Hazardous Materials: Infectious Substances; Harmonization With the United Nations Recommendations, 29170-29187 [05-9717]
Download as PDF
29170
Federal Register / Vol. 70, No. 96 / Thursday, May 19, 2005 / Proposed Rules
DEPARTMENT OF TRANSPORTATION
Pipeline and Hazardous Materials
Safety Administration
49 CFR Parts 171, 172, 173, 175
[Docket No. PHMSA–2004–16895 (HM–
226A)]
RIN 2137–AD93
Hazardous Materials: Infectious
Substances; Harmonization With the
United Nations Recommendations
Pipeline and Hazardous
Materials Safety Administration
(PHMSA), Department of Transportation
(DOT).
ACTION: Notice of proposed rulemaking
(NPRM).
AGENCY:
SUMMARY: PHMSA is proposing to revise
the transportation requirements for
infectious substances, including
regulated medical waste, to adopt new
classification criteria and packaging
requirements consistent with revised
international standards and to clarify
existing requirements to promote
compliance. These proposed revisions
will ensure an acceptable level of safety
for the transportation of infectious
substances and facilitate domestic and
international transportation.
DATES: Comments must be received by
July 18, 2005.
ADDRESSES: You may submit comments
by any of the following methods:
Federal eRulemaking Portal: https://
www.regulations.gov. Follow the online
instructions for submitting comments.
Web Site: https://dms.dot.gov. Follow
the instructions for submitting
comments on the DOT electronic docket
site. You may view the public docket
through the Internet at https://
dms.dot.gov or in person at the Docket
Management System office at the above
address.
Fax: 1–202–493–2251
Mail: Docket Management System,
U.S. Department of Transportation, 400
Seventh Street, SW., Nassif Building,
Room PL–401, Washington, DC 20590–
0001.
Hand Delivery: To the Dockets
Management System; Room PL–401 on
the plaza level of the Nassif Building,
400 Seventh Street, SW., Washington,
DC between 9 a.m. and 5 p.m., Monday
through Friday, except Federal holidays.
Instructions: You must include the
agency name (Pipeline and Hazardous
Materials Safety Administration) and
docket number (PHMSA–2004–16895
(HM–226A)) or the Regulatory
Identification Number (RIN) for this
notice at the beginning of your
VerDate jul<14>2003
22:51 May 18, 2005
Jkt 205001
comments. You should submit two
copies of your comments if you submit
them by mail. If you wish to receive
confirmation that we received your
comments, you must include a selfaddressed stamped postcard. Note that
all comments received will be posted
without change to ‘‘https://dms.dot.gov’’,
including any personal information
provided, and will be accessible to
Internet users. Please see the Privacy
Act section of this document.
FOR FURTHER INFORMATION CONTACT:
Eileen Edmonson or Deborah Boothe,
Office of Hazardous Materials
Standards, (202) 366–8553, Pipeline and
Hazardous Materials Safety
Administration, U.S. Department of
Transportation.
SUPPLEMENTARY INFORMATION:
I. Background
On August 14, 2002, the Research and
Special Programs Administration
(RSPA), the predecessor agency to the
Pipeline and Hazardous Materials Safety
Administration (PHMSA), published a
final rule revising the requirements in
the Hazardous Materials Regulations
(HMR; 49 CFR Parts 171–180)
applicable to the transportation of
infectious substances, including
regulated medical waste (67 FR 53118).
The final rule made the following
changes to the HMR:
• Adopted new classification criteria
for infectious substances based on
defining criteria developed by the
World Health Organization (WHO) and
consistent with standards contained in
the 12th Revised Edition of the United
Nations Recommendations on the
Transport of Dangerous Goods (UN
Recommendations) and the 2003–2004
Edition of the International Civil
Aviation Organization’s Technical
Instructions for the Safe Transport of
Dangerous Goods by Air (ICAO
Technical Instructions).
• Revised packaging requirements for
Division 6.2 materials for consistency
with international performance
standards.
• Eliminated an exception from
requirements in the HMR for diagnostic
specimens and adopted certain
packaging and hazard communication
requirements for these materials.
Diagnostic specimens transported by
private or contract carriers in motor
vehicles used exclusively for diagnostic
specimens continue to be excepted from
most requirements in the HMR.
• Modified an exception from
requirements in the HMR for biological
products, limiting the exception to
biological products licensed for use
under current Food and Drug
PO 00000
Frm 00002
Fmt 4701
Sfmt 4702
Administration (FDA) or U.S.
Department of Agriculture (USDA)
regulations.
• Adopted bulk packaging options for
the transportation of regulated medical
waste (RMW), based on exemption
provisions.
• Established new hazard
communication requirements for
shipments of Division 6.2 materials.
The requirements in the August 14,
2002 final rule became effective on
February 14, 2003.
II. Issues Related to Current
Requirements
Our August 14, 2002 final rule
adopted a risk-group-based
classification system for infectious
substances based on criteria in the UN
Recommendations. The final rule
requires Division 6.2 materials to be
assigned to risk groups based on the
degree to which they cause injury
through disease, with Risk Group 1
presenting the lowest risk and Risk
Group 4 presenting the highest risk.
Assignment of an infectious substance
to a risk group is based on the known
medical history of the source patient or
animal, endemic local conditions,
symptoms of the source patient or
animal, or professional judgment
concerning individual circumstances of
the source patient or animal. Division
6.2 materials assigned to Risk Group 1
are excepted from the HMR and the UN
Recommendations.
The current requirements for
assigning pathogens to risk groups are
based on the risks posed in the
laboratory environment, not in the
transportation environment. Pathogens
in transport do not pose the same level
of risk that they do in the laboratory.
Laboratory workers perform extensive
manipulations of infectious substances
that place the workers at higher risk of
infection because of accidental
exposures caused by splashes or spills.
Moreover, certain laboratory
processes—such as vortexing, mixing, or
centrifuging—can generate aerosols or
airborne particles that can place workers
who perform such operations at
increased risk. These conditions do not
exist in transport.
The risk group classification system
resulted in transportation problems,
including shipper confusion in
assigning risk groups, and shipment
delays or refusal to transport associated
with carriers’ and transport workers’
perceptions about the risks associated
with the transportation of infectious
substances. A delay in transportation or
a refusal to transport a specimen may
have life-threatening implications for a
patient or a population. Moreover,
E:\FR\FM\19MYP5.SGM
19MYP5
Federal Register / Vol. 70, No. 96 / Thursday, May 19, 2005 / Proposed Rules
transportation problems can delay
research necessary to develop
treatments or slow the spread of disease,
and can interfere with the
implementation of appropriate measures
to address new disease outbreaks.
Because of these transportation
problems, the UN Committee of Experts
on the Transport of Dangerous Goods
worked with scientists and public
health professionals at WHO, the U.S.
Centers for Disease Control and
Prevention (CDC), and other agencies to
develop a classification scheme for
infectious substances that would be
more appropriate for the transportation
environment.
In December 2002, the United Nations
adopted a number of revisions for the
13th Revised Edition of the UN
Recommendations related to the
transportation of infectious substances,
primarily involving how infectious
substances are classed and packaged. In
July 2004, the UN Committee of Experts
on Dangerous Goods recommended
further revisions to these standards;
these revisions were adopted for the
14th Revised Edition of the UN
Recommendations in December 2004.
At the same time, the ICAO Dangerous
Goods panel adopted many of the
amendments for the 14th Revised
Edition of the UN Recommendations in
the 2005–2006 Edition of the ICAO
Technical Instructions through an
addendum to the ICAO Technical
Instructions.
The amendments in the 13th and 14th
Editions of the UN Recommendations
are the result of long and thoughtful
consultations among regulators,
scientists, medical professionals, and
the transport community. The result is
a set of standards for the transportation
of infectious substances that are easier
to use and impose a high level of safety
appropriate to the degree of risk and
conditions of transport.
The requirements adopted for the UN
Recommendations establish a two-tiered
UN number and proper shipping name
VerDate jul<14>2003
22:51 May 18, 2005
Jkt 205001
PO 00000
classification system for Division 6.2
materials—Category A and Category B.
A Category A infectious substance poses
a higher degree of risk than a Category
B infectious substance. A Category A
material is an infectious substance that
is transported in a form that is capable
of causing permanent disability or lifethreatening or fatal disease to otherwise
healthy humans or animals when
exposure to it occurs. An exposure
occurs when an infectious substance is
released outside of its protective
packaging, resulting in physical contact
with humans or animals. Category A
infectious substances are assigned to UN
2814 (for substances that cause disease
in humans or in both humans and
animals) or UN 2900 (for substances that
cause disease in animals only). The
following are examples of Category A
infectious substances. Please note this
list is not all inclusive and is provided
only as guidance.
Micro-organism
UN 2814:
Infectious substances affecting humans and animals .......
Bacillus anthracis (cultures only)
Brucella abortus (cultures only)
Brucella melitensis (cultures only)
Brucella suis (cultures only)
Burkholderia mallei—Pseudomonas mallei—Glanders (cultures only)
Burkholderia pseudomallei—Pseudomonas pseudomallei (cultures only)
Chlamydia psittaci—avian strains (cultures only)
Clostridium botulinum (cultures only)
Coccidioides immitis (cultures only)
Coxiella burnetti (cultures only)
Crimean-Congo hemorrhagic fever virus
Dengue virus (cultures only)
Eastern equine encephalitis virus (cultures only)
Escherichia coli, verotoxigenic (cultures only)
Ebola virus
Flexal virus
Francisella tularensis (cultures only)
Guanarito virus
Hantaan virus
Hantaviruses causing hemorrhagic fever with renal syndrome
Hendra virus
Herpes B virus (cultures only)
Human immunodeficiency virus (cultures only)
Highly pathogenic avian influenza virus (cultures only)
Japanese Encephalitis virus (cultures only)
Junin virus
Kyasanur forest disease virus
Lassa virus
Machupo virus
Marburg virus
Monkeypox virus
Mycobacterium tuberculosis (cultures only)
Nipah virus
Omsk hemorrhagic fever virus
Poliovirus (cultures only)
Rabies and other lyssaviruses (cultures only)
Rickettsia prowazekii (cultures only)
Rickettsia rickettsia (cultures only)
Rift Valley fever virus
Russian spring-summer encephalitis virus (cultures only)
Sabia virus
Shigella dysenteriae type I (cultures only)
Tick-borne encephalitis virus (cultures only)
Variola virus
Frm 00003
Fmt 4701
Sfmt 4702
29171
E:\FR\FM\19MYP5.SGM
19MYP5
29172
Federal Register / Vol. 70, No. 96 / Thursday, May 19, 2005 / Proposed Rules
UN number and proper shipping name
Micro-organism
UN 2900:
Infectious substances affecting animals only ....................
Under the UN Recommendations,
Category A infectious substances are
packaged in UN specification
packagings that consist of a watertight
primary receptacle or receptacles; a
watertight secondary packaging; for
liquid materials, absorbent material in
sufficient quantity to absorb the entire
contents; and a rigid outer packaging of
adequate strength for its capacity, mass,
and intended use. The completed
packaging must pass specified
performance tests, including a drop test
and a water-spray test, and must be
capable of withstanding, without
leakage, an internal pressure producing
a pressure differential of not less than
95 kPa (0.95 bar, 14 psi). The completed
packaging must also be capable of
withstanding, without leakage,
temperatures in the range of ¥40 °C to
+55 °C (¥40 °F to 131 °F). The
completed package must be labeled with
a Division 6.2 label and must be
accompanied by appropriate shipping
documentation. The packaging specified
for Category A infectious substances is
consistent with the packaging currently
required for infectious substances
assigned to UN 2814 or UN 2900.
A Category B infectious substance is
one that does not meet the criteria for
inclusion in Category A. A Category B
infectious substance does not cause
permanent disability or life-threatening
or fatal disease to humans or animals
when exposure to it occurs. Under the
provisions of the 13th Edition of the UN
Recommendations, adopted in
December 2002, a Category B infectious
substance is described as ‘‘Diagnostic
Specimen’’ or ‘‘Clinical Specimen’’ and
assigned to UN 3373.
The Category A and B designations
developed for purposes of
transportation are different from the
Category A and B designations for
agents of bioterrorism developed by the
Centers for Disease Control and
Prevention (CDC) and the National
VerDate jul<14>2003
22:51 May 18, 2005
Jkt 205001
Venezuelan equine encephalitis virus
Vesicular stomatitis virus (cultures only)
West Nile virus (cultures only)
Yellow fever virus (cultures only)
Yersinia pestis (cultures only)
African swine fever virus (cultures only)
Avian paramyxovirus Type 1—Velogenic Newcastle disease virus (cultures only)
Classical swine fever virus (cultures only)
Foot and mouth disease virus (cultures only)
Lumpy skin disease virus (cultures only)
Mycoplasma mycoides—Contagious bovine pleuropneumonia (cultures only)
Peste des petits ruminants virus (cultures only)
Rinderpest virus (cultures only)
Sheep-pox virus (cultures only)
Goatpox virus (cultures only)
Swine vesicular disease virus (cultures only)
Institutes of Health (NIH). The critieria
for inclusion in these categories differ,
and, although there is some overlap, the
lists should not be confused. It is
extremely important that persons
offering infectious materials for
transportation in commerce assign
infectious substances to the appropriate
category to avoid inappropriate
packaging for the materials.
Historically, the HMR have permitted
a proper shipping name, such as
‘‘Diagnostic specimen,’’ listed in the
§ 172.101 Table to be used to describe
a non-hazardous material on a shipping
paper and package marking provided
the UN or NA identification number is
not included. See §§ 172.202(e) and
172.303(b)(3). However, adoption of the
proper shipping names ‘‘Diagnostic
Specimen’’ and ‘‘Clinical Specimen’’ in
the 13th Edition of the UN
Recommendations and in the 2005–
2006 ICAO Technical Instructions, and
adoption of the proper shipping name
‘‘Diagnostic specimen’’ in the HMR have
resulted in some confusion on the part
of both shippers and carriers who are
accustomed to using these terms to refer
to human or animal samples that have
a low probability of containing an
infectious pathogen. In addition, using
these terms to describe shipments of
Category B infectious substances is not
completely accurate—there are many
shipments of Category B infectious
substances that may not be diagnostic
specimens as that term is usually
defined.
The UN Sub-Committee of Experts on
the Transport of Dangerous Goods
discussed the proper shipping name
issue during its July 2004 meeting and
agreed to adopt a different proper
shipping name for Category B infectious
substances—‘‘Biological substance,
Category B.’’ The UN adopted this
proper shipping name for the 14th
Revised Edition of the UN
Recommendations, which is effective
PO 00000
Frm 00004
Fmt 4701
Sfmt 4702
January 1, 2007; ICAO adopted the new
proper shipping name through an
addendum to the 2005–2006 ICAO
Technical Instructions. The addendum
permits use of the new proper shipping
name as an alternative to ‘‘Diagnostic
Specimen’’ or ‘‘Clinical Specimen’’ until
January 1, 2007, at which time the new
name must be used.
Under the UN Recommendations, a
Category B infectious substance is
packaged in a packaging consisting of a
leakproof primary receptacle, a
leakproof secondary packaging, and a
rigid outer packaging. At least one
surface of the outer packaging must
have a minimum dimension of 100 mm
by 100 mm (3.9 inches). The packaging
must be of good quality and strong
enough to withstand the shocks and
loadings normally encountered during
transportation. For liquid materials, the
secondary packaging must contain
absorbent material in sufficient
quantities to absorb the entire contents
of the primary receptacle or receptacles.
The primary or secondary packaging
must be capable of withstanding,
without leakage, an internal pressure
producing a pressure differential of 95
kPa. The packaging must be constructed
and closed to prevent any loss of
contents that might be caused under
normal conditions of transportation by
vibration or changes in temperature,
humidity, or pressure. The completed
packaging must be capable of passing a
1.2-meter (3.9 feet) drop test. The
package must be marked with a
diamond-shaped marking containing the
identification number ‘‘UN 3373’’ and
with the proper shipping name
‘‘Biological substance, Category B.’’ The
minimum size for the diamond-shaped
mark includes sides at least 50 mm (1.97
inches) long, and letters and numbers at
least 6 mm (0.24 inches) high. Under the
UN Recommendations, shipments of
Category B infectious substances are not
E:\FR\FM\19MYP5.SGM
19MYP5
Federal Register / Vol. 70, No. 96 / Thursday, May 19, 2005 / Proposed Rules
subject to any other transportation
requirements.
The 2005–2006 ICAO Technical
Instructions, which are based in part on
the UN Recommendations, include
additional requirements for Category B
infectious substances. Specifically, the
ICAO Technical Instructions require the
proper shipping name; UN number; and
name, address, and telephone number of
a person knowledgeable about the
material to be provided on a written
document, such as an air waybill, or on
the package.
Representatives of the United States
worked closely with the UN Committee
of Experts and the ICAO Dangerous
Goods Panel to develop the revised
requirements for transporting infectious
substances. The new requirements are
based on a scientific evaluation of the
real risks that these materials pose in
transportation. Category B infectious
substances pose a reduced risk of
infection upon exposure based on the
way they are transmitted (route of
infection) and the number of pathogens
required to initiate an infection. Certain
infectious substances previously
assigned to Risk Group 2 or 3 substances
are now assigned to Category B
infectious substances and are subject to
less stringent regulatory requirements.
The Category B packaging provides
triple barriers and absorbent and
cushioning materials that are designed
to prevent leakage of the material during
transportation. We believe that the
regulations developed for the 13th and
14th Revised Editions of the UN
Recommendations provide a less
confusing and more appropriate
regulatory system than the current riskgroup-based system. Therefore, in this
NPRM, we are proposing to harmonize
the HMR requirements for the
transportation of infectious substances
with those adopted or expected to be
adopted for the UN Recommendations
and the ICAO Technical Instructions.
