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Position Statements

Dr. Susan Neill, Director, Laboratory Services Section

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

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Emergency Preparedness

The Need for Sustained Funding of Public Health Laboratories to Ensure All-Hazard Preparedness: Approved February 2012

Essential that public health laboratories receive sustained funding to acquire and maintain the sophisticated instrumentation, highly trained technical staff and essential infrastructure necessary to ensure their ability to respond to all-hazard emergencies quickly and reliably at any time.

APHL Position Statement - The Need for Sustained Funding to Ensure All-Hazard Preparedness. Download PDF.

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.

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.

APHL Position Statement - Accreditation of State Environmental Laboratories, Download PDF

Biomonitoring  Approved March 2010

To realize public health gains from the initial federal investment in biomonitoring, additional federal funding should be made available to thoroughly integrate analytical testing, exposure assessment and clinical outcomes.

APHL Biomonitoring Position Statement, Download PDF

An Interoperable and Integrated Federal Data Exchange Network for Environmental and Environmental Health Data  Approved March 2010

Supports implementation of an inter-operable and standards-based federal data network for laboratories so that data providers and data users can integrate their data submissions or requests among exchange networks to improve routine reporting and homeland security responsiveness. The data submission formats need to be flexible so they can be shared with multiple users, deliver associated laboratory quality control information, and allow automated data review.

APHL Position Statement - Interoperable and Integrated Federal Data Exchange Network for Environmental and Env. Health Data

Food Safety

Use of Non-Culture Assays to Detect Foodborne Infectious Agents: Approved February 2012

Advocates that all positive results from non-culture assays used by clinical laboratories to detect foodborne disease agents of public health concern be confirmed through culture-based identification methods, with a focus on increasing specimen submissions to public health laboratories.

APHL Position Statement -Contribution of State and Local Laboratories in Development of Federal Food Safety Policy, Download PDF

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.

APHL Position Statement - PulseNet and Foodborne Disease Surveillance: A Critical National Priority, Download PDF

PulseNet and Foodborne Disease Surveillance: A Critical 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.

APHL Position Statement - PulseNet and Foodborne Disease Surveillance: A Critical National Priority, Download PDF

Infectious Diseases

Improving Biosafety in our Nation's Laboratories: Approved February 2012

The biosafety of the nation's laboratories should be accomplished by developing consensus standards for construction and operation, by reporting exposure events, by identifying true risk and best practices, and by implementing standardized training instead of implementing additional, formal and costly oversight.

APHL Position Statement -The Role of the Public Health Laboratory in Pandemic Influenza: Preparedness and Response, Download PDF

HIV Rapid Testing:  Approved February 2012

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.  This support is predicated upon the implementation of a comprehensive quality assurance program at the testing site, to include but not be limited to appropriate training, quality control and competency evaluation.

APHL Position Statement - HIV Rapid Testing, Download PDF

Increase in TB Funding for Public Health Laboratories: Approved February 2012

Supports increased federal funding for tuberculosis (TB) control that includes specific support for public health laboratories in order to ensure and enhance diagnostic capability and training for laboratorians and public health personnel leading to improved prevention, control, testing and treatment.

APHL Position Statement - Use of Non- Culture Assays to Detect Communicable Infectious Agents, Download PDF

Technology Transfer from Federal Agencies to Public Health Laboratories: Approved February 2012

States that standardized methods for screening, testing and confirmation for agents of emergent public health signifcance require the rapid development and transfer of technology and expertise from federal agencies to public health laboratories that serve as the first line of defense.

APHL Position Statement - Technology Transfer from Federal Agencies to Public Health Laboratories. Download PDF.

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.

 
 

Newborn Screening

Newborn Contingency Planning: Approved December 2011

Recognizes that all state newborn screening (NBS) systems should have a Continuity of Operations Plan (COOP) that ensures minimal or no interruption of services

APHL Position Statement - Newborn Screening (NBS) Follow-Up, Download PDF

Newborn Screening Follow-up: Approved December 2011

Acknowledges and endorses the follow-up considerations previously published by the American Academy of Pediatrics Newborn Screening Task Force, the Council of Regional Networks for Genetic Services regarding newborn screening systems, and Clinical and Laboratory Standard Institute. 

APHL Position Statement - Residual Newborn Screening (NBS) Specimens, Download PDF

Parental Consent for Newborn Screening:  Approved December 2011

Supports the position that state-mandated newborn screening (NBS) should not require parental consent. If state programs elect to utilize the process of informed consent or dissent for screening, such parental consent or dissent should be clearly documented and maintained as part of the infant’s NBS record.

APHL Position Statement - Quality Assurance in a Newborn Screening Laboratory, Download PDF

Quality Assurance in the Newborn Screening Laboratory: Approved December 2011

Recognizes the intense efforts to assure and sustain the highest quality of testing possible for newborn screening (NBS) for public health programs. Strongly supports the tenets of continuous quality improvement through internal and external quality assurance activities.

APHL Position Statement –Quality Assurance in the Newborn Screening Laboratory, Download PDF

The Role of the Private Sector Laboratory in Public Health Newborn Screening Programs: Approved December 2011

Supports the position that there is a role for private sector laboratories in the provision of state public health newborn screening (NBS) services.

Performance Standards

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

Supports the creation of voluntary public health laboratory performance standards.

APHL Position Statement - Developing a Voluntary Public Health Laboratory Performance Standards Program, Download PDF

Workforce

Psychological Evaluations of Governmental Public Health Laboratory Professionals are Unnecessary:  Approved June 2009 

Opposes requiring psychological assessments of workers in governmental public health laboratory professionals who are registered with the federal government’s National Select Agent Registry Program.

APHL Position - Psychological Evaluations of Governmental Public Health Laboratory Professionals are Unnecessary, Download PDF

Public Health Laboratory Workforce Shortage:  Approved June 2006

Supports actions to improve the public health laboratory workforce crisis.

APHL Position Statement - Public Health Laboratory Workforce Shortage, Download PDF

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