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Chapter 15.6 : Packing and Shipping Infectious Substances

Editor: Amy L. Leber1
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Affiliations: 1: Editor in chief, Department of Laboratory Medicine, Nationwide Children’s Hospital, Columbus, Ohio
Content Type: Reference
Publication Year: 2016

Category: Clinical Microbiology

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Packing and Shipping Infectious Substances, Page 1 of 2

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Abstract:

The information in this procedure is not intended to be an all-inclusive guide to packing and shipping regulations. The information is a summary of the author’s interpretations of the current (as of July 2015) requirements and regulations issued by the following: the International Civil Aviation Organization (ICAO; a specialized United Nations [UN] agency which promotes the international standardization of essentially all technical aspects of aviation, including the transport of dangerous goods), The International Air Transport Association (IATA; a commercial airline trade association), and the U.S. Department of Transportation (DOT; an agency of the federal government).

Citation: Leber A. 2016. Packing and Shipping Infectious Substances, p 15.6.1-15.6.24. In Clinical Microbiology Procedures Handbook, Fourth Edition. ASM Press, Washington, DC. doi: 10.1128/9781555818814.ch15.6
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Packing and Shipping Infectious Substances
Citation: Leber A. 2016. Packing and Shipping Infectious Substances, p 15.6.1-15.6.24. In Clinical Microbiology Procedures Handbook, Fourth Edition. ASM Press, Washington, DC. doi: 10.1128/9781555818814.ch15.6
/content/10.1128/9781555818814.chap15.6.fig15.6-1
Figure 15.6–1
Algorithm for classifying infectious substances. Abbreviations: inact., inactivated; neut., neutralized.
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Image of Figure 15.6–1
Figure 15.6–1

Algorithm for classifying infectious substances. Abbreviations: inact., inactivated; neut., neutralized.

Citation: Leber A. 2016. Packing and Shipping Infectious Substances, p 15.6.1-15.6.24. In Clinical Microbiology Procedures Handbook, Fourth Edition. ASM Press, Washington, DC. doi: 10.1128/9781555818814.ch15.6
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Figure 15.6–2
Labels that indicate an infectious substance (Class 6), proper shipping name, UN number, and quantity of substance.
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Image of Figure 15.6–2
Figure 15.6–2

Labels that indicate an infectious substance (Class 6), proper shipping name, UN number, and quantity of substance.

Citation: Leber A. 2016. Packing and Shipping Infectious Substances, p 15.6.1-15.6.24. In Clinical Microbiology Procedures Handbook, Fourth Edition. ASM Press, Washington, DC. doi: 10.1128/9781555818814.ch15.6
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Figure 15.6–3
Markings that indicate a Biological Substance, Category B, and appropriate UN number.
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Image of Figure 15.6–3
Figure 15.6–3

Markings that indicate a Biological Substance, Category B, and appropriate UN number.

Citation: Leber A. 2016. Packing and Shipping Infectious Substances, p 15.6.1-15.6.24. In Clinical Microbiology Procedures Handbook, Fourth Edition. ASM Press, Washington, DC. doi: 10.1128/9781555818814.ch15.6
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Figure 15.6–4
Labels that indicate a miscellaneous (Class 9) dangerous good (2 kg of dry ice).
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Image of Figure 15.6–4
Figure 15.6–4

Labels that indicate a miscellaneous (Class 9) dangerous good (2 kg of dry ice).

Citation: Leber A. 2016. Packing and Shipping Infectious Substances, p 15.6.1-15.6.24. In Clinical Microbiology Procedures Handbook, Fourth Edition. ASM Press, Washington, DC. doi: 10.1128/9781555818814.ch15.6
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Figure 15.6–5
Label that indicates correct orientation of package during shipping.
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Image of Figure 15.6–5
Figure 15.6–5

Label that indicates correct orientation of package during shipping.

Citation: Leber A. 2016. Packing and Shipping Infectious Substances, p 15.6.1-15.6.24. In Clinical Microbiology Procedures Handbook, Fourth Edition. ASM Press, Washington, DC. doi: 10.1128/9781555818814.ch15.6
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Figure 15.6–6
Label that indicates that the substance must be transported only in cargo (not passenger) aircraft.
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Image of Figure 15.6–6
Figure 15.6–6

Label that indicates that the substance must be transported only in cargo (not passenger) aircraft.