Specific regulatory proposals are
discussed in the ‘‘Section-by-Section
Review’’ section of this preamble.
infectious substance that is transported
in a form that is capable of causing
permanent disability or life-threatening
or fatal disease to humans or animals
when exposure to it occurs. As the
guidance earlier in this document
suggests, this new definition may
include cultures of materials that
previously were considered Risk Group
2 and 3 materials. The transportation
requirements for Category A infectious
substances are identical to current
requirements under both the HMR and
the UN Recommendations for Risk
Group 4 infectious substances.
The HMR currently provide for
exceptions from certain regulatory
requirements for Risk Group 2 or 3
infectious substances; however, these
exceptions may not be used for Risk
Group 4 materials. For example, the
HMR currently permit diagnostic
specimens, biological products, and
regulated medical waste (RMW) that
contain Risk Group 2 or 3 infectious
substances to be transported as
materials of trade (MOTS) in accordance
with § 173.6. The MOTS exception may
not be used to transport Risk Group 4
materials. In this NPRM, we propose to
limit exceptions authorized for the
transportation of infectious substances
to Category B materials; thus, Category
A materials could not be shipped as
MOTS. We recognize that this approach
somewhat narrows the applicability of
the transportation exceptions that are
currently permitted under the HMR. In
particular, we note that, as proposed in
this NPRM, RMW that contains a
Category A infectious substance must be
transported in accordance with
requirements applicable to UN 2814
(infectious substance affecting humans)
or UN 2900 (infectious substance
affecting animals only) rather than UN
3291 (regulated medical waste). We
believe the proposed amendments
accurately address the risks posed by
these materials; however, we invite
commenters to address the
transportation impacts, if any, of the
proposed revisions.
III. Category A Versus Risk Group 4
Classification
As indicated above, the HMR
currently require Division 6.2 materials
to be assigned to one of four risk groups
based on the degree of risk associated
with laboratory manipulation of the
pathogen. A Risk Group 4 pathogen is
one that usually causes serious human
or animal disease and that can be
readily transmitted from one individual
to another, directly or indirectly, and for
which effective treatments and
preventive measures are not usually
available. A Category A material is an
IV. Notification to Pilot-in-Command
As noted earlier, the proposals in this
NPRM are consistent with standards
adopted by the UN and ICAO. A major
issue associated with ICAO’s adoption
of the provisions applicable to
infectious substances in the 13th
Revised Edition of the UN
Recommendations was whether or not
to require notification to the pilot-incommand (NOPIC) of an aircraft of the
presence of Category B infectious
substances as cargo on board the
aircraft. Under the standards adopted
for the UN Recommendations, Category
VerDate jul<14>2003
22:51 May 18, 2005
Jkt 205001
PO 00000
Frm 00005
Fmt 4701
Sfmt 4702
29173
B infectious substances are not
accompanied by shipping papers nor
must their packages be labeled. The
hazard communication required for a
package containing a Category B
infectious substance is a package
marking consisting of ‘‘UN 3373’’ in a
square-on-point configuration and the
words ‘‘Biological substance, Category
B’’ in association with the UN number.
ICAO adopted additional hazard
communication requirements for
Category B infectious substances.
Specifically, the ICAO Technical
Instructions require the proper shipping
name; UN number; and name, address,
and telephone number of a person
knowledgeable about the material to be
provided on a written document (such
as an air waybill) or on the package
itself. As noted above, we propose to
adopt the ICAO requirements into the
HMR for air transportation.
Generally, a NOPIC is required for
shipments of hazardous materials
subject to the HMR or ICAO Technical
Instructions. The NOPIC includes the
proper shipping name, hazard class, and
identification number of the hazardous
material; the total number of packages;
the net quantity or gross weight for each
package; the location of the packages on
the aircraft; any additional information
required by the regulations; and
confirmation that no damaged or leaking
packages have been loaded on the
aircraft (see § 175.33 of the HMR and
Chapter 4, paragraph 4.1.1, and Chapter
7, paragraph 7.4.1 of the ICAO
Technical Instructions). The NOPIC
provides the pilot-in-command with
information to make critical decisions
and take necessary safety precautions in
the event of an emergency on board the
aircraft.
ICAO narrowly decided against
requiring a NOPIC for shipments of
Category B infectious substances for the
2005–2006 Edition of the ICAO
Technical Instructions. The ICAO vote
on the issue was evenly split; an equal
number supported a requirement for a
NOPIC for Category B infectious
substances as opposed the requirement.
ICAO members opposed to the
requirement cited the low risk in
transportation associated with Category
B infectious substances, new ICAO
requirements for hazard communication
for Category B shipments, and the
possibility that increased regulation
would result in fewer carriers electing to
transport Category B shipments.
Members supporting the NOPIC
requirement cited the benefit of
information being available to the pilot
and emergency responders in the event
of an emergency or an accident.
Consistent with the ICAO decision, this
E:\FR\FM\19MYP5.SGM
19MYP5
29174
Federal Register / Vol. 70, No. 96 / Thursday, May 19, 2005 / Proposed Rules
NPRM does not propose to require a
NOPIC for Category B infectious
substances. However, we invite
commenters to address this issue.
Should the HMR require a NOPIC for
shipments of Category B infectious
substances? What would be the benefits
or adverse impacts of such a
requirement?
V. Transportation of Unknown or
Suspected Infectious Substances
The public health community is
frequently confronted with outbreaks of
disease of unknown etiology and must
quickly transport specimens for
identification and diagnosis. This
rulemaking proposes that, generally,
routine samples that are unlikely to
contain an infectious substance or
where the pathogenicity of the
infectious substance is at a level
naturally encountered in the
environment that will not cause disease
when exposure to it occurs may be
transported as non-regulated materials.
In most other cases, this rulemaking
proposes to permit unknown samples
shipped for analysis and diagnosis to be
transported in accordance with
requirements for Category B infectious
substances, because, historically,
materials meeting this definition have
been transported in a similar manner
with no adverse safety impact or
increased risk to transport workers or
the general public. For situations where
the identity of the agent or pathogen is
not known, but sufficient information is
available to strongly suspect a Category
A infectious substance, this NPRM
proposes to require an indication on
shipping papers that the sample
contains a Category A infectious
material, as follows—‘‘Infectious
substances, affecting humans (suspected
Category A infectious substance), 6.2,
UN 2814’’. Suspected Category A
infectious substances must be shipped
in accordance with all applicable hazard
communication and packaging
requirements for Category A infectious
substances. The determination as to
whether to ship an unknown sample as
a Category A or Category B infectious
substance should be made by
appropriate medical or public health
officials based on known medical
conditions and history of the source
patient or animal, endemic local
conditions, and symptoms of the source
patient or animal.
VI. Security Requirements for Select
Agents
Currently, persons who offer for
transportation or transport certain
infectious substances in commerce must
develop and implement security plans
VerDate jul<14>2003
22:51 May 18, 2005
Jkt 205001
in accordance with Subpart I of Part 172
of the HMR. Specific measures
implemented as part of the plan may
vary commensurate with the level of
threat at a particular time. At a
minimum, the security plan must
address personnel security,
unauthorized access, and en route
security. For personnel security, the
plan must include measures to confirm
information provided by job applicants
for positions that involve access to and
handling of the hazardous materials
covered by the plan. For unauthorized
access, the plan must include measures
to address the risk that unauthorized
persons may gain access to materials or
transport conveyances being prepared
for transportation. For en route security,
the plan must include measures to
address security risks during
transportation, including shipments
stored temporarily en route to their
destinations.
For infectious substances, the security
plan requirements apply to shipments of
select agents and toxins regulated by
CDC under 42 CFR Part 73. The CDC
regulations identify select agents and
toxins affecting humans (‘‘HHS Select
Agents and Toxins’’) and select agents
and toxins affecting both humans and
animals (‘‘Overlap Select Agents and
Toxins’’). The USDA regulations at 9
CFR Part 121 identify select agents and
toxins affecting animals, in addition to
the Overlap Select Agents and Toxins
that are also listed in the CDC
regulations. USDA regulations at 7 CFR
Part 331 identify agents and toxins
affecting plants. Select agents and toxins
affecting animals only are not currently
subject to the security plan
requirements. Biological agents and
toxins affecting plants only do not meet
the definition of an infectious substance
under the HMR.
CDC and USDA regulate select agents
and toxins because they have the
potential to pose a severe threat to the
public health and safety. Select agents
and toxins affecting animals could be
used to compromise public health;
therefore, in this NPRM we propose to
add the select agents and toxins listed
in 9 CFR Part 121 to the list of
hazardous materials for which security
plans are required. As proposed,
persons who offer or transport any of
the materials regulated under 9 CFR Part
121 would be required to develop and
implement security plans that conform
to HMR requirements. We propose to
provide six months from the effective
date of a final rule for shippers and
carriers to come into compliance with
this new requirement.
We invite commenters to address
whether we should also require persons
PO 00000
Frm 00006
Fmt 4701
Sfmt 4702
who offer or transport select agents and
toxins that have been found to pose a
severe threat to plant health or plant
products, regulated by USDA under 7
CFR Part 331, to develop and implement
transportation security plans. Such
materials could also be used
illegitimately to compromise public
health.
VII. Sharps Containers
There appears to be some confusion
in the regulated community about HMR
requirements applicable to sharps
containers. The current requirements
appear in several places in the
regulations. For non-bulk shipments, a
sharps container must be a UN
specification packaging that is puncture
resistant for sharps and sharps with
residual fluid as demonstrated by
conformance to the design and test
requirements in Subpart M of Part 178
at the Packing Group II performance
level. A sharps container that conforms
to these requirements need not be
placed in an outer packaging for
transport. A sharps container placed
inside a bulk packaging, such as a UN
specification Large Packaging or a nonspecification bulk outer packaging or
wheeled cart, must be puncture
resistant. A sharps container that is 20
gallons or less in volume need not be a
UN specification packaging if it is to be
placed in a bulk outer packaging. A
sharps container that is larger than 20
gallons in volume that is placed inside
a bulk packaging must be capable of
passing the performance tests in Subpart
M of Part 178 at the Packing Group II
performance level. A sharps container
that will be placed in a bulk outer
packaging for transportation may be
reused only if it is specifically cleared
or approved by FDA as a medical device
for reuse and must have a capacity of
between 2 and 40 gallons.
The HMR include an exception from
certain requirements for regulated
medical waste (RMW), including sharps,
transported by a private or contract
carriers (see § 173.134(c)). Under this
exception, RMW, including sharps, may
be transported in a rigid, non-bulk
packaging that conforms to the general
packaging requirements of §§ 173.24
and 173.24a and packaging
requirements specified in OSHA
standards at 29 CFR 1910.1030. The
packaging requirements in §§ 173.24
and 173.24a address general packaging
issues such as packaging integrity,
filling limits, and closures. Specifically
with regard to leakproofness, § 173.24(f)
requires closures to be leakproof and
secured against loosening. The OSHA
standards at 29 CFR 1910.1030 require
sharps containers to be puncture
E:\FR\FM\19MYP5.SGM
19MYP5
Federal Register / Vol. 70, No. 96 / Thursday, May 19, 2005 / Proposed Rules
resistant and leakproof (see
1910.1030(d)(4)(iii)(A)(1)).
Our enforcement experience indicates
that the closures currently being used
for sharps containers may not
adequately assure that no contents will
be released during transportation.
Therefore, in this NPRM, we proposed
to add specific closure requirements in
a number of sections applicable to the
transportation of RMW, including
sharps. In addition, we invite
commenters to consider whether the
requirements for sharps containers
should be modified. In this regard, we
note that certain sharps containers are
regulated as medical devices subject to
pre-market review by FDA. FDA’s premarket review seeks primarily to
address sharps containment in hospital
and laboratory settings, not for
transportation. It is our understanding,
therefore, that sharps containers cleared
or approved by FDA may not meet the
HMR requirements in §§ 173.197(b) and
173.134(c). For example, FDA reviews
marketing applications for sharps
containers to determine, among other
things, whether they are leak resistant
on the sides and bottoms and closures
are leak resistant. This is a lesser
standard than the leakproofness
standard established in the HMR. We
ask commenters to address whether the
HMR should permit FDA-cleared or
-approved sharps containers to be used
for the transportation of sharps and, if
so, under what circumstances. For
example, we could permit FDA-cleared
or -approved sharps containers to be
used for the transportation of sharps
provided such containers are placed
inside a leakproof outer packaging.
VIII. Incident Reporting Since February
14, 2003
Under the final rule adopted under
Docket HM–226, effective February 14,
2003, air carriers are required to report
incidents involving diagnostic
specimens in accordance with the
incident reporting requirements in
§§ 171.15 and 171.16. We conducted a
review of incidents involving diagnostic
specimens in air transportation. We
found that 133 air transport incidents
were reported between March and June
2004. Prior to March 2004, carriers
reported very few incidents. (A chart
summarizing the reported incidents and
a detailed listing of the incident reports
is included in the docket for this
rulemaking.) An analysis of the detailed
incident reports indicates that in almost
all cases the packages that leaked were
not prepared in accordance with the
requirements of § 173.199. For example,
many of the reported incidents appear
to have resulted from improper closure
VerDate jul<14>2003
22:51 May 18, 2005
Jkt 205001
of either the primary receptacle or the
secondary packaging. Other packagings
involved in reported incidents did not
include absorbent or cushioning
material. Our analysis does not show a
trend in package failures that would
indicate a problem with the adequacy of
the packaging currently authorized by
the HMR for the transportation of
diagnostic specimens and proposed in
this NPRM to be authorized for the
transportation of Category B infectious
substances. Rather, our analysis
indicates that some shippers do not
understand the regulatory requirements
in § 173.199. To address this problem,
in this NPRM we propose to require the
manufacturer and subsequent
distributors of packagings authorized for
the transportation of Category B
infectious substances under § 173.199 to
provide clear instructions on filling,
preparing, and closing the packaging to
the consignor or the person who
prepares the package for transportation.
In this regard, we note that a number
of testing laboratories provide the
packaging for patients or health care
professionals to use in transporting
patient samples for testing and
diagnosis. Under this NPRM, the
proposed requirement to provide clear
filling and closure instructions would
apply to such testing laboratories as
‘‘subsequent distributors’’ of the
packaging. It is also important to note
that selection of an appropriate
packaging for the transportation of a
hazardous material is a regulated pretransportation function under the HMR.
Thus, the entity providing the packaging
could be subject to enforcement action
as an offeror of the infectious substance
if the packaging does not comply with
applicable HMR requirements.
We have prepared a guidance
document addressing the current
requirements in the HMR for proper
classification and packaging for
diagnostic specimens which is available
from our Office of Hazardous Materials
Initiatives and Training at (202) 366–
4900 or online at https://hazmat.dot.gov/
InfectSubstances.pdf.
IX. Section-by-Section Review
This section-by-section review
summarizes the proposed changes
believed to be most important, and
requests additional comments in some
sections.
Part 171
Section 171.8. In § 171.8, we propose
to remove the definition for Risk Group.
Part 172
Section 172.101. In the Hazardous
Materials Table, we are proposing
PO 00000
Frm 00007
Fmt 4701
Sfmt 4702
29175
several revisions. Most importantly, we
are removing the current entry for
‘‘Diagnostic Specimens’’ for consistency
with amendments expected to be
adopted for the 14th Revised Edition of
the UN Recommendations. We are
adding an entry for ‘‘Biological
substance, Category B.’’ This entry will
apply to shipments of Category B
infectious substances, which must be
classed as Division 6.2, described as a
‘‘Biological substances, Category B,’’
and assigned to UN 3373.
In addition, we propose to revise the
entries for ‘‘Infectious substances,
affecting animals’’ and ‘‘Infectious
substances, affecting humans’’ to delete
Special Provision A81 (see discussion
below). Further, for consistency with
the UN Recommendations, we propose
to revise the two entries for toxins to
include the phrase ‘‘extracted from
living sources.’’
Section 172.102. We are proposing to
remove Special Provision A81, which
permits the quantity limits currently
specified in the HMT for air shipments
to be exceeded for shipments of body
fluids packaged in accordance with
§ 173.196. This special provision is no
longer necessary because of the changes
we propose applicable to shipments of
Category B infectious substances. We
propose to include quantity limits for
air transportation in § 173.199.
Section 172.200. Consistent with
requirements in the ICAO Technical
Instructions, in § 172.200 we are
proposing to clarify that the shipping
paper requirements do not apply to
Category B infectious substances
prepared in accordance with § 173.199
of the HMR. This proposal is consistent
with the requirements adopted for the
UN Recommendations, which except
Category B infectious substances from
the shipping paper requirements of Part
172.
Section 172.203. In paragraph (k) of
§ 172.203, we propose to authorize a
shipping paper that accompanies a
shipment of a suspected Category A
infectious substance to include the
words ‘‘suspected Category A infectious
substance’’ in parentheses as an
alternative to a technical name that
describes the pathogen(s) it contains
when the infectious substance is not
known. Thus, the shipping description
for a suspected Category A infectious
substance affecting humans would read,
‘‘Infectious substances, affecting
humans (suspected Category A
infectious substance), 6.2, UN 2814’’.
For known Category A pathogens, we
propose that the technical name of the
pathogen must be indicated.
Section 172.301. Consistent with the
UN Recommendations, in paragraph (b)
E:\FR\FM\19MYP5.SGM
19MYP5
29176
Federal Register / Vol. 70, No. 96 / Thursday, May 19, 2005 / Proposed Rules
of § 172.301, we propose that no
technical names are to be marked on the
outer packaging of Division 6.2
materials.
Section 172.800. We propose to
require persons who offer for
transportation or transport select agents
and toxins regulated by USDA under 9
CFR Part 121 to develop and implement
security plans in accordance with
requirements in Subpart I of part 172 of
the HMR.
