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| Assurance of Compliance: Animal Research |
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Hektoen
Institute for Medical Research, L.L.C.
Cook
County Hospital
Assurance of Compliance
with Public Health Service
(PHS) Policy on Humane
Care and Use
of Laboratory Animals
Assurance Number: A3418-01
Hektoen Institute for Medical Research,
L.L.C., Cook County Hospital hereafter referred to as institution,
hereby gives assurance that it will comply with the Public Health Service
Policy on Humane Care and Use of Laboratory Animals, hereinafter referred
to as PHS Policy.
I. Applicability
This assurance is applicable
to all research, research training, experimentation, biological testing
and related activities, hereinafter referred to as activities, involving
live, vertebrate animals supported by the Public Health Service (PHS) and
conducted at this institution, or at another institution as a consequence
of the subgranting or subcontracting of a PHS-supported activity by this
institution.
"Institution" includes all components
of the Hektoen Institute for Medical Research, L.L.C., Cook County
Hospital.
II. Institutional Policy
A. This institution will comply
with all applicable provisions of the Animal Welfare Act and other Federal
statutes and regulations relating to animals.
B. This institution is guided by the "U.S.
Government Principles for the Utilization and Care of Vertebrate Animals
Used in Testing, Research and Training."
C. This institution acknowledges and accepts
responsibility for the care and use of animals involved in activities covered
by this Assurance. As partial fulfillment of this responsibility this institution
will make a reasonable effort to ensure that all individuals involved in
the care and use of laboratory animals understand their individual and
collective responsibilities for compliance with this Assurance as well
as all other applicable laws and regulations pertaining to animal care
and use.
D. This institution has established and
will maintain a program for activities involving animals in accordance
with the Guide for the Care and Use of Laboratory Animals (Guide).
III. Institutional Program for Animal
Care and Use
A. The lines of authority and responsibility
for administering the program and ensuring compliance with this policy
are:
The Institutional Official is
the Executive Director of the Hektoen Institute for Medical Research,
L.L.C., George Dunea, MD. The Responsible Institutional Official
reports to the Board of Trustees, Hektoen Institute for Medical Research,
L.L.C.. The Supervisor and the Division Chair of the central animal
facility report to the Responsible Institutional Official. The animal facility
Supervisor has been delegated line authority for administration of the
programs. The consulting veterinarian reports to Harry M. Richter, III,
MD (Division Chair) or Robert J. Walter, PhD (Supervisor). The
Institutional Animal Care and Use Committee (IACUC) reports to the Responsible
Institutional Official and is charged with those responsibilities as outlined
in the PHS Policy.
B. The qualifications, authority and
percent of time contributed by veterinarians who will participate in the
program are:
The consulting veterinarian has completed
a four-year residency in Laboratory Animal Medicine, is a Diplomate of
the American College of Laboratory Animal Medicine, and has a Ph.D. in
Pathology. In addition to the residency training, he has 30 years experience
in directing a centralized animal research facility. During this 30 years
he has also consulted to 5 other research facilities. The consulting veterinarian
is at the facility four hours per week and otherwise available as needed.
This amounts to approximately ten percent per week.
The Division Chair and the animal
facility Supervisor have authorized jurisdiction over all animal use within
the institution. Animals can be brought into the institution only by approval
of the Division Chair or the animal facility Supervisor. The Division Chair,
the animal facility Supervisor, and the consulting veterinarian are responsible
for following all recommendations of the Guide to the extent possible
within the physical facilities of the animal facility. Following the Guide,
the veterinarian recommends policies and procedures that will ensure adequate
veterinary care of all animals within the institution. Along with advice
of the IACUC, the animal facility Director is delegated the authority to
enforce those policies and procedures, with consultation by the consulting
veterinarian. Within this authorization, the animal facility Director and
consulting veterinarian have final authority over when euthanasia is appropriate
and have the authority to suspend animal activities, if warranted, pending
IACUC review.
