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07 September 2020 | Story Prof Felicity Burt | Photo Supplied
Prof Felicity Burt in front of the new state-of-the-art biosafety Level (BSL) 3 laboratory.

The University of the Free State’s (UFS) new biosafety Level (BSL) 3 laboratory will allow the university’s world-respected researchers to further advance their research on and surveillance of infectious pathogens, with the ultimate benefit being the improved quality of health for the communities of the Free State and beyond.

That is the word from two leading UFS academics on the completion of the new facility; the BSL 3 laboratory will further enhance the university’s reputation for high-level international research – especially in the field of human pathogens – which will help to prevent disease and lead to better health outcomes.

The UFS Vice-Rector of Research, Professor Corli Witthuhn, stressed how important it is to have a facility of this nature – the only one of its kind in central South Africa – on the Bloemfontein campus, noting that its relevance is even greater, its role more critical now that the world finds itself in the grip of the global COVID-19 pandemic.

Intensify research of the impact on human pathogens

“The new BSL 3 facility – the Pathogen Research Laboratory – promises to intensify our research of the impact on human pathogens, as it allows our South African Research Chairs (SARChl) and other outstanding researchers to broaden the range of microbial pathogens that are being studied, and gain a better understanding of the global disease burden,” she said.

Her sentiments were echoed by the university’s Dean of the Faculty of Health Sciences, Prof Gert van Zyl, who added that the international level of quality research carried out in this facility will contribute to improvement in the disease profile of central South Africa.

“In supporting partners like the Free State Department of Health, this important scientific footprint in disease prevention and treatment will benefit the community at large by improving the quality of health research and delivering the best possible outcomes.”

The BSL 3 facility is supported by a small suite of laboratories for molecular and serological research and is accessible to any UFS researcher or student requiring a high level of pathogen containment. 

Appropriate biosafety and containment measures

Research and handling of infectious viruses and bacteria require appropriate biosafety and containment measures to prevent laboratory workers, personnel, and the environment being exposed to potentially biohazardous agents. 

There are four distinct levels of biosafety (levels one to four), with each having specific biosafety requirements. A BSL 3 laboratory is designed and precision-built to operate under negative pressure, and sees all exhausted air passing through a dedicated filter system to ensure that no pathogens escape into the environment. In addition, researchers wear appropriate personal protective equipment suited to the pathogens under investigation.  

The UFS BSL 3 laboratory is a modular container supplied by Air Filter Maintenance Services International (AFMS) and comprises two repurposed shipping containers. It was built and factory-tested in Johannesburg before being dismantled and relocated to the Bloemfontein Campus, where the containers were lifted by crane over trees and onto a concrete platform. The AFMS installation team then spent a number of days metamorphosing the two containers into a state-of-the-art laboratory, with a mechanical plant room and the ducting that maintains the laboratory under constant negative pressure, cleverly and discretely disguised behind cladding, allowing the structure to blend in with neighbouring buildings.

The need for training young researchers and developing skills

The Pathogen Research Laboratory is managed by Professor Felicity Burt, an arbovirologist with more than 25 years’ experience in handling infectious viruses. 

“Biosafety and biosecurity are essential in the investigation of emerging and infectious pathogens that cause significant disease and fatalities,” Prof Burt said.

“And while COVID-19, pandemic, viruses, vaccines, masks, social distancing, and lockdown were words seldom heard just six months ago, they are sadly now part of our everyday vocabulary,” she added, explaining that the current pandemic is the result of the zoonotic transmission of a virus from a wild animal to humans, with subsequent global spread.

“As this is not the first pandemic and will not be the last, the ongoing potential for the emergence of novel viruses and bacteria underscores the need for training young researchers and developing skills to tackle future outbreaks, develop new vaccines, understanding how pathogens cause disease, and discover alternate ways to mitigate outbreaks. 

“We are thrilled to have a state-of-the-art laboratory that allows us to safely handle those pathogens previously excluded from our research and surveillance programme. This facility positions the UFS to provide young scientists with world-class training and build capacity, now and into the future.”

