of States: • National legislation, policy and financing, • Coordination and NFP communications, • Surveillance, • Response, • Preparedness, • Risk communication, • Human resource, and • Laboratory. See Checklist and Indicators for Monitoring Progress in the Development of IHR Core Capacities in States Parties (WHO/HSE/IHR/2010.1.Rev.1)

15. Public health measures (IHR) Concern • The IHRs do not have an enforcement mechanism (no teeth!) against non-compliance Rationale • Non-compliance risks run by States: • tarnished international image • increased morbidity/mortality of affected populations, • unilateral travel and trade restrictions • economic and social disruption and • public outrage (WHO 2012b)

16. Public health measures (IHR) Tunisia • “Tunisia is some way towards meeting the requirements of IHR (2005) while some specific areas that need to be addressed are highlighted for improvement: standardization of surveillance documents, strengthening the role of the laboratory in surveillance, increased human resources and training.” • “Tunisia's experience can offer some lessons to other countries in this process. While meeting the capacity obligations of IHR (2005) requires investment and commitment, this investment will enable countries to better protect themselves against public health emergencies arising within their borders and threatening from elsewhere in the world.” (Lyons et al 2007)

17. 2. Arms control

18. National implementation of an international legal agreement Biological and Toxin Weapons ConventionArticle IV“Each State Party to this Convention shall, in accordance with its constitutional processes, take any necessary measures to prohibit and prevent the development, production, stockpiling, acquisition, or retention of the agents, toxins, weapons, equipment and means of delivery specified in article I of the Convention.” Chemical Weapons Convention Article VII • “Each State Party shall, in accordance with its constitutional processes, adopt the necessary measures to implement its obligations under this Convention.” 

19. National implementation of an international legal agreement Case of the BTWC – options for States • Existing national regulations are enough to achieve the scope of the BTWC and no further legislation is necessary • Certain amendments of existing laws and regulations are necessary • An act is newly enacted specifically for the BTWC, and • Broader legislation is enacted not only for the BTWC but generally for anti-terrorism acts (ROK 2003) “in accordance with its constitutional process” = No one size fits all

20. National implementation of an international legal agreement Tunisia • BTWC • The national implementation process of the BTWC has been supported by the legislation of penal code, export control and anti-terrorism laws. (VERTIC 2012) • Chemical Weapons Convention (CWC) • No legislation is registered with the CWC website. (OPCW)

21. BTWC: Tunisia’sSubmission of Confidence Building Measures (CBMs) Tunisia has submitted its CBM return regularly in recent years. The CBM returns are currently not opened for the public but available for the members of the BTWC. Table was created based on the database of the UNOG

22. Evolution of the BTWC: strengthening national measures

23. From a traditional disarmament regime to a security architecture Evolution of the BTWC: strengthening national measures Extending threat spectrum > Manmade, safety and natural threats/risks = All hazard approach Institutional evolution > terrorism, crime and public health sectors (e.g. UNSCR1540, Interpol, WHO, OIE, FAO, IFBA)

24. Exercise2 Are legal obligations sufficient to ensure an effective security culture? • Discuss what kind of other national measures (in parallel to laboratory security/safety at institutions and legal obligations) should or could be developed in order to prevent the misuse of the life sciences in society • What kind of other social actors can play a biosecurity role? (10 min) • Report to the class

25. 3. Engagement of life scientists Picture Image Business Team With Puzzle by digitalart- from: http://www.freedigitalphotos.net/

26. Oversight of Research A possible policy process for oversight E.g. USA - TheNational Science Advisory Board for Biosecurity (NSABB) Israel - Steering Committee on Issues in Biotechnological Research in the Age of Terrorism

27. Codes of Conduct InterAcademy Panel (IAP) Statement on Biosecurity (2005) • Endorsed by over 60 national science academies • Defines five fundamental policies: • Awareness; • Safety and security; • Education and information; • Accountability; • Oversight. National example • Royal Netherlands Academy of Arts and Sciences (2005) • A Code of Conduct for Biosecurity • Indonesian Academy of Sciences (forthcoming) (Sudoyo 2011)

28. Education: a national action plan A national biosecurity dual-use action plan model • Identify what is currently taught (a survey) • Develop a network of interested lecturers • Develop appropriate content for courses • Implement pilot courses • Monitor and evaluate pilot courses • Identify and elucidate best practice • Institute clear, active links between industrial partners/associates, defence agencies and academic institutions teaching biosecurity • Develop or participate in an international network to share best practice • Make dual-use/biosecurity education mandatory • Monitor consequential growth of sensible codes and oversight systems • Report on progress to BTWC and relevant scientific meetings

29. Education: a national action plan 1. Developing an educational resource for codes of conduct; 2. Developing capacity building programmes 3. Changing evaluation criteria of funding bodies or review criteria of scientific journals 4. Changing evaluation criteria on higher education institutions 5. Establishing a national advisory board 6. Legislating a biosecurityact Structural 6 • 5 4 Legal Autonomous 3 2 1 Individual

30. National measures: Areas of possible improvement Tunisia • Laboratory safety measures • Efforts have been made and need to continue alongside development of a biosecurity framework • National legislation of the BTWC and the CWC • Efforts have been made, the legislative information to the OPCW can be considered. • Opening the CBM information to the public can be considered. • Education and Codes of Conduct • Implementation of the survey and the development of a national code of conduct for biosecurity will strengthen efforts

31. References • The references cited in this presentation may be found in the Notes section of this slide.