Part 173
Section 173.6. Our August 14, 2002
final rule added Division 6.2 materials
to the hazardous materials that may be
transported as materials of trade
(MOTS). The final rule prohibited Risk
Group 4 infectious substances from
being transported as MOTS. In this
NPRM, we propose to modify § 173.6 to
prohibit Category A infectious
substances and suspected Category A
infectious substances, rather than Risk
Group 4 infectious substances, from
being transported as MOTS for
consistency with the definition and
classification criteria for infectious
substances adopted for the UN
Recommendations. In addition, we
propose to modify the packaging
requirements for MOTS shipments of
Division 6.2 materials. The August 14,
2002 final rule established capacity
limitations for MOTS packagings of
Division 6.2 materials. In this NPRM, for
consistency with international
standards, we propose to limit the
amount of material each packaging may
contain rather than the capacities of the
packagings used. Finally, we propose to
add a requirement that sharps
containers must be securely closed to
prevent leaks or punctures. As indicated
above, we are concerned that the
closures currently being used for sharps
containers may not adequately assure
that no contents will be released during
transportation.
Section 173.24a. We propose to
modify paragraph (c) in § 173.24a to
prohibit a package containing inner
packagings of Division 6.2 materials
from containing any other hazardous
materials except for dry ice, liquid
nitrogen, or other material used to
preserve or stabilize the infectious
substance. Hazardous materials most
commonly used to preserve or stabilize
an infectious substance include
methanol, isopropyl alcohol, boric acid,
formaldehyde, formalin, and sodium
borate. This proposal is consistent with
a provision adopted for the 2005–2006
edition of the ICAO Technical
Instructions and by the UN Transport of
Dangerous Goods Subcommittee for the
14th Revised Edition of the UN
VerDate jul<14>2003
22:51 May 18, 2005
Jkt 205001
Recommendations. The packaging
requirements proposed for Division 6.2
materials, which include triple
packaging and absorbent material, are
comparable to the packaging permitted
for transporting hazardous materials in
accordance with the small quantity
exceptions in § 173.4 and should
minimize the risk of a release in
transportation. Therefore, in this NPRM,
we propose that when a hazardous
preservative, such as a Class 3 or Class
8 material in Packing Groups II or III, is
included in the inner packaging with
the material, the preservative would not
be subject to HMR requirements
provided the amount in the inner
packaging does not exceed 30 mL for a
liquid or 30 g for a solid. The maximum
quantity in an outer package, including
a hazardous material used to preserve or
stabilize a sample, would not be
permitted to exceed 4 L or 4 kg. Note
that this exception applies only to
materials in Packing Groups II or III; PG
I materials are not authorized. Note also
that, for amounts in excess of 30 mL or
30 g per inner packaging, hazardous
preservative materials are regulated
under the HMR and must be transported
in accordance with requirements
applicable to their specific classification
and characteristics. We request
comments as to whether volumes over
30 mL should be excepted and why, and
whether the provision should be
expanded to allow Packing Group I
materials.
Section 173.134. We propose a
number of revisions to § 173.134 for
consistency with definitions and
provisions adopted for the UN
Recommendations, as follows:
(1) We propose to modify the
definition for a Division 6.2 material.
The proposed definition replaces the
Risk Group ranking system with the
two-tiered Category A and Category B
system adopted by the UN. The
proposed definition includes a
requirement for a Division 6.2 material
to be assigned an appropriate
identification number: UN 2814 for
Category A infectious substances
affecting humans or both humans and
animals; UN 2900 for Category A
infectious substances affecting animals
only; UN 3373 for Category B infectious
substances; and UN 3291 for Regulated
medical waste.
(2) We propose to modify the
definition for ‘‘biological product’’ to
replace the Risk Group ranking
references with references to Category A
and Category B infectious substances.
We are not proposing to adopt the
definition for ‘‘biological product’’
exactly as that term is defined in the UN
Recommendations. The new definition
PO 00000
Frm 00008
Fmt 4701
Sfmt 4702
does not differ substantively from the
current definition in the HMR;
moreover, the current definition in the
HMR, as modified in this NPRM, is
consistent with the definition used by
FDA and other Federal agencies.
(3) We propose to replace the existing
definition of ‘‘cultures and stocks’’ with
a definition for ‘‘cultures’’ that is
consistent with the definition for
‘‘cultures’’ adopted in the UN for the
14th Revised Edition of the UN
Recommendations. Cultures are the
result of a process by which pathogens
are intentionally propagated by use of
ideal conditions, including temperature,
environment, and nutrient-based
propagation media. The definition
proposed in this NPRM refers to
cultures prepared for the intentional
generation of pathogens and does not
include patient specimens intended for
diagnostic or clinical purposes.
(4) We are proposing a new definition
for ‘‘patient specimen.’’ As proposed in
this NPRM, ‘‘patient specimen’’ means
human or animal materials that are
collected directly from humans or
animals and that are transported for
research, diagnosis, investigational
activities, or disease treatment or
prevention. Examples include excreta,
secreta, blood and its components,
tissue and tissue swabs, and body parts.
(5) We propose to modify the
definition for ‘‘regulated medical waste’’
to incorporate Category A and Category
B infectious substances. RMW
containing a Category A infectious
substance must be classed as Division
6.2, described as an infectious
substance, and assigned to UN 2814 or
UN 2900, as appropriate. RMW
containing Category B infectious
substances is assigned to UN 3291.
(6) We propose to modify the listed
exceptions in paragraph (b) of § 173.134
for consistency with the UN
Recommendations. Most of the
exceptions are unchanged. However, we
are adding an exception for a material
that has a low probability of containing
an infectious substance or where the
concentration of the infectious
substance is at a level naturally
occurring in the environment that will
not cause disease when exposure
occurs. Examples include foodstuffs and
certain environmental samples. The
new provision referring to
environmental samples would replace
the exception for these materials in
current § 173.134(b)(13). In addition, we
are proposing to add an exception for
dried blood spots and for specimens
used to detect fecal occult blood. These
are specimens that are routinely
collected from healthy patients for
routine testing and screening (e.g., DNA
E:\FR\FM\19MYP5.SGM
19MYP5
Federal Register / Vol. 70, No. 96 / Thursday, May 19, 2005 / Proposed Rules
analysis, forensic studies, immunologic
studies, cancer screening, and
nutritional evaluations of infants,
children, and adults). The specimen is
placed on paper, allowed to saturate the
paper, and then dried completely. The
specimens pose an extremely minimal
risk of infection, and may be rendered
unusable if placed in packaging that
retains moisture or heat to the sample.
More than 100 million specimens have
been safely transported by routine mail
over the last 30 years. Health
professionals recommend that these
materials should be transported in a
double-envelope system that forms a
double-layer protective barrier (i.e.,
inner and outer-sealed high quality, airpermeable paper envelope) or an
attached heavy paper fold-over flap as
the inner container placed into a
secondary high-quality paper envelope.
In addition, in this NPRM we are
proposing to except from regulation
under the HMR a human or animal
sample transported for routine testing
that is not related to diagnosis of an
infectious disease and for which there is
no reason to suspect that the sample is
infectious. Routine screening tests
include: (1) Blood or urine tests that a
doctor may order as part of a routine
medical examination to monitor
cholesterol levels, blood glucose levels,
hormone levels, or prostate specific
antibodies (PSA); (2) blood or urine tests
to monitor liver or kidney functions for
the millions of people who are not
known to have a non-infectious disease,
such as multiple sclerosis, and who are
following a particular drug therapy
regime; (3) blood or urine tests
conducted for insurance or employment
purposes and/or intended to determine
the presence of alcohol or drugs; (4)
DNA tests; and (5) pregnancy tests.
Tests for diagnoses other than for the
presence of pathogens include biopsies
to detect cancer and antibody titre
testing. This exception is consistent
with exeptions adopted in the UN
Recommendations for substances that
are unlikely to cause disease in humans
or animals and substances for which
there is a low probability that infectious
substances are present.
(7) We propose to revise the
exceptions in paragraph (c) applicable
to the transportation of regulated
medical waste. We propose to add a
requirement that sharps containers
shipped in accordance with this
exception must be securely closed to
prevent leaks or punctures. We are
concerned that the closures currently
being used for sharps containers may
not adequately assure that no contents
will be released during transportation.
In addition, we propose to modify
VerDate jul<14>2003
22:51 May 18, 2005
Jkt 205001
paragraph (c)(2) to revise the current
reference to Risk Group 2 or 3 infectious
substances to Category B infectious
substances.
Section 173.196. We propose to
modify the Division 6.2 material
packaging requirements in § 173.196 for
consistency with the UN
Recommendations. Generally, the
proposed revisions are editorial and do
not change current packaging
requirements. We are proposing to add
a requirement for outer packagings to be
rigid. Note that the packaging
requirements in § 173.196 apply to
shipments of Category A infectious
substances only. In this NPRM, we
propose that Category B infectious
substances will be transported in
accordance with the provisions in
§ 173.199.
Section 173.197. We propose to
modify the RMW packaging
requirements in § 173.197 to incorporate
Category A and Category B infectious
substances. The proposed revisions do
not substantively change the current
packaging requirements for non-bulk or
bulk shipments of RMW.
We propose to revise § 173.197(b) for
clarification by correcting in the first
sentence, ‘‘except as otherwise provided
in § 173.134 of this subpart’’ to read
‘‘except as authorized by
§ 173.134(d)(1)(ii).’’ In addition, in
current paragraph (b) non-bulk RMW
packaging is currently described as a
DOT specification packaging meeting
the requirements of Part 178 at the PG
II performance level. We are proposing
to revise the phrase ‘‘DOT specification’’
to read ‘‘UN standard’’ because nonbulk PG II refers to packagings in Part
178, Subpart L, conforming to a UN
standard. We propose in paragraph
(d)(1)(iv) to not permit untreated
concentrated stock cultures of a
Category A infectious substance in a
wheeled Cart or BOP.
In § 173.197(d)(2)(iii), the reference to
the drop test requirement is not correct.
It should read ‘‘Each Cart must be
capable of meeting the requirements of
§ 178.810 (drop test) at the Packing
Group II performance level.’’
In § 173.197(e)(3), in the introductory
paragraph, we are proposing to revise
the wording ‘‘the performance tests in
§ 178.601’’ to read ‘‘the performance
tests in Part 178, Subpart M’’. There are
no performance tests in § 178.601. This
revision would make § 173.197(e)(3)
consistent with § 173.197(b). Finally, we
propose to add a requirement that
sharps containers must be securely
closed to prevent leaks or punctures. We
are concerned that the closures
currently being used for sharps
containers may not adequately ensure
PO 00000
Frm 00009
Fmt 4701
Sfmt 4702
29177
that no contents will be released during
transportation.
Section 173.199. We propose to
modify this section for consistency with
the UN Recommendations and ICAO
Technical Instructions. As proposed in
this NPRM, the provisions of § 173.199
will apply to shipments of Category B
infectious substances and used health
care products. The packaging
requirements proposed are substantially
the same as the current requirements for
shipping diagnostic specimens, except
that we are proposing that the outer
packaging must be rigid. The completed
packaging must be capable of passing a
drop test at a height of 1.2 meters. We
are proposing pass/fail criteria for the
drop test—there must be no leakage
from the primary receptacle, and the
primary receptacle must remain
protected by absorbent material, when
required, in the secondary packaging. In
addition, we propose to require the use
of absorbent materials for solids that
may become liquid during
transportation.
Consistent with amendments adopted
for the UN Recommendations, we
propose to remove the current capacity
limitations for shipment of Category B
infectious substances, except for
Category B infectious substances
transported by air. For air shipments of
these materials, we are proposing to
modify the current limitations on
capacity consistent with the
amendments adopted in the 2005–2006
ICAO Technical Instructions. For
liquids, we propose to increase the
amount of material permitted in each
inner packaging from 500 mL (16.9
ounces) to 1 L (34 ounces); the
limitation on the total amount of
material that is permitted in the outer
packaging remains 4 L (1 gallon). For
solids, we propose to delete the
limitation on the amount of material
permitted in each inner packaging;
again, the limitation on the total amount
of material permitted in the outer
packaging remains 4 kg (8.8 pounds). In
addition, we propose to require at least
one surface of the outer packaging to
have a minimum dimension of 100 mm
by 100 mm (3.9 inches).
Consistent with provisions proposed
to be adopted for the 14th Edition of the
UN Recommendations, we propose to
require a package containing a Category
B infectious substance and prepared in
accordance with § 173.199 to be marked
with the identification number ‘‘UN
3373’’ in a square-on-point
configuration and with the proper
shipping name ‘‘Biological substances,
Category B.’’ Each side of the square-onpoint mark must be at least 50 mm in
length, and the proper shipping name
E:\FR\FM\19MYP5.SGM
19MYP5
29178
Federal Register / Vol. 70, No. 96 / Thursday, May 19, 2005 / Proposed Rules
‘‘Biological substances, Category B’’
must be in letters at least 6 mm high.
We are also proposing to require the
proper shipping name, UN number, and
the name, address, and telephone
number of a person knowledgeable
about the shipment to be included on a
written document, such as an air
waybill or bill of lading, or on the outer
packaging. The knowledgeable person
should be able to provide information
about how to respond to emergencies or
releases involving the package and
appropriate first aid and treatment.
Finally, we propose to permit small
amounts of hazardous materials in
Packing Groups II or III, not to exceed
30 mL (1 ounce) or 30 g (1 ounce) in
each inner packaging, to be used to
preserve or stabilize the material. Such
preservatives would not be subject to
HMR requirements.
Category B infectious substances
prepared in accordance with § 173.199
are excepted from all other HMR
requirements except for incident
reporting and the requirements in Part
175 of the HMR that prohibit a
hazardous material subject to the HMR
requirements from being transported in
the cabin of a passenger aircraft or the
flight deck of any aircraft.
Part 175
Section 175.630. We are proposing to
add a new paragraph (c) to this section
to require air carriers to inspect
packages containing Division 6.2
materials for leakage when they are
unloaded. If evidence of leakage is
found, the cargo compartment must be
disinfected.
X. Rulemaking Analysis and Notices
A. Statutory/Legal Authority for This
Rulemaking
This NPRM is published under the
following statutory authorities:
1. 49 U.S.C. 5103(b) authorizes the
Secretary of Transportation to prescribe
regulations for the safe transportation,
including security, of hazardous
material in intrastate, interstate, and
foreign commerce. This NPRM proposes
regulations to enhance the safe and
secure transportation of infectious
substances in intrastate, interstate, and
foreign commerce. To this end, as
discussed in detail earlier in this
preamble, the NPRM proposes to revise
current HMR requirements applicable to
infectious substances for classification,
packaging, and hazard communication
and for offerors and transporters of
certain infectious substances to develop
and implement security plans.
2. 49 U.S.C. 5120(b) authorizes the
Secretary of Transportation to ensure
VerDate jul<14>2003
22:51 May 18, 2005
Jkt 205001
that, to the extent practicable,
regulations governing the transportation
of hazardous materials in commerce are
consistent with standards adopted by
international authorities. This NPRM
proposes regulations applicable to the
transportation of infectious substances
in commerce that are consistent with
international standards applicable to
such transportation. To this end, as
discussed in detail earlier in this
preamble, the NPRM proposes to
harmonize current HMR requirements
for infectious substances with the
standards adopted for the transportation
of infectious substances in the UN
Recommendations, the 2005–2006 ICAO
Technical Instructions, and Amendment
32 to the IMDG Code. The continually
increasing amount of hazardous
materials transported in international
commerce warrants the harmonization
of domestic and international
requirements to the greatest extent
possible. Harmonization serves to
facilitate international transportation; at
the same time, harmonization ensures
the safety of people, property, and the
environment by reducing the potential
for confusion and misunderstanding
that could result if shippers and
transporters were required to comply
with two or more conflicting sets of
regulatory requirements. While the
intent of this rulelmaking is to align the
HMR with international standards, we
review and consider each amendment
on its own merit based on its overall
impact on transportation safety and the
economic implications associated with
its adoption into the HMR. Our goal is
to harmonize without sacrificing the
current HMR level of safety and without
imposing undue burdens on the
regulated public. Thus, as discussed in
detail earlier in this preamble, there are
several instances where we elected not
to propose adoption of a specific
provision of the UN Recommendations
or the ICAO Technical Instructions;
further, we propose to maintain a
number of current exceptions for
domestic transportation that should
minimize the compliance burden on the
regulated community.
B. Executive Order 12866 and DOT
Regulatory Policies and Procedures
This NPRM is a significant regulatory
action under section 3(f) of Executive
Order 12866 and, therefore, was
reviewed by the Office of Management
and Budget. This proposed rule is also
considered significant under the
Regulatory Policies and Procedures of
the Department of Transportation (44 FR
11034). Benefits resulting from the
adoption of the amendments in this
NPRM include reduced transportation
costs for shipments of certain infectious
substances and enhanced transportation
safety and efficiency resulting from
consistent domestic and international
transportation requirements. The NPRM
would result in new costs of compliance
related to the development and
implementation of transportation
security plans for persons who ship
USDA-regulated select agents and
toxins. A regulatory evaluation for this
NPRM is in the public docket for this
rulemaking.
This NPRM proposes to relax
requirements for transporting Category
B infectious substances. Currently,
many of these infectious substances
must be shipped in appropriately
marked and labeled UN specification
packagings and accompanied by
shipping papers and emergency
response information; these infectious
substances are also subject to incident
reporting requirements. Under this
proposal, Category B infectious
substances could be shipped in nonspecification packagings, marked with
the appropriate UN number. However,
they would be excepted from labeling
and shipping documentation
requirements. Category B infectious
substances would also be excepted from
incident reporting requirements, except
for shipments by aircraft. Thus, the
proposals in this NPRM would reduce
transportation costs for many infectious
substances and facilitate their rapid and
efficient transportation, which is critical
to public health.
This NPRM proposes to harmonize
the requirements in the HMR for
transporting infectious substances with
international standards in the UN
Recommendations, the ICAO Technical
Instructions, and the International
Maritime Dangerous Goods Code.