C. This institution has established
an Institutional Animal Care and Use Committee (IACUC), which is qualified
through the experience and expertise of its members to oversee the institution's
animal program, facilities and procedures. The Executive Director of the
Hektoen Institute for Medical Research, L.L.C. appointed the members
of the IACUC and appoints all replacements. Any changes in the membership
of the IACUC are reported annually to OPRR. The IACUC consists of at least
five members, and its membership meets the compositional requirements set
forth in the PHS Policy at IV.A.3.b. Attached is a current list of the
names, degrees, position titles, specialties and institutional affiliations
of the IACUC Co-Chairmen and members appointed by the Executive Director.
D. The IACUC will:
1. Review at least once every
six months the institution's program for humane care and use of animals,
using the Guide as a basis for evaluation. The IACUC procedures
for conducting semiannual program evaluations are:
Each member of the committee is presented
with a copy of the manual "Essentials for Animal Research, A Primer for
Research Personnel", B.T. Bennett, M.J. Brown, and J.C. Schofield and also
a copy of the Animal Welfare Act. In addition, policies and procedures
specific to this Facility have been reviewed by the IACUC and are available
for examination in the Division office. These materials form the guidelines
and regulations for faculty, students, and staff. They describe the Policies
and Procedures of the Animal Care and Use Program, Policies of the IACUC,
Research Guidelines, and Occupational Health and Safety Program. At the
time of the semiannual inspection, any comments concerning the program
review are addressed. During the semiannual inspection, committee members
are advised that during the inspection, they should also be addressing
any questions concerning the program that may be observed during the inspection.
At the next committee meeting when the semiannual inspection and review
are reviewed and approved by the committee, any questions or concerns about
the program may be addressed.
2. Inspect at least once every
six months all of the institution's animal facilities, including satellite
facilities, using the Guide as a basis for evaluation. The IACUC
procedures for conducting semiannual facility inspections are:
The IACUC will inspect the animal facilities
once every six months, including satellite facilities. The IACUC will try
to inspect all facilities within same day. In the event that the inspection
of all facilities cannot be completed within the same day, they will be
inspected within the same week. Each member of the IACUC is provided with
a copy of the Guide and guidelines on how to conduct an inspection.
Inspections will be scheduled by the animal facility office as all the
committee records will be maintained by that office. The inspections will
be scheduled at a time most convenient for all of the Committee members.
No member will be excluded from having an opportunity to participate in
the inspection. The IACUC may make additional inspections as determined
by the Committee or as requested by the Responsible Institutional Official.
3. Prepare reports of the IACUC evaluations
as set forth in the PHS Policy at IV.B.3. and submit the reports to the
Responsible Institutional Official. The IACUC process for developing reports
and submitting them to the Institutional Official is:
The IACUC Recording Secretary prepares
the report describing all deficiencies found during the IACUC review of
the facilities and program. The report identifies each deficiency as being
major or minor and provides a plan for correction of each. Any minority
views are also included in the report. The report is presented to the Committee
for review and approval at the IACUC meeting following the inspection.
The report is then signed by the IACUC Chairperson and forwarded to the
Responsible Institutional Official.
4. Review concerns involving the care
and use of animals at the institution. The IACUC procedures for reviewing
concerns are:
Concerns about the care and use of animals
at Hektoen Institute for Medical Research, L.L.C. may be brought
to the attention of the Responsible Institutional Official, the Chairperson
of the IACUC, or the animal facility Director. The Responsible Institutional
Official will be notified if the concern did not originate through that
office. The concerns will be referred to the IACUC for review and recommendations.
If the concerns are urgent, a special meeting of the IACUC will be called
and if not, the concerns will be reviewed at the next regularly scheduled
meeting. The IACUC recommendations will be prepared in writing and transmitted
to the Responsible Institutional Official. In consultation with the IACUC
Chairperson and the Director of the Animal facility, appropriate corrective
action will be taken by the Responsible Institutional Official if indicated.
No employee or IACUC member may be discriminated
against or subject to any reprisal for reporting violations or noncompliance
with institutional animal care and use policies. All reports of such activities
will remain as confidential as possible.
