Webinar: Fit Testing and Other Respiratory Program Requirements for COVID-19

WisCon and the Wisconsin State Laboratory of Hygiene (WSLH) in conjunction with the Wisconsin Department of Health Services (DHS) and the State Emergency Operations Center (WEM/SEOC) will be hosting three webinars to orient stakeholders to OSHA respiratory protection requirements, fit testing, medical assessment, and respirator re-use as related to N95 respirators.

 

Webinar Information

 

Tuesday, August 25, 2020 – 9 to 10 AM CST

  • WEBEX VIDEO LINK
    • Event Number: 120 469 0598
    • Event Password: COVID
  • Join by Phone: 1-415-655-0001
    • Access Code: 120 496 0598
    • Password: 26843

Tuesday, August 25, 2020 – 2 to 3 PM CST

  • WEBEX VIDEO LINK
    • Event Number: 120 569 1209
    • Event Password: COVID
  • Join by Phone: 1-415-655-0001
    • Access Code: 120 569 1209
    • Password: 26843

Wednesday, August 26, 2020 – 6 to 7 PM CST

  • WEBEX VIDEO LINK
    • Event Number: 120 214 4464
    • Event Password: COVID
  • Join by Phone: 1-415-655-0001
    • Access Code: 120 214 4464
    • Password: 26843

**Please remember to MUTE your line

 

Agenda
  • Intro to COVID (Dr. Dunkel, DHS)
  • OSHA Respiratory Protection Program Requirements & Medical Assessment Overview (George Gruetzmacher, WSLH/WisCon)
  • Fit Testing Overview (Robert Vercellino, WSLH/WisCon)
  • Respirator Re-Use in Supply Crisis (Kevin Wernet, WEM/SEOC)
  • Q & A Including all Panelists, joined by:
    • OSHA Compliance Assistance Specialists
    • WI Department of Safety & Professional Services

Labor Day Holiday 2020 Hours

Please note the following changes to the Wisconsin State Laboratory of Hygiene’s operations due to the observance of the Labor Day holiday.

The table below lists the hours of operations for our Clinical Specimen Receiving departments.

As always, if there is an emergency, please call the WSLH Emergency Answering Service at 608-263-3280.

 

2601 Agriculture Drive (Direct phone: 608-224-4229)
Date Hours
Saturday, 9/5 6:30 AM-12:30 PM
Sunday, 9/6 9:00 AM-12:30 PM
Monday, 9/7 CLOSED

 

465 Henry Mall (Direct phone Saturdays/Holidays: 608-262-5817)
Date Hours
Saturday, 9/5 7:00 AM-12:00 Noon
Sunday, 9/6 CLOSED
Monday, 9/7

7:00 AM-12:00 Noon

NEWBORN SCREENING SPECIMENS ONLY

Errin Rider Joins WSLH as Associate Director of Clinical Testing

The Wisconsin State Laboratory of Hygiene (WSLH) is pleased to announce that Errin Rider, Ph.D., D(ABMM), M(ASCP)CM, has accepted the position of WSLH Associate Director of Clinical Testing. She will begin her new position on Sept. 1st.

Dr. Rider comes to the WSLH from the Riverside County Public Health Laboratory in California where she serves as Laboratory Director. Prior to that she served as Assistant Laboratory Director of the Louisiana Office of Public Health Laboratories from 2013-2018.

Dr. Rider earned a Bachelors in Science in Biology from San Diego State University followed by earning a Ph.D. in Virology from Harvard University. Following graduation, she was awarded a post-doctoral fellowship at the California Department of Public Health where she trained as a Lab Aspire Fellow in Clinical and Public Health Microbiology. She is a diplomat of the American Board of Medical Microbiology (ABMM) and also has national certification in Clinical Microbiology.

The Associate Director of Clinical Testing is a new position for the WSLH. Dr. Rider will serve as the College of American Pathologists (CAP/CLIA) Laboratory Director for the WSLH and will provide administrative leadership to all clinical testing at the WSLH, which includes Biochemical Genetics, Chemical Emergency Response, Communicable Diseases, Cytology, Cytogenetics, Molecular Genetics, and Newborn Screening. This position will also be responsible for facilitating and overseeing, in collaboration with Division Technical Directors; lab wide quality assurance, safety (including biosafety), and other compliance processes at the WSLH, and serve as the primary WSLH administrative liaison to the Wisconsin Department of Human Services (DHS) and WSLH clinical and healthcare partners.