Harmonization of requirements in the
HMR with international standards will
allow us to avoid inconsistencies
between the regulations, thereby
facilitating efficient transportation of
infectious substances across national or
international borders. More importantly,
harmonized regulations reduce the
potential for misunderstanding and
confusion and, thus, enhance safety.
C. Executive Order 13132
This proposed rule has been analyzed
in accordance with the principles and
criteria contained in Executive Order
13132 (‘‘Federalism’’). This proposed
rule would preempt State, local, and
Indian tribe requirements but does not
propose any regulation that has
substantial direct effects on the States,
the relationship between the national
government and the States, or the
distribution of power and
PO 00000
Frm 00010
Fmt 4701
Sfmt 4702
E:\FR\FM\19MYP5.SGM
19MYP5
Federal Register / Vol. 70, No. 96 / Thursday, May 19, 2005 / Proposed Rules
responsibilities among the various
levels of government. Therefore, the
consultation and funding requirements
of Executive Order 13132 do not apply.
The Federal hazardous materials
transportation law, 49 U.S.C. 5101–
5127, contains an express preemption
provision (49 U.S.C. 5125(b)) that
preempts State, local, and Indian tribe
requirements on certain covered
subjects. Covered subjects are:
(1) The designation, description, and
classification of hazardous materials;
(2) The packing, repacking, handling,
labeling, marking, and placarding of
hazardous materials;
(3) The preparation, execution, and
use of shipping documents related to
hazardous materials and requirements
related to the number, contents, and
placement of those documents;
(4) The written notification,
recording, and reporting of the
unintentional release in transportation
of hazardous material; or
(5) The design, manufacture,
fabrication, marking, maintenance,
recondition, repair, or testing of a
packaging or container represented,
marked, certified, or sold as qualified
for use in transporting hazardous
material.
This proposed rule addresses covered
subject items (1), (2), (3), (4), and (5)
described above and would preempt
State, local, and Indian tribe
requirements not meeting the
‘‘substantively the same’’ standard. This
proposed rule is necessary to harmonize
domestic regulations for the
transportation of infectious substances
with international standards.
Federal hazardous materials
transportation law provides at
§ 5125(b)(2) that, if DOT issues a
regulation concerning any of the
covered subjects, DOT must determine
and publish in the Federal Register the
effective date of Federal preemption.
The effective date may not be earlier
than the 90th day following the date of
issuance of the final rule and not later
than two years after the date of issuance.
PHMSA proposes that the effective date
of Federal preemption will be 90 days
from publication of a final rule in this
matter in the Federal Register.
D. Executive Order 13175
This proposed rule has been analyzed
in accordance with the principles and
criteria contained in Executive Order
13175 (‘‘Consultation and Coordination
with Indian Tribal Governments’’).
Because this proposed rule does not
have tribal implications and does not
impose direct compliance costs, the
funding and consultation requirements
of Executive Order 13175 do not apply.
VerDate jul<14>2003
22:51 May 18, 2005
Jkt 205001
E. Regulatory Flexibility Act, Executive
Order 13272, and DOT Procedures and
Policies
The Regulatory Flexibility Act (5
U.S.C. 601–611) requires each agency to
analyze proposed regulations and assess
their impact on small businesses and
other small entities to determine
whether the proposed rule is expected
to have a significant impact on a
substantial number of small entities. A
regulatory evaluation for this NPRM,
which includes a detailed small
business impact analysis, is in the
public docket for this rulemaking.
Businesses likely to be affected by the
proposals in this NPRM are the more
than 441,000 establishments that
comprise North American Industrial
Classification System Major Groups 32,
48, 54, and 62, including offices and
clinics of doctors of medicine, dentists,
doctors of osteopathy, chiropractors,
optometrists, podiatrists, and health
practitioners; nursing and personal care
facilities; hospitals; medical and dental
laboratories; and patients. For purposes
of the small business impact analysis,
the definition of ‘‘small business’’ has
the same meaning as under the Small
Business Act. The majority of the
businesses likely to be affected by the
proposals in this NPRM are small
businesses (from 68% of general
medical and surgical hospitals to nearly
100% of doctors’ offices and research
laboratories).
For the most part, affected businesses
would incur no increased costs to
comply with the provisions of this
NPRM; indeed, if adopted, the
provisions of this NPRM would reduce
overall transportation costs for most of
these entities. Manufacturers and
distributors of packages intended for the
transportation of infectious substances
will incur costs associated with
retaining copies of filling and closure
instructions for such packages; we
estimate that the cost per company will
be about $750/year. In addition, air
carriers would incur increased costs
associated with new cargo inspection
requirements; we estimate that these
costs would amount to $1.34 per
package of infectious substances
transported. Finally, the NRPM would
impost new costs on the regulated
industry for shipments of select agents
and toxins regulated by USDA; we
estimate that these costs would amount
to $1,125 per company to develop a
security plan and a subsequent annual
cost of $225 per entity to update and
maintain the security plan. The annual
costs attributed to the proposals in this
NPRM are minimal, especially when
compared to the $300 billion in receipts
PO 00000
Frm 00011
Fmt 4701
Sfmt 4702
29179
reported by the health services industry.
We believe none of those costs will be
disproportionately borne by any of the
identified groups of small businesses.
Benefits resulting from the adoption
of the amendments in this NPRM
include reduced transportation costs for
shipments of certain infectious
substances and enhanced transportation
safety, security, and efficiency resulting
from consistent domestic and
international transportation
requirements. For example, companies
that ship infectious substances could
expect to experience an average cost
savings of $77 per shipment as a result
of new packaging requirements for
Category B infectious substances and
$1.90 per shipment as a result of revised
hazard communication requirements for
Category B infectious substances. In
addition, the NPRM would result in
enhanced security for the transportation
of select agents. Finally, the NPRM
would remove inconsistencies between
the HMR and international
transportation standards applicable to
the transportation of infectious
substances, thereby facilitating efficient
transportation across national and
international borders and reducing the
potential for misunderstanding and
confusion in applying the regulatory
requirements.
Based on the above analysis, PHMSA
certifies that while this proposed rule
will impact a significant number of
small entities it will not have a
significant economic impact on a
substantial number of small entities.
This proposed rule has been
developed in accordance with Executive
Order 13272 (‘‘Proper Consideration of
Small Entities in Agency Rulemaking’’)
and DOT’s procedures and policies to
promote compliance with the
Regulatory Flexibility Act to ensure that
potential impacts of draft rules on small
entities are properly considered.
F. Unfunded Mandates Reform Act of
1995
This proposed rule would not impose
unfunded mandates under the
Unfunded Mandates Reform Act of
1995. It would not, if adopted, result in
costs of $120.7 million or more, in the
aggregate, to any of the following: State,
local, or Native American tribal
governments, or the private sector.
G. Paperwork Reduction Act
This proposed rule does not impose
any new information collection
requirements.
H. Regulation Identifier Number (RIN)
A regulation identifier number (RIN)
is assigned to each regulatory action
E:\FR\FM\19MYP5.SGM
19MYP5
29180
Federal Register / Vol. 70, No. 96 / Thursday, May 19, 2005 / Proposed Rules
listed in the Unified Agenda of Federal
Regulations. The Regulatory Information
Service Center publishes the Unified
Agenda in April and October of each
year. The RIN number contained in the
heading of this document may be used
to cross-reference this action with the
Unified Agenda.
I. Environmental Assessment
The National Environmental Policy
Act of 1969 (NEPA), as amended (42
U.S.C. 4321–4347), requires Federal
agencies to consider the consequences
of major federal actions and prepare a
detailed statement on actions
significantly affecting the quality of the
human environment. There are no
significant environmental impacts
associated with this proposed rule.
PHMSA proposes changes to certain
HMR requirements for the
transportation of infectious substances
in order to promote safer transportation
practices, facilitate international
commerce, and make these
requirements compatible with new
international standards regarding the
transportation of infectious substances.
J. Privacy Act
Anyone is able to search the
electronic form for all comments
received into any of our dockets by the
name of the individual submitting the
comments (or signing the comment, if
submitted on behalf of an association,
business, labor union, etc.). You may
review DOT’s complete Privacy Act
Statement in the Federal Register
published on April 11, 2000 (Volume
VerDate jul<14>2003
22:51 May 18, 2005
Jkt 205001
65, Number 70; Pages 19477–78) or you
may visit https://dms.dot.gov.
4 (28 U.S.C. 2461 note); Pub. L. 104–134
section 31001.
List of Subjects
§ 171.8
49 CFR Part 171
Exports, Hazardous materials
transportation, Hazardous waste,
Imports, Incorporation by reference,
Reporting and recordkeeping
requirements.
2. In § 171.8, the definition for ‘‘Risk
Group’’ is removed.
49 CFR Part 172
Education, Hazardous materials
transportation, Hazardous waste,
Incorporation by reference, Labeling,
Markings, Packaging and containers,
Reporting and recordkeeping
requirements.
49 CFR Part 173
Hazardous materials transportation,
Incorporation by reference, Packaging
and containers, Radioactive materials,
Reporting and Recordkeeping
Requirements, Uranium.
49 CFR Part 175
Air carriers, Hazardous materials
transportation, Incorporation by
reference, Radioactive materials,
Reporting and recordkeeping
requirements.
In consideration of the foregoing, we
propose to amend 49 CFR parts 171,
172, 173, and 175 as follows:
PART 171—GENERAL INFORMATION,
REGULATIONS, AND DEFINITION
1. The authority citation for part 171
continues to read as follows:
Authority: 49 U.S.C. 5101–5127, 44701; 49
CFR 1.45 and 1.53; Pub. L. 101–410 section
PO 00000
Frm 00012
Fmt 4701
Sfmt 4702
[Amended]
PART 172—HAZARDOUS MATERIALS
TABLE, SPECIAL PROVISIONS,
HAZARDOUS MATERIALS
COMMUNICATIONS, EMERGENCY
RESPONSE INFORMATION, AND
TRAINING REQUIREMENTS
3. The authority citation for part 172
continues to read as follows:
Authority: 49 U.S.C. 5101–5127; 49 CFR
1.53.
4. In § 172.101, in the Hazardous
Materials Table, the following changes
are made:
a. The entries ‘‘Diagnostic specimen’’;
‘‘Toxins, from living sources, liquid,
n.o.s.’’; and ‘‘Toxins, from living
sources, solid, n.o.s.’’ are removed.
b. The entries ‘‘Biological substance,
Category B’’; ‘‘Toxins, extracted from
living sources, liquid, n.o.s.’’; and
‘‘Toxins, extracted from living sources,
solid, n.o.s.’’ are added in appropriate
alphabetic order.
c. The entries ‘‘Infectious substances,
affecting animals only’’; ‘‘Infectious
substances, affecting humans’’; and
‘‘Regulated medical waste, n.o.s.’’ are
revised.
The additions and revisions read as
follows:
§ 172.101 Purpose and use of hazardous
materials table.
*
E:\FR\FM\19MYP5.SGM
*
*
19MYP5
*
*
Hazardous materials descriptions
and proper shipping names
VerDate jul<14>2003
22:51 May 18, 2005
Jkt 205001
PO 00000
Frm 00013
Toxins, extracted from
sources, solid, n.o.s.
G .................
Fmt 4701
*
6.1
6.1
*
living
Toxins, extracted from
sources, liquid, n.o.s.
G .................
living
6.2
6.2
6.2
6.2
*
Regulated medical waste, n.o.s ..
*
Infectious substances, affecting
animals only.
Infectious substances, affecting
humans.
(3)
G .................
G .................
G .................
(1)
*
Biological substance, Category B
(2)
Symbols
Hazard
class or
division
*
UN3462 ....
*
UN3172 ....
*
UN3291 ....
UN 2814 ...
*
UN2900 ....
*
UN3373 ....
(4)
Identification
numbers
..................
..................
6.1
..................
..................
II ...............
III ..............
I ................
II ...............
III ..............
*
6.1
6.2
6.2
6.2
..................
(6)
*
I ................
*
II ...............
...................
*
...................
*
...................
(5)
PG
Label
codes
*
...................
...................
...................
...................
141, IB8 ....
*
141 ...........
*
A13 ...........
A82 ...........
*
A82 ...........
*
A82 ...........
(7)
Special
provisions
*
None .........
153 ...........
None .........
153 ...........
None .........
*
None .........
*
134 ...........
134 ...........
*
134 ...........
*
134 ...........
(8A)
Exceptions
212
213
202
203
211
201
197
196
196
199
(8B)
Non-bulk
*
243 ...........
241 ...........
243 ...........
241 ...........
243 ...........
*
243 ...........
*
197 ...........
None .........
*
None .........
*
None .........
(8C)
Bulk
Packaging (§ 173.* * *)
(8)
*
25 kg ........
100 kg ......
5 L ............
60 L ..........
5 kg ..........
*
1 L ............
*
No limit .....
*
50 mL or
50 g.
50 mL or
50 kg.
*
4L or 4 kg
(9A)
Passenger
aircraft/rail
100 kg ......
200 kg ......
60 L ..........
220 L ........
50 kg ........
30 L ..........
No limit .....
4 L or 4 kg
4 L or 4 kg
4 L or 4 kg
(9B)
Cargo aircraft only
Quantity limitations
(9)
B.
A.
B.
A.
B.
B.
B ...............
B ...............
B ...............
A ...............
(10A)
Location
(10B)
Other
Vessel stowage
(10)
40
40
40
40
Federal Register / Vol. 70, No. 96 / Thursday, May 19, 2005 / Proposed Rules
Sfmt 4702
E:\FR\FM\19MYP5.SGM
19MYP5
29181
29182
*
*
§ 172.102
Federal Register / Vol. 70, No. 96 / Thursday, May 19, 2005 / Proposed Rules
*
*
*
PART 173—SHIPPERS—GENERAL
REQUIREMENTS FOR SHIPMENTS
AND PACKAGINGS
[Amended]
5. In § 172.102, in paragraph (c)(2),
Special Provision A81 is removed.
6. In § 172.200, paragraph (b)(4) is
added to read as follows:
§ 172.200
9a. The authority citation for part 173
continues to read as follows:
Authority: 49 U.S.C. 5101–5127, 44701; 49
CFR 1.45, 1.53.
Applicability.
*
*
*
*
*
(b) * * *
(4) Category B infectious substances
prepared in accordance with § 173.199.
*
*
*
*
*
7. In § 172.203, in paragraph (k)
introductory text a sentence is added
after the last sentence to read as follows:
§ 172.203 Additional description
requirements.
*
*
*
*
*
(k) * * * A material classed as
Division 6.2 and assigned identification
UN 2914 or 2900 because it is suspected
to contain an unknown Category A
infectious substance must have the
words ‘‘suspected Category A infectious
substance’’ entered in parentheses in
place of the technical name as part of
the proper shipping description.
*
*
*
*
*
8. In § 172.301, paragraph (b) is
revised to read as follows.
§ 172.301 General marking requirements
for non-bulk packagings.
(b) Technical names. In addition to
the marking required by paragraph (a) of
this section, each non-bulk packaging
containing a hazardous material subject
to the provisions of § 172.203(k) of this
part, except for a Division 6.2 material,
must be marked with the technical
name in parentheses in association with
the proper shipping name in accordance
with the requirements and exceptions
specified for display of technical
descriptions on shipping papers in
§ 172.203(k) of this part. A technical
name should not be marked on the outer
package of a Division 6.2 material.
*
*
*
*
*
9. In § 172.800, paragraph (b)(6) is
revised to read as follows:
§ 172.800
Purpose and Applicability.
(b) * * *
(6) A select agent or toxin regulated
by the Centers for Disease Control and
Prevention under 42 CFR part 73 or, by
[six months after effective date of final
rule], a select agent or toxin regulated by
the United States Department of
Agriculture under 9 CFR part 121; or
*
*
*
*
*
VerDate jul<14>2003
22:51 May 18, 2005
Jkt 205001
10. In § 173.6, paragraph (a)(4) is
revised to read as follows:
§ 173.6
Materials of trade exceptions.
(a) * * *
(4) A Division 6.2 material, other than
a Category A infectious substance, that
is contained in human or animal
samples (including, but not limited to,
secreta, excreta, blood and its
components, tissue and tissue fluids,
and body parts) being transported for
research, diagnosis, investigational
activities, or disease treatment or
prevention, or is a biological product or
regulated medical waste. The material
must be contained in a combination
packaging. For liquids, the inner
packaging must be leakproof, and the
outer packaging must contain sufficient
absorbent material to absorb the entire
contents of the inner packaging. For
sharps, the inner packaging (sharps
container) must be constructed of a rigid
material resistant to punctures and
securely closed to prevent leaks or
punctures, and the outer packaging
must be securely closed to prevent leaks
or punctures. For all Division 6.2
materials, the outer packaging must be
a strong, tight packaging securely closed
and secured against movement,
including relative motion between
packages, within the vehicle on which
it is being transported.
(i) For other than a regulated medical
waste, the amount of Division 6.2
material in a combination packaging
must conform to the following
limitations:
(A) One or more inner packagings,
each of which may not contain more
than 0.5 kg (1.1 lbs) or 0.5 L (17 ounces),
and an outer packaging containing not
more than 4 kg (8.8 lbs) or 4 L (1 gallon);
or
(B) A single inner packaging
containing not more than 16 kg (35.2
lbs) or 16 L (4.2 gallons) in a single
outer packaging.
(ii) For a regulated medical waste, a
combination packaging must consist of
one or more inner packagings, each of
which may not contain more than 4 kg
(8.8 lbs) or 4 L (1 gallon), and an outer
packaging containing not more than 16
kg (35.2 lbs) or 16 L (4.2 gallons).
*
*
*
*
*
11. In § 173.24a, paragraph (c)(2) is
revised to read as follows:
PO 00000
Frm 00014
Fmt 4701
Sfmt 4702
§ 173.24a Additional general requirements
for non-bulk packagings and packages.
