Abstract

Laboratory Response Network (LRN) laboratories help protect populations from biological and chemical public health threats. We examined the role of LRN biological laboratories in enhancing capacity to detect and respond to public health infectious disease emergencies in South Korea. The model for responding to infectious disease emergencies leverages standardized laboratory testing procedures, a repository of standardized testing reagents, laboratory testing cooperation among hospital sentinel laboratories and reference laboratories, and maintenance of a trained workforce through traditional and on-demand training. Cooperation among all network stakeholders helps ensure that laboratory response is an integrated part of the national response. The added laboratory testing capacity provided by the US Centers for Disease Control and Prevention LRN assets helps protect persons who reside in South Korea, US military personnel and civilians in South Korea, and those who reside in the continental United States.

Highlights

  • We describe the development of the LRN model in the United States [1], how the US LRN model works by using a 3-tiered system [2], and collaborative efforts to enhance international–US CDC LRN capacity in South Korea [3]

  • The LRN subsequently developed into an integral component of detection and response to outbreaks of severe acute respiratory syndrome (2003), monkeypox (2003), Middle East respiratory syndrome (MERS; 2013), Ebola (2014–2015), and Zika virus infection (2016)

  • The LRN program office worked with the US LRN Army Medical Command partners to select laboratory personnel who were fluent in the Korean language, securityrisk assessment (SRA) approved, and able to take the course themselves and partner with Korea Centers for Disease Control and Prevention (KCDC) laboratory course students at the LRN confirmatory microbiology course to assist with language barriers

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Summary

Introduction

The establishment of LRN-B laboratories in South Korea enables these laboratories to access the standardized LRN testing procedures and reagents. These assets include secure access to standardized pathogen-detection procedures, a repository of quality pathogen-detection reagents, a robust proficiency-testing program, secure laboratory communication and reporting processes, and expertise in Emergency Use Authorizations for emergency response [10].

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Conclusion
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