Citation: Leber A. 2016. Packing and Shipping Infectious Substances, p 15.6.1-15.6.24. In Clinical Microbiology Procedures Handbook, Fourth Edition. ASM Press, Washington, DC. doi: 10.1128/9781555818814.ch15.6
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Figure 15.6–7
Label that indicates that an overpack is used and inner packages comply with regulations.
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Image of Figure 15.6–7
Figure 15.6–7

Label that indicates that an overpack is used and inner packages comply with regulations.

Citation: Leber A. 2016. Packing and Shipping Infectious Substances, p 15.6.1-15.6.24. In Clinical Microbiology Procedures Handbook, Fourth Edition. ASM Press, Washington, DC. doi: 10.1128/9781555818814.ch15.6
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Figure 15.6–8
Label that indicates an Exempt Human Specimen.
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Image of Figure 15.6–8
Figure 15.6–8

Label that indicates an Exempt Human Specimen.

Citation: Leber A. 2016. Packing and Shipping Infectious Substances, p 15.6.1-15.6.24. In Clinical Microbiology Procedures Handbook, Fourth Edition. ASM Press, Washington, DC. doi: 10.1128/9781555818814.ch15.6
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Figure 15.6–9
Example of a label that indicates that the outer container has met UN-specified manufacturing standards.
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Image of Figure 15.6–9
Figure 15.6–9

Example of a label that indicates that the outer container has met UN-specified manufacturing standards.

Citation: Leber A. 2016. Packing and Shipping Infectious Substances, p 15.6.1-15.6.24. In Clinical Microbiology Procedures Handbook, Fourth Edition. ASM Press, Washington, DC. doi: 10.1128/9781555818814.ch15.6
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Figure 15.6–10
Example of an appropriately labeled outer package. The primary container inside the package contains an Exempt Human Specimen and is packed according to IATA directions.
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Image of Figure 15.6–10
Figure 15.6–10

Example of an appropriately labeled outer package. The primary container inside the package contains an Exempt Human Specimen and is packed according to IATA directions.

Citation: Leber A. 2016. Packing and Shipping Infectious Substances, p 15.6.1-15.6.24. In Clinical Microbiology Procedures Handbook, Fourth Edition. ASM Press, Washington, DC. doi: 10.1128/9781555818814.ch15.6
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Figure 15.6–11
A completely labeled outer package. The primary container inside the package contains a Biological Substance, Category B (diagnostic or clinical specimen), and is packed according to PI 650.
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Image of Figure 15.6–11
Figure 15.6–11

A completely labeled outer package. The primary container inside the package contains a Biological Substance, Category B (diagnostic or clinical specimen), and is packed according to PI 650.

Citation: Leber A. 2016. Packing and Shipping Infectious Substances, p 15.6.1-15.6.24. In Clinical Microbiology Procedures Handbook, Fourth Edition. ASM Press, Washington, DC. doi: 10.1128/9781555818814.ch15.6
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Figure 15.6–12
A completely labeled outer package. The primary container inside the package contains a Category A infectious substance and is packed according to PI 602.
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Image of Figure 15.6–12
Figure 15.6–12

A completely labeled outer package. The primary container inside the package contains a Category A infectious substance and is packed according to PI 602.

Citation: Leber A. 2016. Packing and Shipping Infectious Substances, p 15.6.1-15.6.24. In Clinical Microbiology Procedures Handbook, Fourth Edition. ASM Press, Washington, DC. doi: 10.1128/9781555818814.ch15.6
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Figure 15.6–13
Shipper’s Declaration for Dangerous Goods showing 13 sections that must be completed by the shipper.
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Image of Figure 15.6–13
Figure 15.6–13

Shipper’s Declaration for Dangerous Goods showing 13 sections that must be completed by the shipper.