*
*
*
*
*
(c) * * *
(2) A packaging containing inner
packagings of Division 6.2 materials
may not contain other hazardous
materials except—
(i) Refrigerants, such as dry ice or
liquid nitrogen, as authorized under the
HMR;
(ii) Anticoagulants used to stabilize
blood or plasma; or
(iii) Small quantities of Class 3, Class
8, Class 9, or other materials in Packing
Groups II or III used to stabilize or
prevent degradation of the sample,
provided the quantity of such materials
does not exceed 30 mL (1 ounce) or 30
g (1 ounce) in each inner packaging.
Such materials are not subject to the
requirements of this subchapter.
*
*
*
*
*
12. In § 173.134, paragraph (a)
introductory text and, (a)(1) through
(a)(5) are revised; paragraph (a)(6) is
removed; paragraphs (a)(7), (a)(8), and
(a)(9) are redesignated as paragraphs
(a)(6), (a)(7), and (a)(8) respectively, and
paragraphs (b), (c)(1)(ii), and (c)(2) are
revised to read as follows:
§ 173.134 Class 6, Division 6.2—
Definitions and exceptions.
(a) Definitions and classification
criteria. For the purposes of this
subchapter, the following definitions
and classification criteria apply to
Division 6.2 materials.
(1) Division 6.2 (Infectious substance)
means a material known or reasonably
expected to contain a pathogen. A
pathogen is a microorganism (including
bacteria, viruses, rickettsiae, parasites,
fungi) or other agent, such as a
proteinaceous infectious particle
(prion), that can cause disease in
humans or animals. An infectious
substance must be assigned the
identification number UN 2814, UN
2900, UN 3373, or UN 3291 as
appropriate, and must be assigned to
one of the following categories:
(i) Category A: An infectious
substance in a form that is capable of
causing permanent disability or lifethreatening or fatal disease in otherwise
healthy humans or animals when
exposure to it occurs. An exposure
occurs when an infectious substance is
released outside of its protective
packaging, resulting in physical contact
with humans or animals. A Category A
infectious substance must be assigned to
UN 2814 or UN 2900, as appropriate.
Assignment to UN 2814 or UN 2900
must be based on the known medical
history or symptoms of the source
patient or animal, endemic local
E:\FR\FM\19MYP5.SGM
19MYP5
Federal Register / Vol. 70, No. 96 / Thursday, May 19, 2005 / Proposed Rules
conditions, or professional judgment
concerning the individual
circumstances of the source human or
animal.
(ii) Category B: An infectious
substance that is not in a form that is
generally capable of causing permanent
disability or life-threatening or fatal
disease in otherwise healthy humans or
animals when exposure to it occurs.
This includes Category B infectious
substances transported for diagnostic or
investigational purposes. A Category B
infectious substance must be described
as ‘‘Biological substance, Category B’’
and assigned identification number UN
3373. This does not include regulated
medical waste, which must be assigned
UN 3291.
(2) Biological product means a virus,
therapeutic serum, toxin, antitoxin,
vaccine, blood, blood component or
derivative, allergenic product, or
analogous product, or arsphenamine or
derivative of arsphenamine (or any
other trivalent arsenic compound)
applicable to the prevention, treatment,
or cure of a disease or condition of
human beings or animals. A biological
product includes a material
manufactured and distributed in
accordance with one of the following
provisions: 9 CFR part 102 (Licenses for
Biological Products); 9 CFR part 103
(Experimental Products, Distribution,
and Evaluation of Biological Products
Prior to Licensing); 9 CFR part 104
(Permits for Biological Products); 21
CFR part 312 (Investigational New Drug
Application); 21 CFR part 314
(Applications for FDA Approval to
Market a New Drug); 21 CFR parts 600
to 680 (Biologics); or 21 CFR part 812
(Investigational Device Exemptions).
Unless otherwise excepted, a biological
product known or reasonably expected
to contain a pathogen that meets the
definition of a Category A or B
infectious substance must be assigned
the identification number UN 2814, UN
2900, or UN 3373, as appropriate.
(3) Culture means an infectious
substance containing a pathogen that is
intentionally propagated. Culture does
not include a human or animal patient
specimen as defined in paragraph (a)(4)
of this section.
(4) Patient specimen means human or
animal materials that are collected
directly from humans or animals and
that are transported for research,
diagnosis, investigational activities, or
disease treatment or prevention. Patient
specimen includes excreta, secreta,
blood and its components, tissue and
tissue swabs, body parts, and specimens
in transport media (e.g., transwabs,
culture media, and blood culture
bottles).
VerDate jul<14>2003
22:51 May 18, 2005
Jkt 205001
(5) Regulated medical waste means a
waste or reusable material derived from
the medical treatment of an animal or
human, which includes diagnosis and
immunization, or from biomedical
research, which includes the production
and testing of biological products.
Regulated medical waste is assigned to
UN 3291, except for regulated medical
waste containing a Category A
infectious substance, which must be
classed as a Division 6.2 material,
described as an infectious substance,
and assigned to UN 2814 or UN 2900,
as appropriate.
*
*
*
*
*
(b) Exceptions. The following are not
subject to the requirements of this
subchapter as Division 6.2 materials:
(1) A material that does not contain an
infectious substance or that is unlikely
to cause disease in humans or animals.
(2) Non-infectious biological materials
from humans, animals, or plants.
Examples include non-infectious cells,
tissue cultures, blood or plasma from
individuals not suspected of having an
infectious disease, DNA, RNA or other
non-infectious genetic elements.
(3) A material that contains microorganisms that are non-pathogenic to
humans or animals.
(4) A material that contains pathogens
that have been neutralized or
inactivated such that they no longer
pose a health risk.
(5) A material that has a low
probability of containing an infectious
substance, or where the concentration of
the infectious substance is at a level
naturally occurring in the environment
so it cannot cause disease when
exposure to it occurs. Examples of these
materials include: foodstuffs;
environmental samples, such as water
or a sample of dust or mold; and
substances that have been treated so that
the pathogens have been neutralized or
deactivated, such as a material treated
by steam sterilization, chemical
disinfection, or other appropriate
method, so it no longer meets the
definition of an infectious substance.
(6) A biological product, including an
experimental or investigational product
or component of a product, subject to
Federal approval, permit, review, or
licensing requirements, such as those
required by the Food and Drug
Administration of the U.S. Department
of Health and Human Services or the
U.S. Department of Agriculture.
(7) Blood collected for the purpose of
blood transfusion or the preparation of
blood products; blood products; plasma;
plasma derivatives; blood components;
tissues or organs intended for use in
transplant operations; and human cell,
PO 00000
Frm 00015
Fmt 4701
Sfmt 4702
29183
tissues, and cellular and tissue-based
products regulated under authority of
the Public Health Service Act (42 U.S.C.
264–272) and/or the Food, Drug, and
Cosmetic Act (21 U.S.C. 332 et seq.).
(8) Blood, blood plasma, and blood
components collected for the purpose of
blood transfusion or the preparation of
blood products and sent for testing as
part of the collection process, except
where the person collecting the blood
has reason to believe it contains an
infectious substance, in which case the
test sample must be shipped as a
Category A or Category B infectious
substance in accordance with § 173.196
or § 173.199, as appropriate.
(9) Dried blood spots or specimens for
fecal occult blood detection placed on
absorbent filter paper or other material.
(10) A Division 6.2 material, other
than a Category A infectious substance,
that is contained in a patient sample
being transported for research,
diagnosis, investigational activities, or
disease treatment or prevention, or a
biological product, when such materials
are transported by a private or contract
carrier in a motor vehicle used
exclusively to transport such materials.
Medical or clinical equipment and
laboratory products may be transported
aboard the same vehicle provided they
are properly packaged and secured
against exposure or contamination. If
the human or animal sample or
biological product meets the definition
of regulated medical waste in paragraph
(a)(4) of this section, it must be offered
for transportation and transported in
conformance with the appropriate
requirements for regulated medical
waste.
(11) A human or animal sample
(including, but not limited to, secreta,
excreta, blood and its components,
tissue and tissue fluids, and body parts)
being transported for routine testing that
is not related to the diagnosis of an
infectious disease, such as for drug/
alcohol testing, cholesterol testing,
blood glucose level testing, prostate
specific antibody testing, testing to
monitor kidney or liver function, or
pregnancy testing, or for tests for
diagnosis of non-infectious diseases,
such as cancer biopsies, and for which
there is a low probability that the
sample is infectious.
(12) Laundry or medical equipment
conforming to the regulations of the
Occupational Safety and Health
Administration of the Department of
Labor in 29 CFR 1910.1030. This
exception includes medical equipment
intended for use, cleaning, or
refurbishment, such as reusable surgical
equipment, or equipment used for
testing where the components within
E:\FR\FM\19MYP5.SGM
19MYP5
29184
Federal Register / Vol. 70, No. 96 / Thursday, May 19, 2005 / Proposed Rules
which the equipment is contained
essentially function as packaging. This
exception does not apply to medical
equipment being transported for
disposal.
(13) Any waste or recyclable material,
other than regulated medical waste,
including—
(i) Garbage and trash derived from
hotels, motels, and households,
including but not limited to single and
multiple residences;
(ii) Sanitary waste or sewage;
(iii) Sewage sludge or compost;
(iv) Animal waste generated in animal
husbandry or food production; or
(v) Medical waste generated from
households and transported in
accordance with applicable State, local,
or tribal requirements.
(14) Corpses, remains, and anatomical
parts intended for interment, cremation,
or medical research at a college,
hospital, or laboratory.
(15) Forensic material transported on
behalf of a U.S. Government, state, local
or Indian tribal government agency,
except that—
(i) Forensic material known or
suspected to contain a Category B
infectious substance must be shipped in
a packaging conforming to the
provisions of § 173.24.
(ii) Forensic material known or
suspected to contain a Category A
infectious substance or an infectious
substance listed as a select agent in 42
CFR Part 73 must be transported in
packaging capable of meeting the test
standards in § 178.609 of this
subchapter. The secondary packaging
must be marked with a BIOHAZARD
symbol conforming to specifications in
29 CFR 1910.1030(g)(1)(i). An itemized
list of contents must be enclosed
between the secondary packaging and
the outer packaging.
(16) Agricultural products and food as
defined in the Federal Food, Drug, and
Cosmetics Act (21 U.S.C. 332 et seq.).
(c) * * *
(1) * * *
(i) * * *
(ii) The specific packaging
requirements of § 173.197, if packaged
in a rigid non-bulk packaging
conforming to the general packaging
requirements of §§ 173.24 and 173.24a
and packaging requirements specified in
29 CFR 1910.1030, provided the
material does not include a waste
concentrated stock culture of an
infectious substance. Sharps containers
must be securely closed to prevent leaks
or punctures.
(2) A waste concentrated stock culture
of a Category B infectious substance
may be offered for transportation and
transported as a regulated medical waste
VerDate jul<14>2003
22:51 May 18, 2005
Jkt 205001
when it is packaged in a rigid non-bulk
packaging conforming to the general
packaging requirements of §§ 173.24
and 173.24a and packaging
requirements specified in 29 CFR
1910.1030 and transported by a private
or contract carrier in a vehicle used
exclusively to transport regulated
medical waste. Medical or clinical
equipment and laboratory products may
be transported aboard the same vehicle
provided they are properly packaged
and secured against exposure or
contamination.
*
*
*
*
*
13. In § 173.196, the section title and
paragraphs (a) introductory text, (a)(2),
(a)(3), and (b) are revised, to read as
follows.
§ 173.196 Category A infectious
substances.
(a) Category A infectious substances
packaging. A packaging for a Division
6.2 material that is a Category A
infectious substance must meet the test
standards of § 178.609 of this
subchapter and must be marked in
conformance with § 178.503(f) of this
subchapter. A packaging for a Category
A infectious substance is a triple
packaging consisting of the following
components:
*
*
*
*
*
(2) A watertight secondary packaging.
If multiple fragile primary receptacles
are placed in a single secondary
packaging, they must be either wrapped
individually or separated to prevent
contact between them.
(3) A rigid outer packaging of
adequate strength for its capacity, mass
and intended use. The outer packaging
must measure not less than 100 mm (3.9
inches) at its smallest overall external
dimension.
*
*
*
*
*
(b) Additional requirements for
packaging Category A infectious
substances. Category A infectious
substances must be packaged according
to the following requirements,
depending on the physical state and
other characteristics of the material.
(1) Infectious substances shipped at
ambient temperatures or higher.
Primary receptacles must be made of
glass, metal, or plastic. Positive means
of ensuring a leakproof seal must be
provided, such as heat seal, skirted
stopper, or metal crimp seal. If screw
caps are used, they must be secured by
positive means, such as with adhesive
tape, paraffin sealing tape, or
manufactured locking closure.
Lyophilized substances may also be
transported in primary receptacles that
are flame-sealed with glass ampoules or
PO 00000
Frm 00016
Fmt 4701
Sfmt 4702
rubber-stoppered glass vials fitted with
metal seals.
(2) Infectious substances shipped
refrigerated or frozen (ice, pre-frozen
packs, dry ice). Ice, dry ice, or other
refrigerant must be placed around the
secondary packagings or in an overpack
with one or more complete packages
marked in accordance with § 178.503 of
this subchapter. Interior supports must
be provided to secure the secondary
packagings in the original position after
the ice or dry ice has dissipated. If ice
is used, the outer packaging or overpack
must be leakproof. If dry ice is used, the
outer packaging or overpack must
permit the release of carbon dioxide gas
and otherwise meet the provisions in
§ 173.217. The primary receptacle and
the secondary packaging must maintain
their integrity at the temperature of the
refrigerant used, as well as the
temperatures and pressures of transport
by aircraft to which they could be
subjected if refrigeration were lost.
(3) Category A infectious substances
shipped in liquid nitrogen. The primary
receptacle and the secondary packaging
must maintain their integrity at the
temperature of the liquid nitrogen as
well as the temperatures and pressures
of transport by aircraft to which they
could be subjected if refrigeration were
lost. Refrigerated liquid nitrogen
packagings must be metal vacuum
insulated vessels or flasks vented to the
atmosphere to prevent any increase in
pressure within the packaging. The use
of safety relief valves, check valves,
frangible discs, or similar devices in the
vent lines is prohibited. Fill and
discharge openings must be protected
against the entry of foreign materials
that might cause an increase in the
internal pressure. The package
orientation markings specified in
§ 172.312(a) of this subchapter must be
marked on the packaging. The
packaging must be designed to prevent
the release of any refrigerated liquid
nitrogen irrespective of the packaging
orientation.
*
*
*
*
*
14. In § 173.197, paragraphs (a), (b),
(d)(1)(iv), (d)(1)(vi), (d)(2)(iii), (d)(3)(vi),
(e)(2) and (e)(3) introductory paragraph
are revised to read as follows:
§ 173.197
Regulated medical waste.
(a) General provisions. Non-bulk
packagings, Large Packagings, and nonspecification bulk outer packagings used
for the transportation of regulated
medical waste must be rigid containers
meeting the provisions of subpart B of
this part.
(b) Non-bulk packagings. Except as
provided in § 173.134(c)(1)(ii) of this
subpart, non-bulk packagings for
E:\FR\FM\19MYP5.SGM
19MYP5
Federal Register / Vol. 70, No. 96 / Thursday, May 19, 2005 / Proposed Rules
regulated medical waste must be UN
standard packagings conforming to the
requirements of Part 178 of this
subchapter at the Packing Group II
performance level. A non-bulk
packaging used as a sharps container
must be puncture-resistant for sharps
and sharps with residual fluid as
demonstrated by conducting the
performance tests in Part 178, subpart
M, of this subchapter on packagings
containing materials representative of
the sharps and fluids (such as sterile
sharps) intended to be transported in
the packagings. Sharps containers must
be securely closed to prevent leaks or
punctures.
*
*
*
*
*
(d) * * *
(1) * * *
(iv) Untreated concentrated stock
cultures of infectious substances
containing Category A materials may
not be transported in a Cart or BOP.
*
*
*
*
*
(vi) Division 6.1 or Class 7
chemotherapeutic waste; untreated
concentrated stock cultures of infectious
substances containing Category B
infectious substances; unabsorbed
liquids; and sharps containers may be
transported in a Cart or BOP only if
packaged in rigid non-bulk packagings
conforming to paragraph (a) of this
section.
*
*
*
*
*
(2) * * *
(iii) Each Cart must be capable of
meeting the requirements of § 178.810
(drop test) at the Packing Group II
performance level.
*
*
*
*
*
(3) * * *
(vi) Division 6.1 or Class 7
chemotherapeutic waste, untreated
concentrated stock cultures of infectious
substances containing Category B
infectious substances, unabsorbed
liquids, and sharps may be transported
in a BOP only if separated and secured
as required in paragraph (d)(3)(v) of this
section.
*
*
*
*
*
(e) * * *
(2) Liquids. Liquid regulated medical
waste transported in a Large Packaging,
VerDate jul<14>2003
22:51 May 18, 2005
Jkt 205001
Cart, or BOP must be packaged in a rigid
inner packaging conforming to the
provisions of subpart B of this part.
Liquid materials are not authorized for
transportation in inner packagings
having a capacity greater than 19 L (5
gallons).
(3) Sharps. Sharps transported in a
Large Packaging, Cart, or BOP must be
packaged in a puncture-resistant inner
packaging (sharps container). Each
sharps container must be securely
closed to prevent leaks or punctures.
Each sharps container exceeding 76 L
(20 gallons) in volume must be capable
of passing the performance tests in Part
178, subpart M, of this subchapter at the
Packing Group II performance level. A
sharps container may be reused only if
it conforms to the following criteria:
*
*
*
*
*
15. In § 173.199, the section title and
paragraphs (a), (b) introductory text,
(b)(1), (b)(2), (b)(5), and (c) are revised,
paragraphs (d) and (e) are redesignated
(e) and (f), respectively, new paragraph
(d) is added, and redesignated
paragraphs (e) introductory text and (f)
are revised, to read as follows:
§ 173.199 Category B infectious
substances and used health care products.
