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PPHSN LABNET LABORATORIES
PPHSN LABNET LABORATORIES ATLANTA CDC Hawaii Northern Mariana Islands Hawaii State Laboratory (HSL) Guam Marshall Islands Guam Public Health Lab Federated States of Nauru Micronesia Papua Solomon New Guinea Islands Kiribati Palau Vanuatu Australia BRISBANE QUT QHFSS MELBOURNE VIDRL WHO-CC NRL Tokelau Legend Tuvalu Wallis & Futuna Fiji Nouvelle-Calédonie SUVA Mataika House Samoa American Samoa Niue Tonga NOUMEA Institut Pasteur de Nouvelle-Calédonie New Zealand Cook Islands L1 Lab L2 Lab Polynésie française L3 Lab PAPEETE Institut Louis Malardé Pitcairn Islands WELLINGTON ESR QUT: WHO Arbovirus Reference Centre; QHFSS: Queensland Forensic Scientific Services; VIDRL: Victoria Infectious Diseases Reference Laboratory; WHO-CC: WHO-Collaborating Center for Influenza; NRL: National Serology Reference Laboratory; ESR: Institute of Environmental Science and Research. LabNet Structure LabNet is a three-level network of public health laboratories: L1, L2 and L3, where “level” refers primarily to the role of the laboratory in the network and not to its capacity. • L1 labs are the laboratories of the PPHSN member countries and territories. This level is the closest to patients and clinicians facing an outbreak alert. L1 labs collect samples from suspect patients and when possible use screening tests. They should have ready access to L2 or L3 lab confirmation services for selected diseases. • L2 labs are regional reference labs that perform the first level of confirmation tests for L1 labs. The techniques they run require more training and equipment than those used at L1 labs. They are further supported by L3 labs. L2 regional labs are also L1 labs in their country or territory. • L3 labs are reference laboratories. They are usually internationally recognised labs located in the Pacific Rim countries (mainly Australia, New Zealand and USA). In addition to the L2 disease-specific role, they perform more sophisticated, less urgently needed tests, giving important epidemiological information for the region or in the context of the worldwide surveillance of major diseases (such as dengue virus genotyping, influenza subtyping or Leptospira serogrouping). Structure de LabNet LabNet est un réseau de laboratoires de santé publique de trois niveaux : le niveau 1, le niveau 2 et le niveau 3, chaque niveau se référant au rôle du laboratoire au sein du réseau et non à ses capacités. • Les laboratoires de niveau 1 sont les laboratoires dont disposent les États et territoires membres du ROSSP. Ils sont les plus proches des malades et des cliniciens devant faire face à l’apparition d’une épidémie. Les laboratoires de niveau 1 prélèvent des spécimens sur des malades présumés et, si possible, effectuent des tests de dépistage. Ils devraient avoir facilement accès aux services de confirmation de laboratoires de niveau 2 ou 3 pour certaines maladies. • Les laboratoires régionaux de référence de niveau 2 effectuent les tests de confirmation de premier niveau pour les laboratoires de niveau 1. Les techniques auxquelles ils font appel exigent davantage de compétences et d’équipements que ceux employés par les laboratoires de niveau 1. Ils peuvent ensuite recevoir l’appui des laboratoires de niveau 3. Ce sont des laboratoires de niveau 1 dans leur État ou territoire. • Les laboratoires de niveau 3 sont des laboratoires de référence. Ce sont, en général, des laboratoires reconnus à l’échelon international, situés dans des pays du bassin du Pacifique (essentiellement l’Australie, la Nouvelle-Zélande et les ÉtatsUnis d’Amérique). Outre les fonctions attribuées aux laboratoires de niveau 2 pour certaines maladies, ils effectuent des tests plus complexes ayant un moindre caractère d’urgence, et donnent des informations épidémiologiques importantes pour la région ou intéressant la surveillance à l’échelle du monde entier de maladies répandues (telles que le génotypage du virus de la dengue, le sous-typage de la grippe ou la détermination du sérogroupe des leptospires). PPHSN LABNET REFERENCE LABORATORIES for Dengue ATALANTA CDC Hawaii Northern Mariana Islands Hawaii State Laboratory (HSL) Guam * PUERTO