* Division of Virology, University of the Free State, and NHLS, Bloemfontein, South Africa

News Archive

Heart diseases a time bomb in Africa, says UFS expert
2010-05-17

 Prof. Francis Smit

There are a lot of cardiac problems in Africa. Sub-Saharan Africa is home to the largest population of rheumatic heart disease patients in the world and therefore hosts the largest rheumatic heart valve population in the world. They are more than one million, compared to 33 000 in the whole of the industrialised world, says Prof. Francis Smit, Head of the Department of Cardiothoracic Surgery at the Faculty of Health Sciences at the University of the Free State (UFS).

He delivered an inaugural lecture on the topic Cardiothoracic Surgery: Complex simplicity, or simple complexity?

“We are also sitting on a time bomb of ischemic heart disease with the WHO (World Health Organisation) estimating that CAD (coronary artery disease) will become the number-one killer in our region by 2020. HIV/Aids is expected to go down to number 7.”

Very little is done about it. There is neither a clear nor coordinated programme to address this expected epidemic and CAD is regarded as an expensive disease, confined to Caucasians in the industrialised world. “We are ignoring alarming statistics about incidences of adult obesity, diabetes and endemic hypertension in our black population and a rising incidence of coronary artery interventions and incidents in our indigenous population,” Prof. Smit says.

Outside South Africa – with 44 units – very few units (about seven) perform low volumes of basic cardiac surgery. The South African units at all academic institutions are under severe threat and about 70% of cardiac procedures are performed in the private sector.

He says the main challenge in Africa has become sustainability, which needs to be addressed through education. Cardiothoracic surgery must become part of everyday surgery in Africa through alternative education programmes. That will make this specialty relevant at all levels of healthcare and it must be involved in resource allocation to medicine in general and cardiothoracic surgery specifically.

The African surgeon should make the maximum impact at the lowest possible cost to as many people in a society as possible. “Our training in fields like intensive care and insight into pulmonology, gastroenterology and cardiology give us the possibility of expanding our roles in African medicine. We must also remember that we are trained physicians as well.

“Should people die or suffer tremendously while we can train a group of surgical specialists or retraining general surgeons to expand our impact on cardiothoracic disease in Africa using available technology maybe more creatively? We have made great progress in establishing an African School for Cardiothoracic Surgery.”

Prof. Smit also highlighted the role of the annual Hannes Meyer National Registrar Symposium that culminated in having an eight-strong international panel sponsored by the ICC of EACTS to present a scientific course as well as advanced surgical techniques in conjunction with the Hannes Meyer Symposium in 2010.

Prof. Smit says South Africa is fast becoming the driving force in cardiothoracic surgery in Africa. South Africa is the only country that has the knowledge, technology and skills base to act as the springboard for the development of cardiothoracic surgery in Africa.

South Africa, however, is experiencing its own problems. Mortality has doubled in the years from 1997 to 2005 and half the population in the Free State dies between 40 to 44 years of age.

“If we do not need health professionals to determine the quality and quantity of service delivery to the population and do not want to involve them in this process, we can get rid of them, but then the political leaders making that decision must accept responsibility for the clinical outcomes and life expectancies of their fellow citizens.

“We surely cannot expect to impose the same medical legal principles on professionals working in unsafe hospitals and who have complained and made authorities aware of these conditions than upon those working in functional institutions. Either fixes the institutions or indemnifies medical personnel working in these conditions and defends the decision publicly.

“Why do I have to choose the three out of four patients that cannot have a lifesaving operation and will have to die on their own while the system pretends to deliver treatment to all?”

Prof. Smit says developing a service package with guidelines in the public domain will go a long way towards addressing this issue. It is also about time that we have to admit that things are simply not the same. Standards are deteriorating and training outcomes are or will be affected.

The people who make decisions that affect healthcare service delivery and outcomes, the quality of training platforms and research, in a word, the future of South African medicine, firstly need rules and boundaries. He also suggested that maybe the government should develop health policy in the public domain and then outsource healthcare delivery to people who can actually deliver including thousands of experts employed but ignored by the State at present.

“It is time that we all have to accept our responsibilities at all levels… and act decisively on matters that will determine the quality and quantity of medical care for this and future generations in South Africa and Africa. Time is running out,” Prof. Smit says.
 

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