NEW Legionella RT-PCR Test for Clinical Specimens

Legionellae are common contaminates of artificial water systems, including air-conditioning systems, cooling towers, and jacuzzis where conditions may be optimal for growth and proliferation. Once aerosolized, the bacteria can enter the human respiratory tract and cause disease manifesting as Legionnaires’ disease, a severe form of pneumonia, or Pontiac fever, a self-limiting flu-like illness. Symptoms include fever, chills, muscle aches, headaches, cough, nausea and diarrhea. Onset occurs between 2 and 10 days after exposure.

Health Departments reported nearly 10,000 cases of Legionnaires’ disease in the US in 2018. However, because Legionnaires’ disease is likely underdiagnosed, this number may underestimate the true incidence. About one in 10 people who gets sick from Legionnaires’ disease will die.

Many labs use rapid urine antigen tests for L. pneumophila. However, this test is intended for the detection of serogroup 1(sg1) and may miss a diagnosis of Legionnaires’ disease caused by other serogroups or other Legionella spp. The new WSLH assay allows simultaneous detection and differentiation of Legionella spp., Legionella pneumophila, and Legionella pneumophila sg1 from clinical specimens. The assay targets the ssrA (Legionella species) gene, the mip (L. pneumophila) gene, and the recently identified wzm gene, specific for L. pneumophila sg1. This protocol was adapted from a CDC protocol. It has been validated for use at the WSLH. It has not been cleared by the U.S. Food and Drug Administration.

More Information

Announcement Memo

Reference Manual listing

Webinar: SARS-CoV-2/COVID-19 Lab Update

On July 2, 2020, Dr. Al Bateman, assistant director in the WSLH Communicable Disease Division, gave a SARS-CoV-2/COVID-19 Lab Update focusing on where we have been, where we are and where things might be heading. His talk included in-depth information on testing methodologies and the potential of whole-genome sequencing to help us know even more about the virus and its spread.

Watch it here: https://slhstream2.ad.slh.wisc.edu/Mediasite/Play/62927ee443d643a5aa0869e250a2e32b1d

 

Stanton Receives APHL Gold Standard Award for Public Health Laboratory Excellence

At an online ceremony on June 26th, Noel Stanton received the Gold Standard Award for Laboratory Excellence from the Association of Public Health Laboratories (APHL).

This award is given to an APHL member that makes or has made significant contributions to the technical advancement of public health laboratory science and/or practice.

APHL lauded Stanton’s national reputation and leadership in blood lead testing and chemical emergency preparedness and response.

In 2019, Stanton served in a leadership role for CDC’s Laboratory Response Network for Chemical Threats (LRN-C). As coordinator of one of 10 Level 1 labs nationally, Stanton has provided key leadership at the biannual technical meetings, serving as the chair of the PT workgroup charged with assisting CDC program managers in resolving laboratory issues. His leadership skills are always evident, including his uncanny ability to articulate complex issues in a very diplomatic yet clear and decisive way. Continuing with his long-time association with the blood lead PT, Stanton oversees the LRN-C PT for blood metals (including lead), which serves the entire LRN-C Level 1 and 2 lab network. He has developed collaborative partnerships with a variety of Federal, State and local public health partners.

WSLH Emeritus Medical Director Dr. Stanley Inhorn received the Gold Standard Award for Laboratory Excellence Award in 2009, so Stanton is following in esteemed footsteps.

Awards ceremony short recap video – https://www.aphlblog.org/aphl-celebrates-2020-award-winners/

Full awards ceremony video – https://www.facebook.com/PublicHealthLabs/videos/591673228147072

WSLH Forensic Toxicology Lab Featured in National Opioids Biosurveillance Story

The WSLH Forensic Toxicology lab and its work on opioids biosurveillance in the state and nationally is featured in the latest issue of the Association of Public Health Laboratories (APHL) Lab Matters magazine.

