Pakistan’s experience with risk assessment training and implementation of concepts from the 4th edition of the WHO laboratory biosafety manual

Abstract Introduction The cyclical process of hazard identification, risk assessment, risk mitigation, and review is a key step in developing a biorisk management (BRM) system. This paper describes how this process was initiated in two laboratories in Pakistan using a unique model of blended learning. Methods A training needs analysis showed that the staff had very little knowledge of BRM systems. A workshop using a unique blended model was conducted in which virtual and in-presence learning occurred simultaneously. This workshop aimed to train the participants by applying two key concepts from the World Health Organization Laboratory Biosafety Manual 4th edition: 1) the cyclical process of risk assessment and 2) mapping the core biorisk and establishing heightened control measures in the laboratories of the participants based on the risk assessment. All scenarios and examples used in the training were from the participants’ laboratory work processes. Results Prior to this project, no risk assessment was conducted in these laboratories. After the workshop, a risk assessment was performed for six work processes. In addition, seven core requirements and three heightened control measures were mapped, a biorisk officer was appointed, and a biosafety committee was convened. Furthermore, a biorisk manual, a biological waste management plan, an occupational health center, and a system for audits and inspections are being developed. Discussion and conclusion BRM training is not a one-time effort; it has to be strengthened to ensure the development and implementation of a comprehensive and sustainable BRM system. Training must be applicable to local settings and incremental, in a way that participants are not overloaded with information.