RICO CDC Dengue Reference Lab Marshall Islands Guam Public Health Lab Federated States of Nauru Micronesia Papua Solomon New Guinea Islands Kiribati Palau Vanuatu Wallis & Futuna Fiji Nouvelle-Calédonie BRISBANE WHO Arbovirus Reference Centre (QUT) Legend Tuvalu SUVA Mataika House Australia Tokelau L2 Lab Samoa American Samoa Niue Tonga Cook Islands NOUMEA Institut Pasteur de Nouvelle-Calédonie tion o a Na via Sam s al Ho L3 Lab Polynésie française PAPEETE Institut Louis Malardé (ILM) Pitcairn Islands l pi t a New Zealand RECOMMENDED TESTS FOR DENGUE Screening tests Conformation tests (L1 Laboratory) (L2 or L3 laboratory) ● NS1 Ag Rapid strips ● PCR & Typing ● NS1 Ag ELIZA ● NS1 Combo NS1 / IgG & IgM ● PanBio Antibody test Further characterization (L3 Laboratory) ● Genotyping United States Associated Pacific Islands (USAPI) send samples to HSL (Hawaii) or CDC-Reference Lab (Puerto Rico); All dry blood samples are sent to Institut Louis Malardé. * Indicates a commercial or government laboratory, not in the original PPHSN LabNet list. These laboratories have been contracted by the country or jurisdiction and it is important to include them on the map for a complete understanding of all testing provisions available in the region. Reference Laboratory mapping and shipping of biological specimens in the Pacific - September 2013 PPHSN LABNET REFERENCE LABORATORIES for Leptospirosis Hawaii Northern Mariana Islands Guam Marshall Islands Guam Public Health Lab Federated States of Nauru Micronesia Papua Solomon New Guinea Islands Kiribati Palau Vanuatu BRISBANE Qnsld Health Forensic Scientific Serv. (QHFSS) Wallis & Futuna Fiji SUVA Mataika House Legend L2 Lab Samoa American Samoa Niue Tonga NOUMEA Institut Pasteur de Nouvelle-Calédonie New Zealand RECOMMENDED TESTS FOR LEPTOSPIROSIS Screening tests Conformation tests (L1 Laboratory) (L2 or L3 laboratory) ● PanBio Antibody test ● ELIZA IGM ● ELIZA IGM Tokelau Tuvalu Nouvelle-Calédonie Australia Hawaii State Laboratory (HSL) Cook Islands L3 Lab Polynésie française PAPEETE Institut Louis Malardé Pitcairn Islands AUCKLAND LabPlus* or WELLINGTON ESR/NCBID Further characterization (L3 Laboratory) * Indicates a commercial or government laboratory, not in the original PPHSN LabNet list. These laboratories have been contracted by the country or jurisdiction. It is included on the map for a complete understanding of all testing provisions available in the region. Reference Laboratory mapping and shipping of biological specimens in the Pacific - September 2013 PPHSN LABNET REFERENCE LABORATORIES for Influenza ATALANTA CDC Hawaii Northern Mariana Islands Hawaii State Laboratory (HSL) Guam Marshall Islands Federated States of Nauru Micronesia Papua Solomon New Guinea Islands Kiribati Palau Vanuatu Tokelau Tuvalu Wallis & Futuna Fiji SUVA Mataika House Nouvelle-Calédonie L2 Lab Samoa Tonga MELBOURNE WHO- Collaborating Center for Influenza RECOMMENDED TESTS FOR INFLUENZA Screening tests Conformation tests (L1 Laboratory) (L2 or L3 laboratory) ● Immunofluorescent ● PCR & Sequencing mycroscopy ● Rapid Test kits New Zealand Further characterization (L3 Laboratory) ● Viral culture ● Genotyping PAPEETE Institut Louis Malardé Cook Islands to ME L3 Lab Polynésie française American Samoa Niue NOUMEA Institut Pasteur de Nouvelle-Calédonie Australia Legend C Guam Public Health Lab L BO U -C HO W E RN Pitcairn Islands AUCKLAND LabPlus* or WELLINGTON ESR/NCBID * Indicates a commercial or government laboratory, not in the original PPHSN LabNet list. These laboratories have been contracted by the country or jurisdiction and it is important to include them in the catalog for a complete understanding of all testing provisions available in the region. Reference Laboratory mapping and shipping of biological specimens in the Pacific - September 2013 PPHSN LABNET REFERENCE LABORATORIES for Typhoid Fever ATALANTA CDC Hawaii Northern Mariana Islands Hawaii State Laboratory (HSL) Guam Marshall Islands Guam Public Health Lab Federated States of Nauru Micronesia Papua Solomon New Guinea Islands Kiribati Palau Vanuatu Australia Tokelau Legend Tuvalu Wallis & Futuna Fiji SUVA Mataika Nouvelle-CalédonieHouse NOUMEA Institut Pasteur de