A single sample of suspicious material per incident is adequate. Tape test requisition form to the outside bag – Do not use staples. Complete the Chain of Custody form and place it around the container with a rubber band. 
Let it sit for 10 minutes before wiping it off.
SUSPICIOUS PACKAGE PROTOCOL ZIP
Label the outer zip lock bag: BIOHAZARD. Place the double sealed zip lock in a third zip lock bag and seal completely. Place the zip lock-sealed envelope in a second zip lock bag and seal completely. Place the suspected environmental material in the zip lock bag and seal completely. Protocol for Submitting Environmental Samples for Laboratory Testing Packaging Material Required PHO will advise on the process of sample delivery at the time of approval for testing. Prior approval from PHO must be obtained before the sample is sent for testing. Samples for after-hours testing will be accepted only if they are deemed urgent. The BT member will sign the submitter’s form to acknowledge receipt of the package. The submitter and the BT member will complete and sign the sample submission label and affix it to the back of the specimen submission requisition form. Call Customer Service Centre at 41/1-87 and a BT member will attend to receive the package, examine it to determine that it is properly packaged (see procedure for packaging below) and ensure that a specimen submission requisition form ( Test Requisition for Submitting Environmental Samples Form) has been completed. Upon arrival at the shipping and receiving dock: Suspicious packages are received through the Shipping and Receiving Dock. PHO’s laboratory - Toronto is located at 661 University Ave. The Law Enforcement Agency or delegate maintains chain of custody during transport. Suspicious packages are transported to PHO’s laboratory - Toronto by the Law Enforcement Agency or their delegate. Please see the Test Requisition for Submitting Environmental Samples Form. Customer Service Centre: 41 or toll-free:1-87Įnsure collection and packaging complies with the guidelines in Suspicious Packages/Material for the Investigation of Agents of Bioterrorism: Guidelines for Submission.Įach submission must be accompanied by a Public Health Requisition for Submitting Environmental Samples for Laboratory Testing. Prior to submission of any sample, contact PHO’s Bioresponse Team (BT). Since these materials may become part of a criminal trial, a complete record of the chain of custody is required. All suspicious packages presenting a bioterrorism threat are also treated as legal specimens. The decision to test a sample for agents of bioterrorism is made by the police in consultation with the local public health units. Methods, Measures and Data Source Reviews Ontario Universal Typing of Tuberculosis (OUT-TB) Web Health Care-Associated Infection (HAI) Query Locally Driven Collaborative Projects (LDCP) Routine Practices and Additional Precautions 
Bombs in parcels may be addressed to specific individuals, and could have restrictive notes such as "Personal", "Private", "To be opened only by" or notes such as "Fragile – Handle with Care", or "Rush – Do not delay".Īdapted from the Royal Canadian Mounted Police (RCMP) article Responding to Suspicious Mail (no date) and from the Canada Post poster Suspicious Mail Alert (no date).Antimicrobial Stewardship in Long Term CareĪntimicrobial Stewardship in Primary CareĪntimicrobial Stewardship Program (ASP) & Antimicrobial Resistance (AMR) Comparison ToolĬonstruction, Renovation, Maintenance and Design.Letter bombs may feel rigid, or appear uneven or lopsided.Cancellation or post marks may indicate a different location than the return address or that the item was mailed from a foreign country.There is a funny smell or noise or a sloshing sound.The letter or package is dirty, oil- or grease-stained or leaking.They may have an irregular shape with soft spots or bulges. The letter or package feels too heavy.You can feel wiring, aluminum foil or powder inside and/or protruding from the package.There is too much wrap, binding, tape, or tying material.They may display distorted handwriting, or the name and address may be made with homemade labels or cut-and-paste letters. The name, title or address is not correct or not spelled correctly.The return address is missing, foreign and/or indecipherable.There is too much postage using many low-value stamps.Something may be suspicious if several of these features are present:
Look for things that are out of the ordinary. You know what kind of mail and packages you usually get.
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