(a) Category B infectious substances.
Except as provided in this paragraph (a),
Category B infectious substances are
excepted from all other requirements of
this subchapter when offered for
transportation or transported in
accordance with this section. Category B
infectious substances offered for
transportation or transported under the
provisions of this section are subject to
the incident reporting requirements in
§§ 171.15 and 171.16 of this subchapter
and to the requirements in § 175.85 of
this subchapter concerning cargo
location. Except as provided in
paragraph (a)(9) of this section, a
Category B infectious substance meeting
the definition of a hazard class other
than Division 6.2 must be offered for
transportation or transported in
accordance with applicable
requirements of this subchapter.
(1) A Category B infectious substance
must be packaged in a triple packaging
consisting of a primary receptacle, a
PO 00000
Frm 00017
Fmt 4701
Sfmt 4702
29185
secondary packaging, and a rigid outer
packaging.
(2) Primary receptacles must be
packed in secondary packaging in such
a way that, under normal conditions of
transport, they cannot break, be
punctured, or leak their contents into
the secondary packaging.
(3) Secondary packagings must be
secured in rigid outer packagings with
suitable cushioning material such that
any leakage of the contents will not
impair the protective properties of the
cushioning material or the outer
packaging.
(4) The completed package must be
designed, constructed, maintained,
filled, its contents limited, and closed so
that under conditions normally
encountered in transportation,
including removal from a pallet or
overpack for subsequent handling, there
will be no release of hazardous material
into the environment. Package
effectiveness must not be substantially
reduced for minimum and maximum
temperatures, changes in humidity and
pressure, and shocks, loadings and
vibrations normally encountered during
transportation. The packaging must be
capable of successfully passing the drop
test in § 178.603 of this subchapter at a
drop height of at least 1.2 meters (3.9
feet). Following the drop test, there
must be no leakage from the primary
receptacle, which must remain
protected by absorbent material, when
required, in the secondary packaging. At
least one surface of the outer packaging
must have a minimum dimension of 100
mm by 100 mm (3.9 inches).
(5) The following mark must be
displayed on the outer packaging on a
background of contrasting color. The
width of the line must be at least 2 mm
(0.08 inches) and the letters and
numbers must be at least 6 mm (0.24
inches) high. The size of the mark must
be such that no side of the diamond is
less than 50 mm (1.97 inches) in length.
The proper shipping name ‘‘Biological
substances, Category B’’ must be marked
on the outer packaging adjacent to the
diamond-shaped mark in letters that are
at least 6 mm (0.24 inches) high.
E:\FR\FM\19MYP5.SGM
19MYP5
Federal Register / Vol. 70, No. 96 / Thursday, May 19, 2005 / Proposed Rules
(6) When packages are placed in an
overpack, the package markings
required by this section must be either
clearly visible or reproduced on the
outside of the overpack.
(7) The name, address, and telephone
number of a person who is either
knowledgeable about the material being
shipped and has comprehensive
emergency response and incident
mitigation information for the material,
or has immediate access to a person
who possesses such knowledge and
information, must be included on a
written document (such as an air
waybill or bill of lading) or on the outer
packaging.
(8) For transportation by aircraft, each
package or overpack containing a
Category B infectious substance must be
inspected for leakage when it is
unloaded from the aircraft. If evidence
of leakage is found, the cargo
compartment in which the package or
overpack was transported must be
disinfected. Disinfection may be by any
means that will make the material
released ineffective at transmitting
disease.
(9) A packaging containing inner
packagings of Category B infectious
substances may not contain other
hazardous materials except—
(i) Refrigerants, such as dry ice or
liquid nitrogen, as authorized under
paragraph (d) of this section;
(ii) Anticoagulants used to stabilize
blood or plasma; or
(iii) Small quantities of Class 3, Class
8, Class 9, or other materials in Packing
Groups II and III used to stabilize or
prevent degradation of the sample,
provided the quantity of such materials
does not exceed 30 mL (1 ounce) or 30
g (1 ounce) in each inner packaging.
VerDate jul<14>2003
22:51 May 18, 2005
Jkt 205001
Such materials are not subject to the
requirements of this subchapter.
(10) Clear instructions on filling and
closing a packaging used to transport a
Category B infectious substance must be
provided by the packaging manufacturer
and subsequent distributors to the
consignor or person who prepares the
package to enable the package to be
correctly prepared for transport. A copy
or electronic image of these instructions
must be retained by the manufacturer
and subsequent distributors for at least
one year from the date of issuance, and
made available for inspection by a
Federal or State Government
representative upon request. Packagings
must be filled and closed in accordance
with the information provided by the
packaging manufacturer or subsequent
distributor.
(b) Liquid Category B infectious
substances. Liquid Category B infectious
substances must be packaged in
conformance with the following
provisions:
(1) The primary receptacle must be
leakproof.
(2) Absorbent material must be placed
between the primary receptacle and
secondary packaging. If several fragile
primary receptacles are placed in a
single secondary packaging, they must
be either individually wrapped or
separated to prevent contact between
them. The absorbent material must be of
sufficient quantity to absorb the entire
contents of the primary receptacles and
not compromise the integrity of the
cushioning material or the outer
packaging.
*
*
*
*
*
(5) For shipments by aircraft, the
maximum quantity contained in each
primary receptacle, including any
PO 00000
Frm 00018
Fmt 4701
Sfmt 4702
material used to stabilize or prevent
degradation of the sample, may not
exceed 1 L (34 ounces), and the
maximum quantity contained in each
outer packaging, including any material
used to stabilize or prevent degradation
of the samples, may not exceed 4 L (1
gallon). The outer packaging limitation
does not include ice, dry ice, or liquid
nitrogen when used to maintain the
integrity of the material.
(c) Solid Category B infectious
substances. Solid Category B infectious
substances must be packaged in a triple
packaging, consisting of a primary
receptacle, secondary packaging, and
outer packaging, conforming to the
following provisions:
(1) The primary receptacle must be
siftproof.
(2) If several fragile primary
receptacles are placed in a single
secondary packaging, they must be
either individually wrapped or
separated to prevent contact between
them.
(3) The secondary packaging must be
siftproof.
(4) If there is any doubt as to whether
residual liquid may be present in the
primary receptacle during
transportation, then the material must
be transported in accordance with
requirements in paragraph (b) of this
section.
(5) Except for packages containing
body parts, organs, or whole bodies, for
shipment by aircraft, the outer
packaging may not contain more than 4
kg (8.8 pounds), including any material
used to stabilize or prevent degradation
of the samples. The outer packaging
limitation does not include ice, dry ice,
or liquid nitrogen when used to
maintain the integrity of the material.
E:\FR\FM\19MYP5.SGM
19MYP5
EP19MY05.034
29186
Federal Register / Vol. 70, No. 96 / Thursday, May 19, 2005 / Proposed Rules
(d) Refrigerated or frozen specimens
(ice, dry ice, and liquid nitrogen). In
addition to complying with the
requirements in this paragraph (d), dry
ice and liquid nitrogen must be offered
for transportation or transported in
accordance with the applicable
requirements of this subchapter.
(1) Ice or dry ice must be placed
outside the secondary packaging or in
an overpack. Interior supports must be
provided to secure the secondary
packagings in the original position after
the ice or dry ice has dissipated. If ice
is used, the outside packaging must be
leakproof or must have a leakproof liner.
If dry ice is used, the outside packaging
must permit the release of carbon
dioxide gas and otherwise meet the
provisions in § 173.217. The primary
receptacle and secondary packaging
must maintain their integrity at the
temperature of the refrigerant used, as
well as the temperatures and pressures
of transport by aircraft they could be
subjected to if refrigeration were lost,
and sufficient absorbent material must
be provided to absorb all liquid,
including melted ice.
(2) The package is marked ‘‘Carbon
dioxide, solid’’ or ‘‘Dry ice’’ and an
VerDate jul<14>2003
22:51 May 18, 2005
Jkt 205001
indication that the material being
refrigerated is used for diagnostic
treatment purposes (e.g., frozen medical
specimens).
(e) Used health care products. A used
health care product being returned to
the manufacturer or the manufacturer’s
designee is excepted from the
requirements of this subchapter when
offered for transportation or transported
in accordance with this section. For
purposes of this section, a health care
product is used when it has been
removed from its original inner
packaging. Used health care products
contaminated with or suspected of
contamination with a Category A
infectious substance may not be
transported under the provisions of this
section.
*
*
*
*
*
(f) Training. Each person who offers
or transports a Category B infectious
substance or used health care product
under the provisions of this section
must know about the requirements of
this section.
PART 175—CARRIAGE BY AIRCRAFT
16. The authority citation for part 175
continues to read as follows:
PO 00000
Frm 00019
Fmt 4701
Sfmt 4702
29187
Authority: 49 U.S.C. 5101–5127; 49 CFR
1.53.
17. In § 175.630, the section heading
is revised and paragraph (c) is added to
read as follows:
§ 175.630 Special requirements for
Division 6.1 (poisonous) material and
Division 6.2 (infectious substances)
materials.
*
*
*
*
*
(c) When unloaded from the aircraft,
each package or overpack containing a
Division 6.2 material must be inspected
for signs of leakage. If evidence of
leakage is found, the cargo compartment
in which the package or overpack was
transported must be disinfected.
Disinfection may be by any means that
will make the material released
ineffective at transmitting disease.
Issued in Washington, DC, on May 10,
2005, under the authority delegated in 49
CFR part 106.
Robert A. McGuire,
Associate Administrator for Hazardous
Materials Safety.
[FR Doc. 05–9717 Filed 5–18–05; 8:45 am]
BILLING CODE 4910–60–P
E:\FR\FM\19MYP5.SGM
19MYP5
Agencies
[Federal Register Volume 70, Number 96 (Thursday, May 19, 2005)]
[Proposed Rules]
[Pages 29170-29187]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 05-9717]
[[Page 29169]]
-----------------------------------------------------------------------
Part VII
Department of Transportation
-----------------------------------------------------------------------
Pipeline and Hazardous Materials Safety Administration
-----------------------------------------------------------------------
49 CFR Parts 171, 172, 173, 175
Hazardous Materials: Infectious Substances; Harmonization With the
United Nations Recommendations; Proposed Rule
Federal Register / Vol. 70, No. 96 / Thursday, May 19, 2005 /
Proposed Rules
[[Page 29170]]
-----------------------------------------------------------------------
DEPARTMENT OF TRANSPORTATION
Pipeline and Hazardous Materials Safety Administration
49 CFR Parts 171, 172, 173, 175
[Docket No. PHMSA-2004-16895 (HM-226A)]
RIN 2137-AD93
Hazardous Materials: Infectious Substances; Harmonization With
the United Nations Recommendations
AGENCY: Pipeline and Hazardous Materials Safety Administration (PHMSA),
Department of Transportation (DOT).
ACTION: Notice of proposed rulemaking (NPRM).
-----------------------------------------------------------------------
SUMMARY: PHMSA is proposing to revise the transportation requirements
for infectious substances, including regulated medical waste, to adopt
new classification criteria and packaging requirements consistent with
revised international standards and to clarify existing requirements to
promote compliance. These proposed revisions will ensure an acceptable
level of safety for the transportation of infectious substances and
facilitate domestic and international transportation.
DATES: Comments must be received by July 18, 2005.
ADDRESSES: You may submit comments by any of the following methods:
Federal eRulemaking Portal: https://www.regulations.gov. Follow the
online instructions for submitting comments.
Web Site: https://dms.dot.gov. Follow the instructions for
submitting comments on the DOT electronic docket site. You may view the
public docket through the Internet at https://dms.dot.gov or in person
at the Docket Management System office at the above address.
Fax: 1-202-493-2251
Mail: Docket Management System, U.S. Department of Transportation,
400 Seventh Street, SW., Nassif Building, Room PL-401, Washington, DC
20590-0001.
Hand Delivery: To the Dockets Management System; Room PL-401 on the
plaza level of the Nassif Building, 400 Seventh Street, SW.,
Washington, DC between 9 a.m. and 5 p.m., Monday through Friday, except
Federal holidays.
Instructions: You must include the agency name (Pipeline and
Hazardous Materials Safety Administration) and docket number (PHMSA-
2004-16895 (HM-226A)) or the Regulatory Identification Number (RIN) for
this notice at the beginning of your comments. You should submit two
copies of your comments if you submit them by mail. If you wish to
receive confirmation that we received your comments, you must include a
self-addressed stamped postcard. Note that all comments received will
be posted without change to ``https://dms.dot.gov'', including any
personal information provided, and will be accessible to Internet
users. Please see the Privacy Act section of this document.
FOR FURTHER INFORMATION CONTACT: Eileen Edmonson or Deborah Boothe,
Office of Hazardous Materials Standards, (202) 366-8553, Pipeline and
Hazardous Materials Safety Administration, U.S. Department of
Transportation.
SUPPLEMENTARY INFORMATION:
I. Background
On August 14, 2002, the Research and Special Programs
Administration (RSPA), the predecessor agency to the Pipeline and
Hazardous Materials Safety Administration (PHMSA), published a final
rule revising the requirements in the Hazardous Materials Regulations
(HMR; 49 CFR Parts 171-180) applicable to the transportation of
infectious substances, including regulated medical waste (67 FR 53118).
The final rule made the following changes to the HMR:
Adopted new classification criteria for infectious
substances based on defining criteria developed by the World Health
Organization (WHO) and consistent with standards contained in the 12th
Revised Edition of the United Nations Recommendations on the Transport
of Dangerous Goods (UN Recommendations) and the 2003-2004 Edition of
the International Civil Aviation Organization's Technical Instructions
for the Safe Transport of Dangerous Goods by Air (ICAO Technical
Instructions).
Revised packaging requirements for Division 6.2 materials
for consistency with international performance standards.
Eliminated an exception from requirements in the HMR for
diagnostic specimens and adopted certain packaging and hazard
communication requirements for these materials. Diagnostic specimens
transported by private or contract carriers in motor vehicles used
exclusively for diagnostic specimens continue to be excepted from most
requirements in the HMR.
Modified an exception from requirements in the HMR for
biological products, limiting the exception to biological products
licensed for use under current Food and Drug Administration (FDA) or
U.S. Department of Agriculture (USDA) regulations.
Adopted bulk packaging options for the transportation of
regulated medical waste (RMW), based on exemption provisions.
Established new hazard communication requirements for
shipments of Division 6.2 materials.
The requirements in the August 14, 2002 final rule became effective
on February 14, 2003.
II. Issues Related to Current Requirements
Our August 14, 2002 final rule adopted a risk-group-based
classification system for infectious substances based on criteria in
the UN Recommendations. The final rule requires Division 6.2 materials
to be assigned to risk groups based on the degree to which they cause
injury through disease, with Risk Group 1 presenting the lowest risk
and Risk Group 4 presenting the highest risk. Assignment of an
infectious substance to a risk group is based on the known medical
history of the source patient or animal, endemic local conditions,
symptoms of the source patient or animal, or professional judgment
concerning individual circumstances of the source patient or animal.
Division 6.2 materials assigned to Risk Group 1 are excepted from the
HMR and the UN Recommendations.
The current requirements for assigning pathogens to risk groups are
based on the risks posed in the laboratory environment, not in the
transportation environment. Pathogens in transport do not pose the same
level of risk that they do in the laboratory. Laboratory workers
perform extensive manipulations of infectious substances that place the
workers at higher risk of infection because of accidental exposures
caused by splashes or spills. Moreover, certain laboratory processes--
such as vortexing, mixing, or centrifuging--can generate aerosols or
airborne particles that can place workers who perform such operations
at increased risk. These conditions do not exist in transport.
The risk group classification system resulted in transportation
problems, including shipper confusion in assigning risk groups, and
shipment delays or refusal to transport associated with carriers' and
transport workers' perceptions about the risks associated with the
transportation of infectious substances. A delay in transportation or a
refusal to transport a specimen may have life-threatening implications
for a patient or a population. Moreover,
[[Page 29171]]
transportation problems can delay research necessary to develop
treatments or slow the spread of disease, and can interfere with the
implementation of appropriate measures to address new disease
outbreaks. Because of these transportation problems, the UN Committee
of Experts on the Transport of Dangerous Goods worked with scientists
and public health professionals at WHO, the U.S. Centers for Disease
Control and Prevention (CDC), and other agencies to develop a
classification scheme for infectious substances that would be more
appropriate for the transportation environment.
In December 2002, the United Nations adopted a number of revisions
for the 13th Revised Edition of the UN Recommendations related to the
transportation of infectious substances, primarily involving how
infectious substances are classed and packaged. In July 2004, the UN
Committee of Experts on Dangerous Goods recommended further revisions
to these standards; these revisions were adopted for the 14th Revised
Edition of the UN Recommendations in December 2004. At the same time,
the ICAO Dangerous Goods panel adopted many of the amendments for the
14th Revised Edition of the UN Recommendations in the 2005-2006 Edition
of the ICAO Technical Instructions through an addendum to the ICAO
Technical Instructions.
The amendments in the 13th and 14th Editions of the UN
Recommendations are the result of long and thoughtful consultations
among regulators, scientists, medical professionals, and the transport
community. The result is a set of standards for the transportation of
infectious substances that are easier to use and impose a high level of
safety appropriate to the degree of risk and conditions of transport.
The requirements adopted for the UN Recommendations establish a
two-tiered classification system for Division 6.2 materials--Category A
and Category B. A Category A infectious substance poses a higher degree
of risk than a Category B infectious substance. A Category A material
is an infectious substance that is transported in a form that is
capable of causing permanent disability or life-threatening or fatal
disease to otherwise healthy humans or animals when exposure to it
occurs. An exposure occurs when an infectious substance is released
outside of its protective packaging, resulting in physical contact with
humans or animals. Category A infectious substances are assigned to UN
2814 (for substances that cause disease in humans or in both humans and
animals) or UN 2900 (for substances that cause disease in animals
only). The following are examples of Category A infectious substances.