Nouvelle-Calédonie Samoa American Samoa Niue Tonga Cook Islands H nal atio oa N m a S via New Zealand RECOMMENDED TESTS FOR TYPHOID FEVER Screening tests Conformation tests (L1 Laboratory) (L2 or L3 laboratory) ● Bacterial culture isolates ● Biochemical identification ● Serotyping confirmation os Polynésie française L1 Lab - Country has its own systems to confirm - For further phenotyping it uses its referral Lab. L2 Lab L3 Lab PAPEETE Institut Louis Malardé Pitcairn Islands al pit WELLINGTON ESR/NCBID Further characterization (L3 Laboratory) ● PHAGE Typing Reference Laboratory mapping and shipping of biological specimens in the Pacific - September 2013 PPHSN LABNET REFERENCE LABORATORIES for Cholera ATALANTA CDC Hawaii Northern Mariana Islands Hawaii State Laboratory (HSL) Guam Marshall Islands Guam Public Health Lab Federated States of Nauru Micronesia Papua Solomon New Guinea Islands Kiribati Palau Vanuatu Australia Tokelau Tuvalu Wallis & Futuna Fiji SUVA Mataika Nouvelle-Calédonie House NOUMEA Institut Pasteur de Nouvelle-Calédonie Samoa American Samoa Niue Tonga via New Zealand RECOMMENDED TESTS FOR CHOLERA Screening tests Conformation tests (L1 Laboratory) (L2 or L3 laboratory) ● Bacterial culture isolates ● Biochemical identification ● Serotyping confirmation Legend Cook Islands al H tion a Na o m a S os Polynésie française L1 Lab - Country has its own systems to confirm - For further phenotyping it uses its referral Lab. L2 Lab L3 Lab PAPEETE Institut Louis Malardé Pitcairn Islands al pit WELLINGTON ESR/NCBID Further characterization (L3 Laboratory) Reference Laboratory mapping and shipping of biological specimens in the Pacific - September 2013 PPHSN LABNET REFERENCE LABORATORIES for Measles ATALANTA CDC Hawaii Northern Mariana Islands Hawaii State Laboratory (HSL) Guam Marshall Islands Guam Public Health Lab Federated States of Nauru Micronesia Papua Solomon New Guinea Islands Kiribati Palau Vanuatu Australia RECOMMENDED TESTS FOR MEASLES Screening tests Conformation tests (L1 Laboratory) (L2 or L3 laboratory) ● none ● ELIZA Legend Tuvalu Wallis & Futuna Fiji SUVA Mataika Nouvelle-CalédonieHouse NOUMEA Institut Pasteur de Nouvelle-Calédonie MELBOURNE VIDRL Tokelau New Zealand L2 Lab Samoa American Samoa Niue Tonga Cook Islands L3 Lab Polynésie française PAPEETE Institut Louis Malardé Pitcairn Islands AUCKLAND LabPlus* Further characterization (L3 Laboratory) * Indicates a commercial or government laboratory, not in the original PPHSN LabNet list. These laboratories have been contracted by the country or jurisdiction and it is important to include them in the catalog for a complete understanding of all testing provisions available in the region. Reference Laboratory mapping and shipping of biological specimens in the Pacific - September 2013 PPHSN LABNET REFERENCE LABORATORIES for HIV ATALANTA CDC Hawaii Northern Mariana Islands Hawaii State Laboratory (HSL) Guam Marshall Islands Guam Public Health Lab Federated States of Nauru Micronesia Papua Solomon New Guinea Islands Kiribati Palau Vanuatu AustraliaBRISBANE Queensland Medical Lab* or Royal Brisbane Hospital* VICTORIA NRL RECOMMENDED TESTS FOR HIV Screening tests Conformation tests (L1 Laboratory) (L2 or L3 laboratory) ● Determine (screen) Tokelau Legend Tuvalu Wallis & Futuna Fiji SUVA Mataika Nouvelle-Calédonie House NOUMEA Institut Pasteur de Nouvelle-Calédonie Samoa American Samoa Niue Tonga Cook Islands oa Na via Sam New Zealand Further characterization (L3 Laboratory) spi l Ho ti o n a Polynésie française L1 Lab - Country has its own systems to confirm - For further phenotyping it uses its referral Lab. L2 Lab L3 Lab PAPEETE Institut Louis Malardé Pitcairn Islands tal AUCKLAND LabPlus* or WELLINGTON ESR/NCBID * Indicates a commercial or government laboratory, not in the original PPHSN LabNet list. These laboratories have been contracted by the country or jurisdiction and it is important to include them in the catalog for a complete understanding of all testing provisions available in the region. All PICTs utilise the National Serology Reference Laboratory for HIV testing validation. Reference Laboratory mapping and shipping of biological specimens in the Pacific - September 2013
