APHL position statements articulate the informed opinion of members on issues affecting public health laboratory practice and policy.
Biosafety in Our Nation's Laboratories: Sunsets November 2020
Biosafety practices in the nation's laboratories must be enhanced through implementing routine risk assessments and standardized training, identification of true risk and best practices, development of consensus standards and guidelines, and improved reporting of exposure events.
Biomonitoring: Sunsets April 2020
A crucial tool for assessing population exposure to environmental chemicals, biomonitoring must be integrated into environmental and public health systems across the United States.
Policy Regarding EPA Designation of SDWA Principal State Laboratories: Sunsets April 2018
States should continue to designate state public health laboratories as Principal State Laboratories under the Safe Drinking Water Act.
Establishing Legal Requirements for the Submission of Enteric Disease Isolates and/or Clinical Material to Public Health Laboratories: Sunsets January 2020
All public health departments are recommended to establish legal requirements for submission of enteric bacterial disease isolates and/or clinical specimens by hospital and clinical laboratories.
FDA and the Use of Governmental Food and Feed Testing Laboratories: Sunsets March 2022
Recommends that the FDA give preference to state and local food and feed testing laboratories for domestic regulatory testing.
Contributions of State and Local Public Health Laboratories in Development, Implementation and Evaluation of Federal Food Safety Initiatives: Sunsets June 2020
Federal agencies should recruit and appoint state and local public health laboratories to national food safety work group and advisory committees and should actively seek input and expertise on national initiatives from this professional community.
Improving Health Outcomes by Strengthening National Public Health Laboratory Systems Globally: Sunset February 2023
A fully coordinated and integrated National Public Health Laboratory (NPHL) System is essential for the surveillance, detection and response to address public health threats.
Quality Systems for Point of Care Testing: Sunset July 2023
A Quality Management System (QMS) for point of care (POC) testing including rapid diagnostic tests (RDT) is needed to ensure that testing performed in all settings is of high quality globally.
Combating Public Health Threats Using Advanced Technology: Sunsets May 2019
The Advanced Molecular Detection and Response to Infectious Disease Outbreaks Initiative enables public health laboratories to obtain the critical tools necessary to provide their invaluable service to meet the nation’s current and future public health needs.
Sustaining US PHL Capacity for Mosquito-borne Disease Testing: Sunsets October 2022
Public health laboratories (PHLs) must maintain high quality testing capacity to effectively detect and respond to emerging and endemic mosquito-borne diseases relevant to their jurisdiction.
Laboratory Developed Test Regulation
Regulation of Laboratory Developed Tests: Impact on Public Health Laboratories: Sunsets November 2020
Regulatory or legislative approaches to the oversite of laboratory developed tests must preserve the critical and unique work of governmental public health laboratories.
Laboratory Systems and Standards
Rescind CMS' Nursing Degree Equivalency Determination: Sunsets August 2022
The Centers for Medicare and Medicaid (CMS) should immediately rescind its directive that an associate's or bachelor's degree in nursing is equivalent to an associate's or bachelor's degree in a biological science for a high complexity laboratory.
Newborn Screening Contingency Planning: Sunsets December 2022
The Association of Public Health Laboratories (APHL) recommends that all state newborn screening (NBS) systems maintain and update a Continuity of Operations Plan (COOP) that ensures minimal or no interruption of services.
Newborn Screening Residual Dried Blood Spot Specimens: Sunsets August 2022
APHL supports the position that public health newborn screening (NBS) programs should be able to store and use residual dried blood spot (DBS) specimens and test results for program activities without requiring parental consent.
Newborn Screening Short Term Follow-Up: Sunsets July 2022
Timely, efficient and integrated short term follow-up programs are a critical and necessary component of a successful newborn screening (NBS) system.
Parental Consent for Newborn Screening: Sunsets July 2022
The Association of Public Health Laboratories (APHL) supports the position that public health newborn screening (NBS) should be mandated and should not require parental consent.
Quality Assurance and Quality Control in the Newborn Screening Laboratory: Sunsets December 2020
Supports the effort to assure and sustain the highest quality of testing by public health newborn screening programs. As part of its support, APHL endorses the role of the CDC Newborn Screening Quality Assurance Program and urges expansion of its services for disorders screened by state NBS programs.
Public Health Preparedness and Response
The Need for a Quality Assurance Program for Kits and Devices Used in the Field to Screen for Hazardous Biological and Chemical Warfare Agents: Sunsets September 2018
Opposes the use of biological and chemical warfare agent screening kits and devices for use in the field in the absence of a federally-approved quality assurance program, which encompasses performance verification, field validation, proficiency testing, training and annual competency assessment in the application of these kits and devices.
The Need for Sustained Funding of PHLs to Ensure All-Hazard Preparedness: Sunsets October 2022
To ensure PHL’s remain at the frontline to respond
to all-hazard public health threats, it is essential to
our Nations’ preparedness that public health
laboratories receive sustained funding to acquire
and maintain 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