Please note this list is not all inclusive and is provided only as
guidance.
------------------------------------------------------------------------
UN number and proper shipping name Micro-organism
------------------------------------------------------------------------
UN 2814:
Infectious substances affecting Bacillus anthracis (cultures only)
humans and animals.
Brucella abortus (cultures only)
Brucella melitensis (cultures only)
Brucella suis (cultures only)
Burkholderia mallei--Pseudomonas
mallei--Glanders (cultures only)
Burkholderia pseudomallei--
Pseudomonas pseudomallei (cultures
only)
Chlamydia psittaci--avian strains
(cultures only)
Clostridium botulinum (cultures
only)
Coccidioides immitis (cultures only)
Coxiella burnetti (cultures only)
Crimean-Congo hemorrhagic fever
virus
Dengue virus (cultures only)
Eastern equine encephalitis virus
(cultures only)
Escherichia coli, verotoxigenic
(cultures only)
Ebola virus
Flexal virus
Francisella tularensis (cultures
only)
Guanarito virus
Hantaan virus
Hantaviruses causing hemorrhagic
fever with renal syndrome
Hendra virus
Herpes B virus (cultures only)
Human immunodeficiency virus
(cultures only)
Highly pathogenic avian influenza
virus (cultures only)
Japanese Encephalitis virus
(cultures only)
Junin virus
Kyasanur forest disease virus
Lassa virus
Machupo virus
Marburg virus
Monkeypox virus
Mycobacterium tuberculosis (cultures
only)
Nipah virus
Omsk hemorrhagic fever virus
Poliovirus (cultures only)
Rabies and other lyssaviruses
(cultures only)
Rickettsia prowazekii (cultures
only)
Rickettsia rickettsia (cultures
only)
Rift Valley fever virus
Russian spring-summer encephalitis
virus (cultures only)
Sabia virus
Shigella dysenteriae type I
(cultures only)
Tick-borne encephalitis virus
(cultures only)
Variola virus
[[Page 29172]]
Venezuelan equine encephalitis virus
Vesicular stomatitis virus (cultures
only)
West Nile virus (cultures only)
Yellow fever virus (cultures only)
Yersinia pestis (cultures only)
UN 2900: African swine fever virus (cultures
only)
Infectious substances affecting Avian paramyxovirus Type 1--
animals only. Velogenic Newcastle disease virus
(cultures only)
Classical swine fever virus
(cultures only)
Foot and mouth disease virus
(cultures only)
Lumpy skin disease virus (cultures
only)
Mycoplasma mycoides--Contagious
bovine pleuropneumonia (cultures
only)
Peste des petits ruminants virus
(cultures only)
Rinderpest virus (cultures only)
Sheep-pox virus (cultures only)
Goatpox virus (cultures only)
Swine vesicular disease virus
(cultures only)
------------------------------------------------------------------------
Under the UN Recommendations, Category A infectious substances are
packaged in UN specification packagings that consist of a watertight
primary receptacle or receptacles; a watertight secondary packaging;
for liquid materials, absorbent material in sufficient quantity to
absorb the entire contents; and a rigid outer packaging of adequate
strength for its capacity, mass, and intended use. The completed
packaging must pass specified performance tests, including a drop test
and a water-spray test, and must be capable of withstanding, without
leakage, an internal pressure producing a pressure differential of not
less than 95 kPa (0.95 bar, 14 psi). The completed packaging must also
be capable of withstanding, without leakage, temperatures in the range
of -40 [deg]C to +55 [deg]C (-40 [deg]F to 131 [deg]F). The completed
package must be labeled with a Division 6.2 label and must be
accompanied by appropriate shipping documentation. The packaging
specified for Category A infectious substances is consistent with the
packaging currently required for infectious substances assigned to UN
2814 or UN 2900.
A Category B infectious substance is one that does not meet the
criteria for inclusion in Category A. A Category B infectious substance
does not cause permanent disability or life-threatening or fatal
disease to humans or animals when exposure to it occurs. Under the
provisions of the 13th Edition of the UN Recommendations, adopted in
December 2002, a Category B infectious substance is described as
``Diagnostic Specimen'' or ``Clinical Specimen'' and assigned to UN
3373.
The Category A and B designations developed for purposes of
transportation are different from the Category A and B designations for
agents of bioterrorism developed by the Centers for Disease Control and
Prevention (CDC) and the National Institutes of Health (NIH). The
critieria for inclusion in these categories differ, and, although there
is some overlap, the lists should not be confused. It is extremely
important that persons offering infectious materials for transportation
in commerce assign infectious substances to the appropriate category to
avoid inappropriate packaging for the materials.
Historically, the HMR have permitted a proper shipping name, such
as ``Diagnostic specimen,'' listed in the Sec. 172.101 Table to be
used to describe a non-hazardous material on a shipping paper and
package marking provided the UN or NA identification number is not
included. See Sec. Sec. 172.202(e) and 172.303(b)(3). However,
adoption of the proper shipping names ``Diagnostic Specimen'' and
``Clinical Specimen'' in the 13th Edition of the UN Recommendations and
in the 2005-2006 ICAO Technical Instructions, and adoption of the
proper shipping name ``Diagnostic specimen'' in the HMR have resulted
in some confusion on the part of both shippers and carriers who are
accustomed to using these terms to refer to human or animal samples
that have a low probability of containing an infectious pathogen. In
addition, using these terms to describe shipments of Category B
infectious substances is not completely accurate--there are many
shipments of Category B infectious substances that may not be
diagnostic specimens as that term is usually defined.
The UN Sub-Committee of Experts on the Transport of Dangerous Goods
discussed the proper shipping name issue during its July 2004 meeting
and agreed to adopt a different proper shipping name for Category B
infectious substances--``Biological substance, Category B.'' The UN
adopted this proper shipping name for the 14th Revised Edition of the
UN Recommendations, which is effective January 1, 2007; ICAO adopted
the new proper shipping name through an addendum to the 2005-2006 ICAO
Technical Instructions. The addendum permits use of the new proper
shipping name as an alternative to ``Diagnostic Specimen'' or
``Clinical Specimen'' until January 1, 2007, at which time the new name
must be used.
Under the UN Recommendations, a Category B infectious substance is
packaged in a packaging consisting of a leakproof primary receptacle, a
leakproof secondary packaging, and a rigid outer packaging. At least
one surface of the outer packaging must have a minimum dimension of 100
mm by 100 mm (3.9 inches). The packaging must be of good quality and
strong enough to withstand the shocks and loadings normally encountered
during transportation. For liquid materials, the secondary packaging
must contain absorbent material in sufficient quantities to absorb the
entire contents of the primary receptacle or receptacles. The primary
or secondary packaging must be capable of withstanding, without
leakage, an internal pressure producing a pressure differential of 95
kPa. The packaging must be constructed and closed to prevent any loss
of contents that might be caused under normal conditions of
transportation by vibration or changes in temperature, humidity, or
pressure. The completed packaging must be capable of passing a 1.2-
meter (3.9 feet) drop test. The package must be marked with a diamond-
shaped marking containing the identification number ``UN 3373'' and
with the proper shipping name ``Biological substance, Category B.'' The
minimum size for the diamond-shaped mark includes sides at least 50 mm
(1.97 inches) long, and letters and numbers at least 6 mm (0.24 inches)
high. Under the UN Recommendations, shipments of Category B infectious
substances are not
[[Page 29173]]
subject to any other transportation requirements.
The 2005-2006 ICAO Technical Instructions, which are based in part
on the UN Recommendations, include additional requirements for Category
B infectious substances. Specifically, the ICAO Technical Instructions
require the proper shipping name; UN number; and name, address, and
telephone number of a person knowledgeable about the material to be
provided on a written document, such as an air waybill, or on the
package.
Representatives of the United States worked closely with the UN
Committee of Experts and the ICAO Dangerous Goods Panel to develop the
revised requirements for transporting infectious substances. The new
requirements are based on a scientific evaluation of the real risks
that these materials pose in transportation. Category B infectious
substances pose a reduced risk of infection upon exposure based on the
way they are transmitted (route of infection) and the number of
pathogens required to initiate an infection. Certain infectious
substances previously assigned to Risk Group 2 or 3 substances are now
assigned to Category B infectious substances and are subject to less
stringent regulatory requirements. The Category B packaging provides
triple barriers and absorbent and cushioning materials that are
designed to prevent leakage of the material during transportation. We
believe that the regulations developed for the 13th and 14th Revised
Editions of the UN Recommendations provide a less confusing and more
appropriate regulatory system than the current risk-group-based system.
Therefore, in this NPRM, we are proposing to harmonize the HMR
requirements for the transportation of infectious substances with those
adopted or expected to be adopted for the UN Recommendations and the
ICAO Technical Instructions.
Specific regulatory proposals are discussed in the ``Section-by-
Section Review'' section of this preamble.
III. Category A Versus Risk Group 4 Classification
As indicated above, the HMR currently require Division 6.2
materials to be assigned to one of four risk groups based on the degree
of risk associated with laboratory manipulation of the pathogen. A Risk
Group 4 pathogen is one that usually causes serious human or animal
disease and that can be readily transmitted from one individual to
another, directly or indirectly, and for which effective treatments and
preventive measures are not usually available. A Category A material is
an infectious substance that is transported in a form that is capable
of causing permanent disability or life-threatening or fatal disease to
humans or animals when exposure to it occurs. As the guidance earlier
in this document suggests, this new definition may include cultures of
materials that previously were considered Risk Group 2 and 3 materials.
The transportation requirements for Category A infectious substances
are identical to current requirements under both the HMR and the UN
Recommendations for Risk Group 4 infectious substances.
The HMR currently provide for exceptions from certain regulatory
requirements for Risk Group 2 or 3 infectious substances; however,
these exceptions may not be used for Risk Group 4 materials. For
example, the HMR currently permit diagnostic specimens, biological
products, and regulated medical waste (RMW) that contain Risk Group 2
or 3 infectious substances to be transported as materials of trade
(MOTS) in accordance with Sec. 173.6. The MOTS exception may not be
used to transport Risk Group 4 materials. In this NPRM, we propose to
limit exceptions authorized for the transportation of infectious
substances to Category B materials; thus, Category A materials could
not be shipped as MOTS. We recognize that this approach somewhat
narrows the applicability of the transportation exceptions that are
currently permitted under the HMR. In particular, we note that, as
proposed in this NPRM, RMW that contains a Category A infectious
substance must be transported in accordance with requirements
applicable to UN 2814 (infectious substance affecting humans) or UN
2900 (infectious substance affecting animals only) rather than UN 3291
(regulated medical waste). We believe the proposed amendments
accurately address the risks posed by these materials; however, we
invite commenters to address the transportation impacts, if any, of the
proposed revisions.
IV. Notification to Pilot-in-Command
As noted earlier, the proposals in this NPRM are consistent with
standards adopted by the UN and ICAO. A major issue associated with
ICAO's adoption of the provisions applicable to infectious substances
in the 13th Revised Edition of the UN Recommendations was whether or
not to require notification to the pilot-in-command (NOPIC) of an
aircraft of the presence of Category B infectious substances as cargo
on board the aircraft. Under the standards adopted for the UN
Recommendations, Category B infectious substances are not accompanied
by shipping papers nor must their packages be labeled. The hazard
communication required for a package containing a Category B infectious
substance is a package marking consisting of ``UN 3373'' in a square-
on-point configuration and the words ``Biological substance, Category
B'' in association with the UN number. ICAO adopted additional hazard
communication requirements for Category B infectious substances.
Specifically, the ICAO Technical Instructions require the proper
shipping name; UN number; and name, address, and telephone number of a
person knowledgeable about the material to be provided on a written
document (such as an air waybill) or on the package itself. As noted
above, we propose to adopt the ICAO requirements into the HMR for air
transportation.
Generally, a NOPIC is required for shipments of hazardous materials
subject to the HMR or ICAO Technical Instructions. The NOPIC includes
the proper shipping name, hazard class, and identification number of
the hazardous material; the total number of packages; the net quantity
or gross weight for each package; the location of the packages on the
aircraft; any additional information required by the regulations; and
confirmation that no damaged or leaking packages have been loaded on
the aircraft (see Sec. 175.33 of the HMR and Chapter 4, paragraph
4.1.1, and Chapter 7, paragraph 7.4.1 of the ICAO Technical
Instructions). The NOPIC provides the pilot-in-command with information
to make critical decisions and take necessary safety precautions in the
event of an emergency on board the aircraft.
ICAO narrowly decided against requiring a NOPIC for shipments of
Category B infectious substances for the 2005-2006 Edition of the ICAO
Technical Instructions. The ICAO vote on the issue was evenly split; an
equal number supported a requirement for a NOPIC for Category B
infectious substances as opposed the requirement. ICAO members opposed
to the requirement cited the low risk in transportation associated with
Category B infectious substances, new ICAO requirements for hazard
communication for Category B shipments, and the possibility that
increased regulation would result in fewer carriers electing to
transport Category B shipments. Members supporting the NOPIC
requirement cited the benefit of information being available to the
pilot and emergency responders in the event of an emergency or an
accident. Consistent with the ICAO decision, this
[[Page 29174]]
NPRM does not propose to require a NOPIC for Category B infectious
substances. However, we invite commenters to address this issue. Should
the HMR require a NOPIC for shipments of Category B infectious
substances? What would be the benefits or adverse impacts of such a
requirement?
V. Transportation of Unknown or Suspected Infectious Substances
The public health community is frequently confronted with outbreaks
of disease of unknown etiology and must quickly transport specimens for
identification and diagnosis. This rulemaking proposes that, generally,
routine samples that are unlikely to contain an infectious substance or
where the pathogenicity of the infectious substance is at a level
naturally encountered in the environment that will not cause disease
when exposure to it occurs may be transported as non-regulated
materials. In most other cases, this rulemaking proposes to permit
unknown samples shipped for analysis and diagnosis to be transported in
accordance with requirements for Category B infectious substances,
because, historically, materials meeting this definition have been
transported in a similar manner with no adverse safety impact or
increased risk to transport workers or the general public. For
situations where the identity of the agent or pathogen is not known,
but sufficient information is available to strongly suspect a Category
A infectious substance, this NPRM proposes to require an indication on
shipping papers that the sample contains a Category A infectious
material, as follows--``Infectious substances, affecting humans
(suspected Category A infectious substance), 6.2, UN 2814''. Suspected
Category A infectious substances must be shipped in accordance with all
applicable hazard communication and packaging requirements for Category
A infectious substances. The determination as to whether to ship an
unknown sample as a Category A or Category B infectious substance
should be made by appropriate medical or public health officials based
on known medical conditions and history of the source patient or
animal, endemic local conditions, and symptoms of the source patient or
animal.
VI. Security Requirements for Select Agents
Currently, persons who offer for transportation or transport
certain infectious substances in commerce must develop and implement
security plans in accordance with Subpart I of Part 172 of the HMR.
Specific measures implemented as part of the plan may vary commensurate
with the level of threat at a particular time. At a minimum, the
security plan must address personnel security, unauthorized access, and
en route security. For personnel security, the plan must include
measures to confirm information provided by job applicants for
positions that involve access to and handling of the hazardous
materials covered by the plan. For unauthorized access, the plan must
include measures to address the risk that unauthorized persons may gain
access to materials or transport conveyances being prepared for
transportation. For en route security, the plan must include measures
to address security risks during transportation, including shipments
stored temporarily en route to their destinations.
For infectious substances, the security plan requirements apply to
shipments of select agents and toxins regulated by CDC under 42 CFR
Part 73. The CDC regulations identify select agents and toxins
affecting humans (``HHS Select Agents and Toxins'') and select agents
and toxins affecting both humans and animals (``Overlap Select Agents
and Toxins''). The USDA regulations at 9 CFR Part 121 identify select
agents and toxins affecting animals, in addition to the Overlap Select
Agents and Toxins that are also listed in the CDC regulations. USDA
regulations at 7 CFR Part 331 identify agents and toxins affecting
plants. Select agents and toxins affecting animals only are not
currently subject to the security plan requirements. Biological agents
and toxins affecting plants only do not meet the definition of an
infectious substance under the HMR.
CDC and USDA regulate select agents and toxins because they have
the potential to pose a severe threat to the public health and safety.
Select agents and toxins affecting animals could be used to compromise
public health; therefore, in this NPRM we propose to add the select
agents and toxins listed in 9 CFR Part 121 to the list of hazardous
materials for which security plans are required. As proposed, persons
who offer or transport any of the materials regulated under 9 CFR Part
121 would be required to develop and implement security plans that
conform to HMR requirements. We propose to provide six months from the
effective date of a final rule for shippers and carriers to come into
compliance with this new requirement.
We invite commenters to address whether we should also require
persons who offer or transport select agents and toxins that have been
found to pose a severe threat to plant health or plant products,
regulated by USDA under 7 CFR Part 331, to develop and implement
transportation security plans. Such materials could also be used
illegitimately to compromise public health.
VII. Sharps Containers
There appears to be some confusion in the regulated community about
HMR requirements applicable to sharps containers. The current
requirements appear in several places in the regulations. For non-bulk
shipments, a sharps container must be a UN specification packaging that
is puncture resistant for sharps and sharps with residual fluid as
demonstrated by conformance to the design and test requirements in
Subpart M of Part 178 at the Packing Group II performance level. A
sharps container that conforms to these requirements need not be placed
in an outer packaging for transport. A sharps container placed inside a
bulk packaging, such as a UN specification Large Packaging or a non-
specification bulk outer packaging or wheeled cart, must be puncture
resistant. A sharps container that is 20 gallons or less in volume need
not be a UN specification packaging if it is to be placed in a bulk
outer packaging. A sharps container that is larger than 20 gallons in
volume that is placed inside a bulk packaging must be capable of
passing the performance tests in Subpart M of Part 178 at the Packing
Group II performance level. A sharps container that will be placed in a
bulk outer packaging for transportation may be reused only if it is
specifically cleared or approved by FDA as a medical device for reuse
and must have a capacity of between 2 and 40 gallons.