Citation: Leber A. 2016. Packing and Shipping Infectious Substances, p 15.6.1-15.6.24. In Clinical Microbiology Procedures Handbook, Fourth Edition. ASM Press, Washington, DC. doi: 10.1128/9781555818814.ch15.6
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Figure 15.6–14
Example of a completed newer (noncolumn form) Shipper’s Declaration.
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Image of Figure 15.6–14
Figure 15.6–14

Example of a completed newer (noncolumn form) Shipper’s Declaration.

Citation: Leber A. 2016. Packing and Shipping Infectious Substances, p 15.6.1-15.6.24. In Clinical Microbiology Procedures Handbook, Fourth Edition. ASM Press, Washington, DC. doi: 10.1128/9781555818814.ch15.6
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References

/content/book/10.1128/9781555818814.chap15.6
1. World Health Organization. 2013. Guidance on regulations for the transport of infectious substances, 2013–2014. World Health Organization, Geneva, Switzerland. www.who.int/ihr/publications/who_hse_ihr_2012.12/en/.
2. McKay J, Fleming DO. 2000. Packaging and shipping biological materials, p 411–425. In Fleming DO, Hunt DL (ed), Biological Safety: Principles and Practices, 3rd ed. ASM Press, Washington, DC.
3. International Air Transport Association. 2015. Dangerous Goods Regulations, 56th ed. International Air Transport Association, Montreal, Quebec, Canada.
4. U.S. Department of Transportation, Pipeline and Hazardous Materials Safety Administration. 2006. Hazardous materials: infectious substances; harmonization with the United Nations recommendations; final rule. Fed Regist 71: 32244– 32263.
5. U.S. Department of Transportation, Research and Special Programs Administration. 2004. Harmonization with the United Nations recommendations, international maritime dangerous goods code, and International Civil Aviation Organization’s technical instructions; final rule. Fed Regist 69: 76044– 76187.
6. Gray LD, Snyder JW. 2006. Packing and shipping biological materials, p 383–401. In Fleming DO, Hunt DL (ed), Biological Safety: Principles and Practices, 4th ed. ASM Press, Washington, DC.
7. U.S. Postal Service. 2012. Domestic Mail Manual. http://pe.usps.com/text/dmm300/dmm300_landing.htm.
8. Denys GA, Gray LD, Snyder JW. 2004. Cumitech 40, Packing and Shipping Diagnostic Specimens and Infectious Substances. Coordinating ed, Sewell DS. ASM Press, Washington, DC.
9. Snyder JW. 2002. Packaging and shipping of infectious substances. Clin Microbiol Newsl 24: 89– 93.
10. Centers for Disease Control and Prevention and the Office of the Inspector General, U.S. Department of Health and Human Services. 2005. Possession, use, and transfer of select agents and toxins; final rule (42 CFR Parts 72 and 73). Fed Regist 70: 13294– 13325.
11. Animal and Plant Inspection Service, U.S. Department of Agriculture. 2005. Agricultural bioterrorism protection act of 2002: possession, use, and transfer of biological agents and toxins; final rule (7 CFR Part 331; 9 CFR Part 121). Fed Regist 70: 13242– 13292.
12. Centers for Disease Control and Prevention, U.S. Department of Health and Human Services. 2008. Possession, use, and transfer of select agents and toxins; final rule (42 CFR Part 73). Fed Regist 73: 61363– 61366.
13. Centers for Disease Control and Prevention, U.S. Department of Health and Human Services. 2005. Possession, use, and transfer of select agents and toxins – reconstructed replication competent forms of the 1918 pandemic influenza virus containing any portion of the coding regions of all eight gene segments; interim final rule (42 CFR Part 73). Fed Regist 70: 61047– 61049.
14. Gilchrist MJR, McKinney WP, Miller JM, Weissfeld AS. 2000. Cumitech 33, Laboratory Safety, Management, and Diagnosis of Biological Agents Associated with Bioterrorism. Coordinating ed, Snyder JW. ASM Press, Washington, DC.
15. U.S. Department of Transportation, Pipeline and Hazardous Materials Safety Administration. 2005. Hazardous materials. Incorporation of statutory mandated revisions to the hazardous materials regulations. Fed Regist 70: 73164– 73166.
16. U.S. Department of Transportation, Research and Special Programs Administration. 2004. Hazardous materials. Miscellaneous changes to the hazardous communication requirements; final rule. Fed Regist 69: 64462– 64473.