From the article

The forensic laboratory at the Wisconsin State Laboratory of Hygiene is one of a handful of US forensic laboratories housed in a public health laboratory, rather than a law enforcement agency. The laboratory recently began to implement an opioid biosurveillance program, analyzing specimens from impaired drivers while also receiving reports of fatal overdoses from medical examiners.

“We consider ourselves the bookend,” (WSLH Forensic Toxicology Director Amy) Miles said. “I think the US has focused on one side of it or the other. It’s rare for us to have that continuous examination of opioids—or any other drug of abuse, for that matter.” Now, the US is playing “catch-up” to improve its knowledge of overdoses and their causes, she said.

 

 

WSLH COVID Response – Population Health Surveillance

On June 17th, the Wisconsin Department of Health Services (DHS) announced two COVID-19 virus (SARS-CoV-2) population-based surveillance programs – both featuring laboratory analysis by the Wisconsin State Laboratory of Hygiene.

 

Antibody Surveillance

The WSLH Communicable Disease Division will be performing antibody testing for the Past Antibody COVID-19 Community Survey (PACCS).

This study is being led by the Survey of the Health of Wisconsin (SHOW) in the UW School of Medicine and Public Health and “…will determine the prevalence of COVID-19 antibodies throughout the state. Antibodies indicate if a person has been infected with COVID-19 in the past, even if they did not experience symptoms. Antibody testing helps in understanding how many people were infected with COVID-19; it does not provide information regarding the current amount of positive cases and is not an alternative to diagnostic testing. Study participants will receive antibody testing quarterly over the course of the next year.”

 

Wastewater Surveillance

Kayley Janssen pipettes sewage samples before beginning the filtration process.

DHS also announced a statewide program for surveillance of SARS-CoV-2 in wastewater. Looking for COVID-19 virus in wastewater is being heralded as a potential way to identify emerging outbreaks in communities.

The surveillance study will provide for trend analysis and potential early detection of SARS-CoV-2 in communities across the state by monitoring viral RNA in influent streams and sludge at wastewater treatment facilities (WWTF). High frequency sampling will focus on the two largest WWTFs in each of the 21 most populace counties. Lower frequency sampling will take place at 80 additional WWTFs located in more rural WI.

The project will run for a period of one year, beginning June 1, 2020. The project is being led at the WSLH by a team of Environmental Health Division researchers – Dagmara Antkiewicz, Kayley Janssen, Martin Shafer and Jocelyn Hemming. They are collaborating with a researcher at UW-Milwaukee as well as DHS and the Wisconsin Department of Natural Resources.

Here’s a selection of news stories about the announcement –

Milwaukee Journal-Sentinel

https://www.jsonline.com/story/news/2020/06/18/researchers-attack-covid-19-new-way-tracking-virus-sewage/3191077001/

https://www.jsonline.com/story/news/2020/06/17/wisconsin-coronavirus-wastewater-antibody-studies-track-prevalence/3206754001/

WI Public Radio

https://www.wpr.org/dhs-announces-studies-identify-communities-risk-covid-19-outbreaks

Wisconsin State Journal

https://madison.com/wsj/news/local/health-med-fit/2-4-positive-for-covid-19-antibodies-in-madison-area-as-broader-testing-begins/article_89dbdd6f-938e-51f7-a0e0-07680d496bc2.html

4th of July Weekend Hours

Please note the following changes to the Wisconsin State Laboratory of Hygiene’s operations for the weekend of July 4th.

As always, if you have an off-hours emergency, please call the WSLH Emergency Pager at 608-263-3280.

 

DATE

2601 Agriculture Drive

Clinical Specimen Receiving

Direct phone: 608-224-4229

465 Henry Mall

Clinical Specimen Receiving

Direct phone: 608-265-9188

Saturday, July 4, 2020 6:30 AM – 12:30 PM 7:00 AM – 12:00 Noon Newborn Screening Specimens ONLY
Sunday, July 5, 2020 CLOSED CLOSED
Monday, July 6, 2020 6:00 AM – 4:30 PM 6:00 AM – 4:30 PM

WSLH COVID Response –Wastewater Surveillance and PPE Decon

In addition to continued COVID-19 virus testing in the Communicable Disease Division, the WSLH response to the pandemic has expanded to include surveillance for the virus in wastewater as well as helping the state and local communities decontaminate PPE.