5. Make written recommendations to the
Responsible Institutional Official regarding any aspect of the institution's
animal program, facilities or personnel training. The procedures for making
recommendations to the Institutional Official are:
The IACUC may make recommendations regarding
any aspect of the animal care and use program at any time to the Responsible
Institutional Official. These recommendations will be made after review
at a convened meeting of the IACUC and majority approval. These recommendations
will be transmitted to the Responsible Institutional Official in writing
from the IACUC Chairperson. Any member of the IACUC at any time may make
an individual recommendation to the "Responsible Institutional Official."
6. Review and approve, require modifications
in (to secure approval) or withhold approval of those activities related
to the care and use of animals as set forth in the PHS Policy at IV.C.
The IACUC procedures for protocol review are:
a. Application or Proposal Receipt
and Routing
The IACUC "Application For Animal Use
Protocol Review" (IACUC Application) for any proposed animal use shall
be submitted to IACUC through the animal facility Office. IACUC meetings
are currently scheduled for the last Thursday of each month with the deadline
for submission of IACUC Applications the second to last Thursday of
each month. The investigator shall submit six (6) copies of
the IACUC Application (animal use summary form) and if applicable, one
complete copy of a grant application or other request for funding. Proposals
with departmental or other private funding may not have a grant or other
funding application. The animal facility office will check to ensure that
all the material is present and complete. If incomplete, the application
will not be reviewed and will be returned to the investigator to complete.
Copies of the IACUC Application will then
be sent to each of the Committee members. One of the Co-Chairs of the Committee
will serve as a primary reviewer and will also receive a copy of the grant
or other funding application if applicable. The application will then receive
Full Committee Review as described below.
Investigator's are encouraged to discuss
their proposed studies with the veterinarian or with the Co-Chairs of the
IACUC prior to completing their IACUC Applications so most of the Committee's
concerns can be adequately addressed before submitting to the Committee
and reduce the number of applications requiring Full Committee Review for
omissions.
b. Full Committee Review Process
After the IACUC Applications are received,
each Committee member is requested to review the applications. At the Committee
meeting, the Committee will review each protocol and any additional information
that the PI has provided as a result of conversations with the veterinarian
or Co-Chairmen. After appropriate deliberation, the Committee may approve
the application, approve pending clarifications, require modifications
in (to secure approval), or withhold approval. If one of the Co-Chairmen
or the veterinarian feel it is necessary, the PI may be requested to appear
before the Committee at this meeting or at a later meeting if the Committee
concerns cannot be resolved with the PI. The PI may also request to appear
before the IACUC.
At the meeting, the protocol is brought
up for review and the concerns expressed are discussed. If all of the concerns
are answered to everyone's satisfaction either through availability of
other committee member's expertise or from the PI's response to the Co-Chair's
inquiry, the protocol may receive approval. Additional information, clarifications
or modifications may be requested for approval. A motion is then made to
approve, approve pending clarifications, approve with modifications required
for approval, or withhold approval. If needed, one of the Co-Chairs will
relay any concerns that require addressing to the Principal Investigator
(PI). If all of the concerns submitted to the PI are resolved to the satisfaction
of the designated Co-Chair, the protocol will receive IACUC approval. These
approved protocols will not require further review at an IACUC meeting
and will be listed on the next IACUC meeting agenda as having been approved.
If all of the concerns are not adequately addressed the protocol will again
be referred for further Full Committee Review at the next convened meeting
of the IACUC.
If any member of the IACUC has a protocol
to be reviewed by the Committee, he/she will be absent from the meeting
during the discussion and voting on his/her protocol.
An investigator may appeal any decision
of the IACUC in writing or may appear before the Committee in person. Appeals
will be made to one of the Co-Chairmen of the IACUC. Appeals can also be
made to the Responsible Institutional Official. Animal use activities for
which approval was withheld or suspended by the IACUC cannot be approved
by other authorities.
c. Description of protocol receiving "Full
Committee Review" process
Six copies of an IACUC application and
1 copy of a grant application are submitted to the animal facility Office.
