The total testing process (TTP) is complex, encompassing test ordering, phlebotomy, dispatch of sample, dissemination of results and the initiation of appropriate follow-up.
The material proved to be adequately stable for the 8 weeks that elapsed between the dispatch of the samples and the deadline for submission of results and for all the four investigated total mass fractions (As, Cd, Pb and Hg).
Also, laboratory surveillance was only based on the surveillance of confirmed cases, in a French overseas department where logistical problems represent a restrictive factor for the dispatch of biological samples to laboratories.
These fears were hardly soothed, this week, by news that an American college had inadvertently dispatched thousands of samples of a deadly human flu virus to laboratories around the world.Prior to the latest outbreaks, bird flu was thought to be rare in poultry, and unlikely to spread between countries.
Questionnaires enquiring about anxiety, depression and self-esteem were sent to random samples of those offered screening: one month before the dispatch of invitations; when participants returned samples; and after receiving a negative result.
Satisfaction with the speed of testing (n=511; 80.9%), organization of sample dispatch (n=591; 93.5%), clarity of final report (n=613; 97.0%), and cooperation with the responsible institution (n=604; 95.6%) were mostly rated as "good" or "very good".
However, given the remote locations in which outbreaks usually occur, this either involves time-consuming shipping of samples to more centrally located reference laboratories, or dispatching of mobile laboratories directly into the outbreak area [ 5].
Observational data like late notice anaesthesia preparations, unlabeled and dispatched biopsy samples, and lack of hospital admission arrangements when needed led to addition of items on the checklist, as they were deemed critical for the optimal care process.
The simple way of storing and dispatching CSF samples collected in remote areas was convenient and realistic for the circumstances in Niger.
Realising the enormity of the situation, Koungoulba alerted the rapid response team in the Malian capital, Bamako, and dispatched a sample of the girl's blood for immediate testing.
"The regularity and dispatch of it!