Tables

Packing and Shipping Infectious Substances
Citation: Leber A. 2016. Packing and Shipping Infectious Substances, p 15.6.1-15.6.24. In Clinical Microbiology Procedures Handbook, Fourth Edition. ASM Press, Washington, DC. doi: 10.1128/9781555818814.ch15.6
/content/10.1128/9781555818814.chap15.6.table15.6-1
Table 15.6–1
Agencies governing transportation of dangerous goods
Generic image for table
Table 15.6–1

Agencies governing transportation of dangerous goods

Citation: Leber A. 2016. Packing and Shipping Infectious Substances, p 15.6.1-15.6.24. In Clinical Microbiology Procedures Handbook, Fourth Edition. ASM Press, Washington, DC. doi: 10.1128/9781555818814.ch15.6
/content/10.1128/9781555818814.chap15.6.table15.6-2
Table 15.6–2
IATA-defined classes of dangerous goods
Generic image for table
Table 15.6–2

IATA-defined classes of dangerous goods

Citation: Leber A. 2016. Packing and Shipping Infectious Substances, p 15.6.1-15.6.24. In Clinical Microbiology Procedures Handbook, Fourth Edition. ASM Press, Washington, DC. doi: 10.1128/9781555818814.ch15.6
/content/10.1128/9781555818814.chap15.6.table15.6-3
Table 15.6–3
Types and classifications of IATA Division 6.2 infectious substances
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Table 15.6–3

Types and classifications of IATA Division 6.2 infectious substances

Citation: Leber A. 2016. Packing and Shipping Infectious Substances, p 15.6.1-15.6.24. In Clinical Microbiology Procedures Handbook, Fourth Edition. ASM Press, Washington, DC. doi: 10.1128/9781555818814.ch15.6
/content/10.1128/9781555818814.chap15.6.table15.6-4
Table 15.6–4
Examples of infectious substances (agents) included in Category A in any form unless otherwise indicated
Generic image for table
Table 15.6–4

Examples of infectious substances (agents) included in Category A in any form unless otherwise indicated

Citation: Leber A. 2016. Packing and Shipping Infectious Substances, p 15.6.1-15.6.24. In Clinical Microbiology Procedures Handbook, Fourth Edition. ASM Press, Washington, DC. doi: 10.1128/9781555818814.ch15.6
/content/10.1128/9781555818814.chap15.6.table15.6-5
Table 15.6–5
Information provided for each proper shipping name in the IATA alphabetical and applicable to completing a Shipper’s Declaration
Generic image for table
Table 15.6–5

Information provided for each proper shipping name in the IATA alphabetical and applicable to completing a Shipper’s Declaration

Citation: Leber A. 2016. Packing and Shipping Infectious Substances, p 15.6.1-15.6.24. In Clinical Microbiology Procedures Handbook, Fourth Edition. ASM Press, Washington, DC. doi: 10.1128/9781555818814.ch15.6
/content/10.1128/9781555818814.chap15.6.table15.6-6
Table 15.6–6
The seven types of infectious substances in the IATA alphabetical
Generic image for table
Table 15.6–6

The seven types of infectious substances in the IATA alphabetical

Citation: Leber A. 2016. Packing and Shipping Infectious Substances, p 15.6.1-15.6.24. In Clinical Microbiology Procedures Handbook, Fourth Edition. ASM Press, Washington, DC. doi: 10.1128/9781555818814.ch15.6
/content/10.1128/9781555818814.chap15.6.table15.6-7
Table 15.6–7
Comparison of packing requirements for Exempt Human Specimens, Category B Substances, and Category A Substances
Generic image for table
Table 15.6–7

Comparison of packing requirements for Exempt Human Specimens, Category B Substances, and Category A Substances

Citation: Leber A. 2016. Packing and Shipping Infectious Substances, p 15.6.1-15.6.24. In Clinical Microbiology Procedures Handbook, Fourth Edition. ASM Press, Washington, DC. doi: 10.1128/9781555818814.ch15.6

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