The application is reviewed for completeness and copies are distributed
to each member of the committee for review. Each member has 7 days to review
the protocol before the IACUC meeting. The protocol is put on the agenda
for the next regularly scheduled IACUC meeting. A protocol receiving "Full
Committee" review can be reviewed only at a convened meeting consisting
of a majority of the members. A majority is 50 percent of more of the IACUC
members. One of the Co-Chairs may contact the investigator prior to the
meeting to obtain clarifications to concerns regarding the protocol. At
the meeting, the protocol is brought up for review and the concerns expressed
are discussed. If all of the concerns are answered to everyone's satisfaction
either through availability of other committee member's expertise or from
the PI's response to the Co-Chair's inquiry, the protocol may receive approval.
Additional information, clarifications or modifications may be requested
for approval. A motion is then made to approve, approve pending clarifications,
approve with modifications required for approval, or withhold approval.
After the meeting, one of the Co-Chairs will draft a letter indicating
approval, approval pending clarifications, approval with modifications
required for approval or that approval is being withheld pending clarification
or modifications. When a protocol receives an approval pending, the PI's
response to the clarifications or modifications will go to a designated
reviewer, usually one of the Co-Chairs, for review and approval. If the
response is satisfactory, meeting with the committee's current standards
and review guidelines, it is approved. When a protocol receives a "Withheld
Approval" the concerns are usually more significant and the PI's responses
must complete the "Full Committee" review process again until it is approved
or withdrawn from further Committee consideration. If the investigator
cannot satisfy the Committee's requirements and does not withdraw the protocol
from further consideration the Committee notifies the investigator that
it considers the protocol withdrawn from further consideration.
d. Meeting Attendance and Voting on Research
Projects
As indicated above the Committee conducts
official business at convened meetings only when there is a quorum present
constituting more than 50 percent of the Committee members. A Committee
motion for any item before the committee, including protocol approvals,
requires a majority affirmative vote of the members present to approve
the motion. At any time, a minority view may be expressed and noted in
the minutes.
7. Review and approve, require modifications
in (to secure approval) or withhold approval of proposed significant changes
regarding the use of animals in ongoing activities as set forth in the
PHS Policy at IV.C. The IACUC procedures for reviewing proposed significant
changes in ongoing research projects are:
All requests for changes must be submitted
in writing to the IACUC Co-Chair in care of the animal facility Director
prior to the change. If the change is minor, the animal facility
Director may approve the change. If the change is not minor, i.e. is significant,
the request for amendment must be submitted to the Committee for review
and follow the process described for protocol review.
8. Notify investigators and the institution
in writing of its decisions to approve or withhold approval of those activities
related to the care and use of animals, or of modifications required to
secure IACUC approval as set forth in the PHS Policy at IV.C.4. The IACUC
procedures to notify investigators and the institution of its decisions
regarding protocol review are:
The IACUC shall notify the investigator
in writing of its decision to approve or withhold approval of those sections
of applications or proposals related to the care and use of animals, or
of modifications required to secure IACUC approval. If the IACUC decides
to withhold approval of an application or proposal, it shall include in
its written notification a statement of the reasons for its decision and
give the investigator an opportunity to respond in person or in writing.
One of the Co-Chairs drafts most IACUC correspondence. In very rare instances
and in the absence of the Co-Chairs, a member of the IACUC may sign in
place of the Chairperson. Although it has never occurred, the Responsible
Institutional Official may also sign in the absence of the Co-Chair. In
these instances, the Co-Chairs are copied on the correspondence.
9. Conduct continuing review of each previously
approved, ongoing activity covered by PHS Policy at appropriate intervals
as determined by the IACUC, including a complete review in accordance with
the PHS Policy at IV.C. 1-4 at least once every three years. The IACUC
procedure for conducting continuing review are:
The IACUC shall conduct annual reviews
of applications or proposals. The IACUC shall send the investigator the
title(s) and approval number(s) of the document(s) currently on file and
a request for updating. Investigators shall be required annually to certify
that there have been no changes in the animal related sections of the protocol.