 

Wastewater Surveillance

In late May, a team of WSLH Environmental Health Division researchers – Jocelyn Hemming, Dagmara Antkiewicz, Kayley Janssen and Martin Shafer- were successful in obtaining a $1.25 million dollar grant from the WI Department of Health Services (WDHS) to establish a statewide program for surveillance of SARS-CoV-2 (the virus that causes COVID-19) in wastewater.

Looking for COVID-19 virus in wastewater is being heralded as a potential way to identify emerging outbreaks in communities.

The surveillance network will provide for trend analysis and early detection of SARS-CoV-2 in communities across the state by monitoring viral RNA in influent streams and sludge at wastewater treatment facilities (POTWs). High frequency sampling will focus on the two largest POTWs in each of the 21 most populace counties. Lower frequency sampling will take place at 80 additional POTWs located in more rural Wisconsin.

The project will run for a period of one year, beginning June 1, 2020.

Researchers at the UW-Milwaukee School of Freshwater Sciences led by Sandra McLellan will partner with the WSLH team to implement the study. The study team will work in close collaboration with the WDHS and Wisconsin Department of Natural Resources (WDNR) in POTW recruitment, data interpretation and public messaging.

According to Kayley Janssen, the WSLH expects to test about 100 samples a week and that poses one of the project’s first challenges.

“Current methods for this type of testing are for much lower sample numbers,” she said.

In order to jump-start method development for the high-throughput testing, a combo Water Microbiology and Environmental Toxicology team successfully competed for a $10,000 UW/WARF COVID-19 Accelerator Challenge Grant to develop, optimize and implement a higher throughput method of concentration and isolation of SARS-CoV-2 from wastewater. Janssen and Dagmara Antkiewicz are co-PI’s on the grant.

“We want to tease apart what will work well with sensitivity,” Janssen explained.

 

WisCon Helps with PPE Decon and Inspection

One of the long-standing problems in the COVID-19 pandemic has been the shortage of Personal Protective Equipment (PPE) for healthcare workers and first responders, oftentimes requiring them to re-use their N95 respirator face masks. But in order to re-use them, the masks need to be decontaminated.

That’s where the occupational health and safety consultants in the WSLH WisCon Onsite Safety and Health Consultation Program have been providing a vital service to the state.

Building on UV light decontamination methods developed by Nebraska Medicine and the University of Nebraska Medical Center, a strike team of three WisCon consultants – George Gruetzmacher, Robert Vercellino and Kelli Rush – have been working out of the State Emergency Operations Center assisting local communities in implementing PPE decontamination units and providing training.

The WisCon consultants have worked with local emergency management staff and first responders in Sawyer, Jackson and Marquette counties, as well as Lake Delton and several other Wisconsin communities.

In addition to onsite training in the communities, WisCon has created several training videos.

The second WisCon PPE effort focuses on staff going to State warehouses to inspect PPE to ensure suitability for intended use and provide feedback. A rotating team of WisCon consultants have fulfilled this mission including Kelsi Berlinghof, Terry Lawrin, Veronica Scott and Dan Trocke.

Here are some news articles about the WisCon efforts –

https://www.kenoshanews.com/news/local/kfd-decontamination-process-puts-kenosha-ahead-of-the-curve/article_10a43fcd-ff0a-59c7-8828-9a95210d5da6.html

https://www.apg-wi.com/sawyer_county_record/free/new-uv-decontamination-site-to-be-set-up-in-sawyer-county/article_57157a92-8e16-11ea-abcb-df9c840c048d.html

https://www.wiscnews.com/wisconsindellsevents/news/local/dells-lake-delton-emergency-management-unveils-new-decontamination-device-for-public-use/article_74b5b5be-0022-52f9-965d-f9b04120f7d9.html