Lab Matters Summer 2020 | Page 19

ENVIRONMENTAL HEALTH Other Environmental Testing From April 19-May 4, APHL surveyed environmental laboratories and public health lab environmental units in all 50 states to determine their operating status and how COVID-19 was affecting testing of environmental matrices such as water, air, soil and biota. Out of 46 respondents representing 39 states (some states have multiple environmental labs), just over half were fully operational (n=24), about 20% (n=8) had reduced testing, 25% (n=12) had essential testing, and less than 5% (n=2) were closed. If testing had decreased, most statedefined high-priority tests were: • Drinking water • Regulatory compliance samples • Acute health risk • Emergency testing • Proficiency tests • Harmful algal blooms • Per- and polyfluoroalkyl substances. The majority of laboratories were still fully testing drinking, ground, recreational and well water, air and biota, with a 56-69% range for all environmental matrices. Wastewater testing was most likely to be reduced (27%, n=8) and if laboratories did test surfaces, the majority (56%, n=9) stopped. About 80% (n=37) of laboratories started practicing social distancing; approximately 50% (n=24) have implemented masks, staggered work schedules, alternate work schedules and enhanced decontamination procedures; and about a quarter supplied personal protective equipment for non-laboratory staff. Other practices include: • Increasing daily temperature checks • Air ventilation in common areas • Developing new sample drop-off protocols (no public access to building, drop-off limited to certain days, mail-in only) • Allowing employees to leave when work is completed • Increasing flexibility for employees to use leave. Of the 29 laboratories that responded about supply chain issues and their effects on operations, approximately 60% (n=17) had issues. Shortages were primarily cleaning supply/decontamination chemicals, gloves and personal protective equipment. Conversely, many laboratories had ample material supply due to decreased sampling, but they wondered how this might change if there was a need to collect those missing samples. Of the 22 laboratories that had reduced testing, essential testing or closed statuses, only one-third of them referred testing such as high-demand or rapid hold time samples out to a contract laboratory. Otherwise environmental labs were able to keep up with the demand. Because of this, many had not heard any concerns about the effect of decreased testing on current or future environmental health hazards. In fact, one laboratory mentioned they received media attention from their continued air quality monitoring that demonstrated a decrease in air pollutants due to stay-at-home orders. The few laboratories that did mention concerns included state environmental agency inspection reductions and unmonitored surface water and the effect on long-term datasets. At the time of the survey, about 65% (n=24) of laboratories did not have a target date or plan for increasing testing services due to scheduling uncertainty related to COVID-19. Approximately 35% (n=15) were planning to resume back to normal in May or June, mainly because their clients (state programs) were planning to re-start sample collections. As far as overall challenges experienced by environmental labs during this time, they closely mirrored the rest of society: staff working challenges due to high-risk COVID-19 contraction factors, child/elderly care needs, or wanting to avoid exposure in general. • References 1. Wan W, Long H. ‘Cries for help’: Drug overdoses are soaring during the coronavirus pandemic. Washington Post. 2020 Jul 1; Available from: https:// www.washingtonpost.com/health/2020/07/01/ coronavirus-drug-overdose/ 2. The Consequences Of COVID-19 On The Overdose Epidemic: Overdoses Are Increasing. Washington, D.C./ Baltimore, MD Area: Overdose Detection Mapping Application Program (ODMap); 2020 May p. 5. Available from: http://www.odmap.org/Content/docs/ news/2020/ODMAP-Report-May-2020.pdf Of the 29 laboratories that responded about supply chain issues and their effects on operations, approximately 60% (n=17) had issues. Shortages were primarily cleaning supply/decontamination chemicals, gloves and personal protective equipment. PublicHealthLabs @APHL APHL.org Summer 2020 LAB MATTERS 17