Significant changes in the protocol shall require submission of a new request
for review, which will be subject to the same review as new proposals.
Investigators are required to notify the IACUC of any significant changes
in protocols and request approval prior to the modification.
In accordance with PHS Policy, all projects
are approved for only three years. Prior to the end of the three years
on each approval, all projects must be resubmitted to the Committee by
submitting six copies of the current IACUC "Application For Animal Use
Protocol Review." The IACUC will send a notice to the investigator indicating
that his/her project will have to be resubmitted for review and approval
by the IACUC. These protocols are then reviewed according to the same procedures
as those use for new protocols (see above).
10. Be authorized to suspend an activity
involving animals as set forth in the PHS Policy at IV.C.6. The IACUC procedures
for suspending an ongoing activity are:
The IACUC may suspend an activity that
it has previously approved if it determines that the activity is not being
conducted in accordance with the Animal Welfare Act, the Guide,
the institution's assurance, IV.C.1.a.-g. of the PHS Policy, or institutional
policy. The suspension of such activity by the IACUC may occur only after
review of the matter at a convened meeting of a quorum of the IACUC and
with the suspension vote of a majority of the quorum present.
The animal facility Supervisor or Division
Chairman may also suspend any activity using animals at any time. If such
activity is suspended by the animal facility Supervisor or Division Chair,
it shall be reported to the Responsible Institutional Official immediately
and will be reviewed at the next regularly scheduled IACUC meeting or at
a specially convened meeting.
If an activity involving animals is suspended,
the Responsible Institutional Official in consultation with the IACUC shall
review the reasons for suspension and take appropriate corrective action.
If the activity involves Public Health Service funding, the action with
a full explanation shall be reported to the Office for Protection from
Research Risks. If the activity involves animals covered under the AWA
it will be reported to the USDA.
E. The individuals authorized
by this institution to verify IACUC approval of those sections of applications
and proposals related to the care and use of animals are Harry Richter,
III, MD (Chair, Division of Theoretical Surgery; IACUC Co-Chairman)
and Robert J. Walter, PhD (animal facility Supervisor; IACUC Co-Chairman),
and George Dunea, MD (Executive Director of Hektoen Institute for
Medical Research, L.L.C; Responsible Institutional Official).
F. The occupational health and safety
program for personnel who work in laboratory animal facilities or have
frequent contact with animals is:
1. Personnel Training
a. Special Qualifications and
Training
All individuals working with radioisotopes
must attend training provided by Radiation Safety. Radiation Safety maintains
these records. All departments are required to provide training to all
staff in accordance with the institution's Chemical Hygiene Plan. Individual
departments maintain Chemical Hygiene training records. All of the veterinary
staff, surgical staff, and animal care staff also receive annual institutional
Bloodborne Pathogen training. The hospital and individual departments maintain
these training records.
b. Educational Program(s)
In every protocol submitted to the IACUC
the Principal Investigator indicates for review by the IACUC the name and
qualifications of every person that may be working on a research project,
as well as provide assurance that all individuals will be adequately trained
in the use of animals. The institution has a manual for all investigators
that they can make available to their technicians. Technicians may also
access the manual in the animal facility Office. The manual describes the
Occupational Health and Safety Program for the animal care and use program,
and includes a section on Zoonoses.
c. Personal Hygiene and Protection
Regular attire for all animal care technicians
includes uniform shirts and pants or scrub suits provided by the animal
facility. While working in animal rooms or the cagewash area, all animal
care staff are required to wear latex gloves and face masks. Steel-toed
work boots are required for all animal care technicians for daily wear.
Face shields or goggles are also required in the cage washing area when
anyone is using hazardous cleaning agents.
Shower facilities exist in the men's locker
room. Work clothes should be covered with a gown or lab coat when leaving
the floor. Work clothes should not be worn outside the institution.
There is no eating or drinking allowed
in the vivarium except for the designated office or lunch areas. The
Hektoen Institute for Medical Research, L.L.C. is a non-smoking institution.
