Personnel in medical, veterinary or research laboratories may be exposed to
a wide variety of pathogens that range from deadly to debilitating. For so
me of these pathogens, no treatment is available, and in other cases the tr
eatment does not fully control the disease. It is important that personnel
in laboratories that process human or microbiological specimens follow univ
ersal precautions when handling tissues, cells, or microbiological specimen
s owing to the increasing numbers of individuals infected with hepatitis C
and HIV in the US and the possibility that an individual may be asymptomati
c when a specimen is obtained. Similar precautions must be followed in labo
ratories that use animal tissues owing to the possibility of exposure to ag
ents that are pathogenic in humans. Personnel with conditions associated wi
th immunosuppression should evaluate carefully whether or not specific labo
ratory environments put them at increased risk of disease. We offer here so
me general approaches to identifying biohazards and to minimizing the poten
tial risk of exposure. The issues discussed can be used to develop a genera
l safety program as required by regulatory or accrediting agencies, includi
ng the Occupational Safety and Health Administration.