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Group Work 1. Q uality Assurance Programmes Report from Group A Dr Prem Sanjeev Singh. Group Work 1. Current WHO EQAP for detection of influenza A by PCR. Strengths? Routine feedback Monitors the maintenace of quality and standards Recognizes capactiy Weaknesses?
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Group Work 1 Quality Assurance Programmes Report from Group A Dr Prem Sanjeev Singh
Current WHO EQAP for detection of influenza A by PCR Strengths? • Routine feedback • Monitors the maintenace of quality and standards • Recognizes capactiy Weaknesses? • Not mandatory – laboratories can opt out Areas to improve? • Adjust frequency of testing based on previous results
Other programmes: do you participate in the following? List the labs participating in the following programmes • No for influenza PCR for the Group A countries Fee-paying: • QCMD: Quality Control Molecular Diagnostics, operated by the EU • NEQAS: National External Quality Assessment Scheme, from the UK • CAP: College of American Pathologists, from the US Free: • U. S. CDC Strengths and Weaknesses of the above programmes: no information
Scope of EQAP: Needs to be expanded? If an NIC performs the test routinely and is not required to have the test confirmed by an Collaborating Center, then there should an EQAP> • Virus culture • Antivirals (phenotypic or genotypic) • Sequencing • Serology • Others • Which labs/NICs are doing each of the above? • What methods? • If currently not doing, any plan in the mid-term or long term? • Priority of launching programme?
Scope of EQAP: Needs to be expanded? • Which labs/NICs are doing the above tests? • China, Hong Kong (SAR), Japan • Fiji is not • Which tests? • All three of them • If not doing, any plan to do? • Fiji: plan to do viral cultural in the mid-term; this is a high priority
Preferred features of EQAP? • Number of samples: ten (status quo) • Type of samples: inactivate virus (status quo) for viral cultural, use lyophilized cultures • Frequency : see above: determined by past performance • Time to reporting: one month (status quo) minority view: if treated as a clinical sample, should be shorter • Format of reports: should be simplified • Others