2. Medical Evaluation and Preventive
Medicine for Personnel
a. Occupational health and safety
program
All employees are covered by the institution's
occupational health and safety program. The occupational health program
of the animal facility at the Hektoen Institute for Medical Research,
L.L.C. is designed to reduce the risk of adverse health effects in
individuals working with animals and infectious agents. This program is
administered through the Employee Health Service (EHS) of the Cook County
Hospital. A pre-employment physical and medical history is required by
the institution and is conducted by the EHS where the records are also
maintained. A pre-employment TB test is mandatory. Occupational health
records are maintained on each animal facility employee by the animal facility
and the employee health service at the Cook County Hospital. The occupational
health records on all other employees are maintained by the employee health
service.
b. Aspects of the program that apply to
personnel potentially exposed to hazardous agents
All hospital employees are eligible to
receive Hepatitis B vaccination and the animal facility employees are also
given the opportunity to receive rabies vaccination. If other employees
were determined to have an increased risk for rabies exposure and the EHS
physician recommended it they would also be provided with the opportunity
to receive rabies vaccination. All employees are required to attend annual
training for chemicals and blood borne pathogens.
All personnel are to report any animal
related injuries to the animal facility office and the EHS. If any animal
care personnel experience any potential exposure to hazardous agents they
are to report to their supervisor and EHS. Research technicians would report
exposures to their supervisors and EHS. For any injury or exposure, an
institutional "Record of Employee Injury/Exposure" is completed prior to
the employee going to the EHS. Copies of these reports are in the EHS and
the department. Injuries or exposure requiring emergency treatment would
be handled through the hospital's Emergency Room.
3. Animal Experimentation Involving
Hazards
a. Institutional policies
The animal facility requires that the
animal husbandry of certain protocols also become the responsibility of
the principal investigator and his research staff. This is a measure of
occupational safety appropriate to reduce the cumulative effects of repeated
exposure by the animal facility personnel to hazardous materials. All procedures
required for the maintenance and husbandry of the particular animal species
to be used will be demonstrated by the animal facility staff to the appropriate
person(s) from the investigator's laboratory. The animal facility will
provide any additional assistance to ensure that all projects proceed without
complication.
b. Oversight process and husbandry practices
All procedures required for the maintenance
and husbandry of the particular animal species to be used will be demonstrated
by the animal facility staff to the appropriate person(s) from the investigator's
laboratory. The animal facility will provide any additional assistance
to ensure that all projects proceed without complication and monitor the
study to ensure that the research technician and animal facility personnel
are not endangered. Appropriate hazard signage is used for all hazardous
studies.
c. How hazardous agents are contained
The handling of hazardous agents is described
in each protocol application for which they will be used. Each agent, depending
upon its chemical composition, penetrating ability in the case of radioisotopes,
or potential for transmission, i.e, aerosol, fomite or direct contact is
handled according to guidelines suggested in the CDC/NIH Biosafety in Microbioloical
and Biomedical Laboratories handbook, the NIH Guidelines for Research Involving
Recombinant DNA Molecules, or the Institutional Radiation Safety Office.
d. How anesthetic gases are scavenged
Anesthetic gases are scavenged utilizing
one of 3 primary methods: 1) direct vaporizer scavenge line to central
exhaust (room exhaust is 100% exhaust); 2) manual line connected to room
exhaust outlet; 3) use of fume hood while conducting open drop anesthesia.
4. Facilities, Procedures, and Monitoring
a. Requirements for showers and
change
All animal care personnel are required
to wear specified uniforms while working in the facility. Two lockers are
provided for each employee to keep street clothes separate from work clothes.
There are no special barrier facilities requiring shower in/out protocol.
Shower facilities are available in the locker rooms.
b. Procedures that reduce potential
for physical injury.
All employees are given instruction on
lifting technique to avoid back injury. Back braces are available for those
who wish to wear them. Carts, dollies, and trucks are available for moving
heavy objects. Transport carts are used to move large animals long distances.
