
| Health Laboratory Facilities in Emergencies and Disaster Situations. (WHO - OMS, 1994, 169 p.) |
| Chapter 7 Laboratory kits and modules |
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The initial field laboratory will be established by using relevant modules to make up a kit. At a later date there may be a need to send additional modules. The contents of the modules can be considered as independent items. Twenty-two modules are described. The composition of each module is listed in 7.3.
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1. |
Basic module |
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Contains the essential equipment and supplies to establish a laboratory. Simple and robust items have been chosen. |
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2. |
Energy module |
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Will provide a constant and reliable source of electrical energy. |
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3. |
Water testing module |
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Will allow the testing of water for turbidity, chlorine faecal coliform bacteria and pH. It should be portable and may include a built-in battery. |
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4. |
Microscope module |
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Consists of an ordinary microscope with a complete set of accessories suitable for work in harsh conditions, such as high temperature, humidity and dust. It can be connected to a reliable and constant source of electricity, run on a battery which may be recharged by solar energy, or use direct sunlight. |
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5. |
Tuberculosis module |
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Contains the materials for staining acid-fast bacilli in sputum smears, using hot or cold techniques. |
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6. |
Bacteriology module |
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Contains media, equipment and material for bacterial culture, if appropriate laboratory facilities are already available in the field (incubator, heat source, alcohol or gas burner, etc.). |
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7. |
Urinalysis module |
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Contains test strips or chemical powder reagents allowing the detection of proteins, blood, glucose and nitrite in urine specimens. |
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8. |
Faecal parasite module |
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Contains reagents for staining specimens for detection of ova and parasites. |
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9. |
Blood parasite module |
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Contains material for staining thick and thin blood smears (Giemsa, Field, RAL 555). |
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10. |
Haematology module |
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Contains reagents for the determination of haemoglobin or packed red cell volume (PCV), white blood cell count, platelet count and differential white cell count. |
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Centrifuge module |
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Provides the means to separate blood serum or plasma or to concentrate deposits of cells from urine or cerebrospinal fluid (CSF). |
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12. |
Portable incubator module |
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Can be used for on-site bacteriological culture and, in conjunction with the water testing module, to assess water sanitation. |
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13. |
Refrigerator module |
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Necessary for the safe storage of reagents, transport media and blood. |
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14. |
Specimen transport module (except stools) |
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Contains equipment and material required to transport specimens. |
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15. |
Water purification module |
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Contains equipment and material required to provide clean water for the preparation of stains and reagents. |
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16. |
Electrolyte analyser module |
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Contains the instruments and calibration solutions for analysing electrolytes. |
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17. |
Cleaning, disinfection, sterilization and specimen disposal module |
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Contains equipment and supplies to sterilize and safely dispose of specimens. It also contains the material necessary to clean containers, slides, cover-glasses, etc. for reuse. |
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18. |
Bacteriology-Gram stain module |
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Contains Gram stains for microscopical identification of bacteria. |
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19. |
Stool specimen transport module |
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Contains devices and material for the transportation of faecal specimens. |
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20. |
Serodiagnostic test module |
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Contains rapid diagnostic kits or reagents, except for fluorescence reagents. The kits will have to be chosen according to the available knowledge of the endemic diseases in the area concerned and of anticipated epidemic diseases. |
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21. |
Fluorescence microscopy module |
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Contains either a fluorescence objective lens or a portable fluorescence microscope with associated supplies. This will permit using fluorescent antibody and fluorescent acid-fast rapid diagnostic tests in the field. |
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22. |
Blood transfusion module |
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Contains devices, reagents and material for blood testing and transfusion. |
