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. 2013 Aug 26:2–9. doi: 10.1016/B978-1-4377-0795-3.00001-6

TABLE 1-4.

Biosafety Levels Set for Diagnosis of Laboratory Practices

Level Risk Examples Example Precautions
BSL 1 Minimal potential hazard to human health and the environment Canine adenovirus-1
Nonpathogenic Escherichia coli
Gloves, facial protection. Standard microbiologic practices using bench-top techniques. Routine decontamination practices (hand washing, routine bench disinfection, autoclaving of infectious waste).
BSL 2 Moderate potential hazard to human health and the environment. Organisms cause mild disease or are difficult to contract as laboratory aerosols. Most veterinary viruses, including influenza viruses Access to the laboratory restricted when work is taking place; extreme precautions with sharp contaminated materials; use of appropriate biosafety cabinets when generation of aerosols possible. No requirement for directional airflow into the laboratory.
BSL 3 Dangerous agents that can be transmitted by aerosol within the laboratory but for which effective vaccines or treatments exist. West Nile virus
Equine encephalitis viruses
Rickettsia rickettsii
Coxiella burnetii
Mycobacterium tuberculosis
Laboratory is located away from high-traffic areas. Restricted laboratory access when work in progress; double door entry, ventilation providing airflow into the room, exhaust air not recirculated; special practices and protective clothing for BSL 3, including biosafety cabinet use; special floor and ceiling materials specified.
BSL 4 Dangerous and exotic agents that pose a high risk of aerosol-transmitted laboratory infections, or which produce severe or fatal disease in humans Ebola virus
Marburg virus
Smallpox
Hazmat suit and self-contained oxygen system, entrance containing multiple showers, a vacuum room, an ultraviolet light room, and multiple airlocked doors. Strict control of laboratory access to authorized personnel.