All employees are strongly discouraged from lifting heavy objects alone
when alternative methods have been demonstrated to them.
c. Special facilities provided for use
with hazardous agents
No special facilities exist for hazardous
agent containment. Studies with hazardous agents are usually isolated in
an individual room.
G. The total gross number of square
feet in each animal facility, the species of animals housed therein and
the average daily inventory of animals, by species, in each facility is
provided in the attached table.
H. The training or instruction available
to scientists, animal technicians, and other personnel involved in animal
care, treatment, or use is:
Training is provided to investigators
and research technicians by staff of the facility as needed or upon request.
Fellows, Residents, and Graduate students are encouraged to take the "Care
and Use of Animals in Research" course at the University of Illinois at
Chicago. Animal technicians, with the sponsorship of the Institution, are
required to enroll in and attend this course periodically.
In every protocol submitted to the IACUC
for review, the Principal Investigator indicates the name and qualifications
of every person that may be working on a research project, as well as provides
assurance that all individuals will be adequately trained in the use of
animals.
The IACUC specifically addresses the use
of the minimum number of animals to obtain valid results and instructs
investigators to seek the assistance of a biostatistician in determining
the number of animals if not aware of how to conduct a power analysis.
IV. Institutional Status
As specified in the PHS Policy
at IV.A.2. as Category 2, all of this institution's programs and facilities,
including satellite facilities, for activities involving animals have been
evaluated by the IACUC and will be reevaluated by the IACUC at least once
every six months. The report of the IACUC evaluation has been submitted
to the Responsible Institutional Official and a copy of the report is appended
C). The report contains a description of the nature and extent of this
institution's adherence to the Guide. Any departures from the Guide
are identified specifically and reasons for each departure are stated.
Where program or facility deficiencies are noted, the report contains a
reasonable and specific plan and schedule for correcting each deficiency.
The report distinguishes significant deficiencies from minor deficiencies.
Semiannual reports of the IACUC evaluation submitted to the Institutional
Official, will also contain a reasonable and specific plan and schedule
for correcting each deficiency and distinguish significant deficiencies
from minor deficiencies. Semiannual reports of IACUC evaluations will be
maintained by this institution and made available to OPRR upon request.
V. Recordkeeping
A. This institution will maintain
for at least three years:
1. A copy of this Assurance and
any modifications thereto, as approved by PHS.
2. Minutes of IACUC meetings, including
records of attendance, activities of the committee and committee deliberations.
3. Records of applications, proposals
and proposed significant changes in the care and use of animals and whether
IACUC approval was given or withheld.
4. Records of semiannual IACUC reports
and recommendations as forwarded to the Responsible Institutional Official.
5. Records of accrediting body determinations.
B. This institution will maintain
records that relate directly to applications, proposals and proposed changes
in ongoing activities reviewed and approved by the IACUC for the duration
of the activity and for an additional three years after the completion
of the activity.
C. All records shall be accessible for
inspection and copying by authorized OPRR or other PHS representatives
at reasonable times and in a reasonable manner.
VI. Reporting Requirements
A. At least once every 12 months,
the IACUC, through the Institutional Official will report in writing OPRR:
1. Any change in the status of
the institution (e.g., if the institution becomes accredited by AAALAC
or AAALAC accreditation is revoked), any change in the description of the
institution's program for animal care and use as described in this Assurance,
or any changes in IACUC membership. If there are no changes to report,
this institution will provide OPRR with written notification that there
are no changes.
2. Notification of the date that the IACUC
conducted its semiannual evaluations of the institution's program and facilities
(including satellite facilities) and submitted the evaluations to the Responsible
Institutional Official.
B. The IACUC, through the Institutional
Official, will provide the OPRR promptly with a full explanation of the
circumstances and actions taken with respect to:
1. Any serious or continuing
noncompliance with the PHS Policy.
2. Any serious deviations from the provisions
of the Guide.
3. Any suspension of an activity by the
IACUC.
C. Reports filed under VI.A. and IV.B.
above shall include any minority views filed by members of the IACUC.
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