The Issues

APHL board member and director of TX lab on Capitol Hill 

APHL position statements articulate the informed opinion of members on issues affecting public health laboratory practice and policy.

Emergency Preparedness

Standardized Validation of Screening Kits and Devices for Use in the Field to Identify Hazardous Biological and Chemical Agents:  Approved February 2007

Opposes the use of biological and chemical agent detection kits and devices for field testing in the absence of performance standardization, field validation and certified individuals trained in the application of these kits and devices.

Download PDF 

Environmental Health

Accreditation of State Environmental Health Laboratories:  Approved April 2005

Strongly encourages the EPA to become a National Environmental Laboratory Accreditation Program accrediting authority and provide accreditation to state environmental laboratory programs.

Download PDF 

Food Safety

Contribution of State and Local Laboratories in Development of Federal Food Safety Policy:  Approved April 2007

States that APHL needs to have representation on food safety coordinating groups, since state laboratories form the backbone of national food safety capacity.

Download PDF 

PulseNet and Foodborne Disease Surveillance:  A Critial National Priority:  Approved April 2007

Recommends that HHS elevate PulseNet laboratory and associated epidemiology activities to a higher level in its food safety priorities and fund the program accordingly.

Download PDF 

Infectious Diseases

The Role of the Public Health Laboratory in Pandemic Influenza:  Preparedness and Response:  Approved September 2006

Supports the inclusion of the public health laboratory in any public health response to pandemic influenza as well as all comprehensive local, state or federal planning for preparedness and response.

Download PDF 

HIV Rapid Testing:  Approved June 2005

Supports rapid HIV testing in settings where turn-around time dictates immediate patient management decisions and where clients often do not return for testing results, provided that it is concurrent with the implementation and maintenance of a comprehensive quality assurance program at the testing site, to include appropriate training, quality control and competency evaluation.

Download PDF 

Technology Transfer from Federal Agencies to Public Health Laboratories:  Approved March 26, 2004

Supports the rapid development and timely transfer of technology and expertise from federal agencies to public health laboratories to assure standardized methods for screening, testing and confirmation for agents of emergent public health significance.

Download PDF 

Use of Non-Culture Assays to Detect Communicable Infectious Agents:  Approved June 10, 2001

Despite the recognized need for rapid non-culture assay methods for individual patient care, all positive results from such tests must be confirmed by additional analyses performed on an isolate of the pathogenic organism. Confirmation enables public health practitioners to trace disease sources, develop intervention strategies, and eliminate threats to the health of the community.

Download PDF 

Newborn Screening

Newborn Screening Follow-Up:  Approved June 2005

Recognizes that infant tracking and follow-up of positive cases and unsatisfactory specimens are critical parts of the newborn screening system that are integral to any program considerations concerning testing, financing and parent/provider education; endorses the follow-up considerations previously published by the American Academy of Pediatrics Newborn Screening Task Force; and supports the two published reports of the Council of Regional Networks for Genetic Services regarding newborn screening systems.

Download PDF 

Residual Newborn Screening (NBS) Specimens:  Approved June 2005

Supports the development of national consensus policies, procedures and standards for retaining residual dried blood spot specimens following newborn screening analysis. These policies and procedures must recognize existing federal regulations for clinical testing, state laws, professional guidelines and ethical and legal precedents.

Download PDF 

Quality Assurance in a Newborn Screening Laboratory:  Approved April 2005

Supports the intense efforts to assure and sustain the highest quality of testing possible for newborn screening for public health programs.

Download PDF 

The Role of the Private Laboratory Sector in Public Health Newborn Screening Programs:  Approved June 5, 2002

Screening of newborns for treatable congenital conditions is a public health program that gives states the statutory or regulatory authority to mandate screening. These screening programs require that the laboratory testing involved be carefully controlled by the state public health agencies responsible for these programs.

Download PDF 

Parental Consent in Public Health Newborn Screening Programs:  Approved June 5, 2002

Clarifies that explicit parental consent is not necessary for mandated public health newborn screening when the panel of screened-for conditions is limited to those of medical consequence which, when detected in the newborn period, can be treated so as to limit the medical consequences of the condition.

Download PDF 

Performance Standards

Developing a Voluntary Public Health Laboratory Performance Standards Program:  Approved June 2006

Supports the creation of voluntary public health laboratory performance standards.

Download PDF 

Workforce

Public Health Laboratory Workforce Shortage:  Approved June 2006

Supports actions to improve the public health laboratory workforce crisis.

Download PDF