The HMR include an exception from certain requirements for
regulated medical waste (RMW), including sharps, transported by a
private or contract carriers (see Sec. 173.134(c)). Under this
exception, RMW, including sharps, may be transported in a rigid, non-
bulk packaging that conforms to the general packaging requirements of
Sec. Sec. 173.24 and 173.24a and packaging requirements specified in
OSHA standards at 29 CFR 1910.1030. The packaging requirements in
Sec. Sec. 173.24 and 173.24a address general packaging issues such as
packaging integrity, filling limits, and closures. Specifically with
regard to leakproofness, Sec. 173.24(f) requires closures to be
leakproof and secured against loosening. The OSHA standards at 29 CFR
1910.1030 require sharps containers to be puncture
[[Page 29175]]
resistant and leakproof (see 1910.1030(d)(4)(iii)(A)(1)).
Our enforcement experience indicates that the closures currently
being used for sharps containers may not adequately assure that no
contents will be released during transportation. Therefore, in this
NPRM, we proposed to add specific closure requirements in a number of
sections applicable to the transportation of RMW, including sharps. In
addition, we invite commenters to consider whether the requirements for
sharps containers should be modified. In this regard, we note that
certain sharps containers are regulated as medical devices subject to
pre-market review by FDA. FDA's pre-market review seeks primarily to
address sharps containment in hospital and laboratory settings, not for
transportation. It is our understanding, therefore, that sharps
containers cleared or approved by FDA may not meet the HMR requirements
in Sec. Sec. 173.197(b) and 173.134(c). For example, FDA reviews
marketing applications for sharps containers to determine, among other
things, whether they are leak resistant on the sides and bottoms and
closures are leak resistant. This is a lesser standard than the
leakproofness standard established in the HMR. We ask commenters to
address whether the HMR should permit FDA-cleared or -approved sharps
containers to be used for the transportation of sharps and, if so,
under what circumstances. For example, we could permit FDA-cleared or -
approved sharps containers to be used for the transportation of sharps
provided such containers are placed inside a leakproof outer packaging.
VIII. Incident Reporting Since February 14, 2003
Under the final rule adopted under Docket HM-226, effective
February 14, 2003, air carriers are required to report incidents
involving diagnostic specimens in accordance with the incident
reporting requirements in Sec. Sec. 171.15 and 171.16. We conducted a
review of incidents involving diagnostic specimens in air
transportation. We found that 133 air transport incidents were reported
between March and June 2004. Prior to March 2004, carriers reported
very few incidents. (A chart summarizing the reported incidents and a
detailed listing of the incident reports is included in the docket for
this rulemaking.) An analysis of the detailed incident reports
indicates that in almost all cases the packages that leaked were not
prepared in accordance with the requirements of Sec. 173.199. For
example, many of the reported incidents appear to have resulted from
improper closure of either the primary receptacle or the secondary
packaging. Other packagings involved in reported incidents did not
include absorbent or cushioning material. Our analysis does not show a
trend in package failures that would indicate a problem with the
adequacy of the packaging currently authorized by the HMR for the
transportation of diagnostic specimens and proposed in this NPRM to be
authorized for the transportation of Category B infectious substances.
Rather, our analysis indicates that some shippers do not understand the
regulatory requirements in Sec. 173.199. To address this problem, in
this NPRM we propose to require the manufacturer and subsequent
distributors of packagings authorized for the transportation of
Category B infectious substances under Sec. 173.199 to provide clear
instructions on filling, preparing, and closing the packaging to the
consignor or the person who prepares the package for transportation.
In this regard, we note that a number of testing laboratories
provide the packaging for patients or health care professionals to use
in transporting patient samples for testing and diagnosis. Under this
NPRM, the proposed requirement to provide clear filling and closure
instructions would apply to such testing laboratories as ``subsequent
distributors'' of the packaging. It is also important to note that
selection of an appropriate packaging for the transportation of a
hazardous material is a regulated pre-transportation function under the
HMR. Thus, the entity providing the packaging could be subject to
enforcement action as an offeror of the infectious substance if the
packaging does not comply with applicable HMR requirements.
We have prepared a guidance document addressing the current
requirements in the HMR for proper classification and packaging for
diagnostic specimens which is available from our Office of Hazardous
Materials Initiatives and Training at (202) 366-4900 or online at
https://hazmat.dot.gov/InfectSubstances.pdf.
IX. Section-by-Section Review
This section-by-section review summarizes the proposed changes
believed to be most important, and requests additional comments in some
sections.
Part 171
Section 171.8. In Sec. 171.8, we propose to remove the definition
for Risk Group.
Part 172
Section 172.101. In the Hazardous Materials Table, we are proposing
several revisions. Most importantly, we are removing the current entry
for ``Diagnostic Specimens'' for consistency with amendments expected
to be adopted for the 14th Revised Edition of the UN Recommendations.
We are adding an entry for ``Biological substance, Category B.'' This
entry will apply to shipments of Category B infectious substances,
which must be classed as Division 6.2, described as a ``Biological
substances, Category B,'' and assigned to UN 3373.
In addition, we propose to revise the entries for ``Infectious
substances, affecting animals'' and ``Infectious substances, affecting
humans'' to delete Special Provision A81 (see discussion below).
Further, for consistency with the UN Recommendations, we propose to
revise the two entries for toxins to include the phrase ``extracted
from living sources.''
Section 172.102. We are proposing to remove Special Provision A81,
which permits the quantity limits currently specified in the HMT for
air shipments to be exceeded for shipments of body fluids packaged in
accordance with Sec. 173.196. This special provision is no longer
necessary because of the changes we propose applicable to shipments of
Category B infectious substances. We propose to include quantity limits
for air transportation in Sec. 173.199.
Section 172.200. Consistent with requirements in the ICAO Technical
Instructions, in Sec. 172.200 we are proposing to clarify that the
shipping paper requirements do not apply to Category B infectious
substances prepared in accordance with Sec. 173.199 of the HMR. This
proposal is consistent with the requirements adopted for the UN
Recommendations, which except Category B infectious substances from the
shipping paper requirements of Part 172.
Section 172.203. In paragraph (k) of Sec. 172.203, we propose to
authorize a shipping paper that accompanies a shipment of a suspected
Category A infectious substance to include the words ``suspected
Category A infectious substance'' in parentheses as an alternative to a
technical name that describes the pathogen(s) it contains when the
infectious substance is not known. Thus, the shipping description for a
suspected Category A infectious substance affecting humans would read,
``Infectious substances, affecting humans (suspected Category A
infectious substance), 6.2, UN 2814''. For known Category A pathogens,
we propose that the technical name of the pathogen must be indicated.
Section 172.301. Consistent with the UN Recommendations, in
paragraph (b)
[[Page 29176]]
of Sec. 172.301, we propose that no technical names are to be marked
on the outer packaging of Division 6.2 materials.
Section 172.800. We propose to require persons who offer for
transportation or transport select agents and toxins regulated by USDA
under 9 CFR Part 121 to develop and implement security plans in
accordance with requirements in Subpart I of part 172 of the HMR.
Part 173
Section 173.6. Our August 14, 2002 final rule added Division 6.2
materials to the hazardous materials that may be transported as
materials of trade (MOTS). The final rule prohibited Risk Group 4
infectious substances from being transported as MOTS. In this NPRM, we
propose to modify Sec. 173.6 to prohibit Category A infectious
substances and suspected Category A infectious substances, rather than
Risk Group 4 infectious substances, from being transported as MOTS for
consistency with the definition and classification criteria for
infectious substances adopted for the UN Recommendations. In addition,
we propose to modify the packaging requirements for MOTS shipments of
Division 6.2 materials. The August 14, 2002 final rule established
capacity limitations for MOTS packagings of Division 6.2 materials. In
this NPRM, for consistency with international standards, we propose to
limit the amount of material each packaging may contain rather than the
capacities of the packagings used. Finally, we propose to add a
requirement that sharps containers must be securely closed to prevent
leaks or punctures. As indicated above, we are concerned that the
closures currently being used for sharps containers may not adequately
assure that no contents will be released during transportation.
Section 173.24a. We propose to modify paragraph (c) in Sec.
173.24a to prohibit a package containing inner packagings of Division
6.2 materials from containing any other hazardous materials except for
dry ice, liquid nitrogen, or other material used to preserve or
stabilize the infectious substance. Hazardous materials most commonly
used to preserve or stabilize an infectious substance include methanol,
isopropyl alcohol, boric acid, formaldehyde, formalin, and sodium
borate. This proposal is consistent with a provision adopted for the
2005-2006 edition of the ICAO Technical Instructions and by the UN
Transport of Dangerous Goods Subcommittee for the 14th Revised Edition
of the UN Recommendations. The packaging requirements proposed for
Division 6.2 materials, which include triple packaging and absorbent
material, are comparable to the packaging permitted for transporting
hazardous materials in accordance with the small quantity exceptions in
Sec. 173.4 and should minimize the risk of a release in
transportation. Therefore, in this NPRM, we propose that when a
hazardous preservative, such as a Class 3 or Class 8 material in
Packing Groups II or III, is included in the inner packaging with the
material, the preservative would not be subject to HMR requirements
provided the amount in the inner packaging does not exceed 30 mL for a
liquid or 30 g for a solid. The maximum quantity in an outer package,
including a hazardous material used to preserve or stabilize a sample,
would not be permitted to exceed 4 L or 4 kg. Note that this exception
applies only to materials in Packing Groups II or III; PG I materials
are not authorized. Note also that, for amounts in excess of 30 mL or
30 g per inner packaging, hazardous preservative materials are
regulated under the HMR and must be transported in accordance with
requirements applicable to their specific classification and
characteristics. We request comments as to whether volumes over 30 mL
should be excepted and why, and whether the provision should be
expanded to allow Packing Group I materials.
Section 173.134. We propose a number of revisions to Sec. 173.134
for consistency with definitions and provisions adopted for the UN
Recommendations, as follows:
(1) We propose to modify the definition for a Division 6.2
material. The proposed definition replaces the Risk Group ranking
system with the two-tiered Category A and Category B system adopted by
the UN. The proposed definition includes a requirement for a Division
6.2 material to be assigned an appropriate identification number: UN
2814 for Category A infectious substances affecting humans or both
humans and animals; UN 2900 for Category A infectious substances
affecting animals only; UN 3373 for Category B infectious substances;
and UN 3291 for Regulated medical waste.
(2) We propose to modify the definition for ``biological product''
to replace the Risk Group ranking references with references to
Category A and Category B infectious substances. We are not proposing
to adopt the definition for ``biological product'' exactly as that term
is defined in the UN Recommendations. The new definition does not
differ substantively from the current definition in the HMR; moreover,
the current definition in the HMR, as modified in this NPRM, is
consistent with the definition used by FDA and other Federal agencies.
(3) We propose to replace the existing definition of ``cultures and
stocks'' with a definition for ``cultures'' that is consistent with the
definition for ``cultures'' adopted in the UN for the 14th Revised
Edition of the UN Recommendations. Cultures are the result of a process
by which pathogens are intentionally propagated by use of ideal
conditions, including temperature, environment, and nutrient-based
propagation media. The definition proposed in this NPRM refers to
cultures prepared for the intentional generation of pathogens and does
not include patient specimens intended for diagnostic or clinical
purposes.
(4) We are proposing a new definition for ``patient specimen.'' As
proposed in this NPRM, ``patient specimen'' means human or animal
materials that are collected directly from humans or animals and that
are transported for research, diagnosis, investigational activities, or
disease treatment or prevention. Examples include excreta, secreta,
blood and its components, tissue and tissue swabs, and body parts.
(5) We propose to modify the definition for ``regulated medical
waste'' to incorporate Category A and Category B infectious substances.
RMW containing a Category A infectious substance must be classed as
Division 6.2, described as an infectious substance, and assigned to UN
2814 or UN 2900, as appropriate. RMW containing Category B infectious
substances is assigned to UN 3291.
(6) We propose to modify the listed exceptions in paragraph (b) of
Sec. 173.134 for consistency with the UN Recommendations. Most of the
exceptions are unchanged. However, we are adding an exception for a
material that has a low probability of containing an infectious
substance or where the concentration of the infectious substance is at
a level naturally occurring in the environment that will not cause
disease when exposure occurs. Examples include foodstuffs and certain
environmental samples. The new provision referring to environmental
samples would replace the exception for these materials in current
Sec. 173.134(b)(13). In addition, we are proposing to add an exception
for dried blood spots and for specimens used to detect fecal occult
blood. These are specimens that are routinely collected from healthy
patients for routine testing and screening (e.g., DNA
[[Page 29177]]
analysis, forensic studies, immunologic studies, cancer screening, and
nutritional evaluations of infants, children, and adults). The specimen
is placed on paper, allowed to saturate the paper, and then dried
completely. The specimens pose an extremely minimal risk of infection,
and may be rendered unusable if placed in packaging that retains
moisture or heat to the sample. More than 100 million specimens have
been safely transported by routine mail over the last 30 years. Health
professionals recommend that these materials should be transported in a
double-envelope system that forms a double-layer protective barrier
(i.e., inner and outer-sealed high quality, air-permeable paper
envelope) or an attached heavy paper fold-over flap as the inner
container placed into a secondary high-quality paper envelope.
In addition, in this NPRM we are proposing to except from
regulation under the HMR a human or animal sample transported for
routine testing that is not related to diagnosis of an infectious
disease and for which there is no reason to suspect that the sample is
infectious. Routine screening tests include: (1) Blood or urine tests
that a doctor may order as part of a routine medical examination to
monitor cholesterol levels, blood glucose levels, hormone levels, or
prostate specific antibodies (PSA); (2) blood or urine tests to monitor
liver or kidney functions for the millions of people who are not known
to have a non-infectious disease, such as multiple sclerosis, and who
are following a particular drug therapy regime; (3) blood or urine
tests conducted for insurance or employment purposes and/or intended to
determine the presence of alcohol or drugs; (4) DNA tests; and (5)
pregnancy tests. Tests for diagnoses other than for the presence of
pathogens include biopsies to detect cancer and antibody titre testing.
This exception is consistent with exeptions adopted in the UN
Recommendations for substances that are unlikely to cause disease in
humans or animals and substances for which there is a low probability
that infectious substances are present.
(7) We propose to revise the exceptions in paragraph (c) applicable
to the transportation of regulated medical waste. We propose to add a
requirement that sharps containers shipped in accordance with this
exception must be securely closed to prevent leaks or punctures. We are
concerned that the closures currently being used for sharps containers
may not adequately assure that no contents will be released during
transportation. In addition, we propose to modify paragraph (c)(2) to
revise the current reference to Risk Group 2 or 3 infectious substances
to Category B infectious substances.
Section 173.196. We propose to modify the Division 6.2 material
packaging requirements in Sec. 173.196 for consistency with the UN
Recommendations. Generally, the proposed revisions are editorial and do
not change current packaging requirements. We are proposing to add a
requirement for outer packagings to be rigid. Note that the packaging
requirements in Sec. 173.196 apply to shipments of Category A
infectious substances only. In this NPRM, we propose that Category B
infectious substances will be transported in accordance with the
provisions in Sec. 173.199.
Section 173.197. We propose to modify the RMW packaging
requirements in Sec. 173.197 to incorporate Category A and Category B
infectious substances. The proposed revisions do not substantively
change the current packaging requirements for non-bulk or bulk
shipments of RMW.
We propose to revise Sec. 173.197(b) for clarification by
correcting in the first sentence, ``except as otherwise provided in
Sec. 173.134 of this subpart'' to read ``except as authorized by Sec.
173.134(d)(1)(ii).'' In addition, in current paragraph (b) non-bulk RMW
packaging is currently described as a DOT specification packaging
meeting the requirements of Part 178 at the PG II performance level. We
are proposing to revise the phrase ``DOT specification'' to read ``UN
standard'' because non-bulk PG II refers to packagings in Part 178,
Subpart L, conforming to a UN standard. We propose in paragraph
(d)(1)(iv) to not permit untreated concentrated stock cultures of a
Category A infectious substance in a wheeled Cart or BOP.
In Sec. 173.197(d)(2)(iii), the reference to the drop test
requirement is not correct. It should read ``Each Cart must be capable
of meeting the requirements of Sec. 178.810 (drop test) at the Packing
Group II performance level.''
In Sec. 173.197(e)(3), in the introductory paragraph, we are
proposing to revise the wording ``the performance tests in Sec.
178.601'' to read ``the performance tests in Part 178, Subpart M''.
There are no performance tests in Sec. 178.601. This revision would
make Sec. 173.197(e)(3) consistent with Sec. 173.197(b). Finally, we
propose to add a requirement that sharps containers must be securely
closed to prevent leaks or punctures. We are concerned that the
closures currently being used for sharps containers may not adequately
ensure that no contents will be released during transportation.
Section 173.199. We propose to modify this section for consistency
with the UN Recommendations and ICAO Technical Instructions. As
proposed in this NPRM, the provisions of Sec. 173.199 will apply to
shipments of Category B infectious substances and used health care
products. The packaging requirements proposed are substantially the
same as the current requirements for shipping diagnostic specimens,
except that we are proposing that the outer packaging must be rigid.
The completed packaging must be capable of passing a drop test at a
height of 1.2 meters. We are proposing pass/fail criteria for the drop
test--there must be no leakage from the primary receptacle, and the
primary receptacle must remain protected by absorbent material, when
required, in the secondary packaging. In addition, we propose to
require the use of absorbent materials for solids that may become
liquid during transportation.
Consistent with amendments adopted for the UN Recommendations, we
propose to remove the current capacity limitations for shipment of
Category B infectious substances, except for Category B infectious
substances transported by air. For air shipments of these materials, we
are proposing to modify the current limitations on capacity consistent
with the amendments adopted in the 2005-2006 ICAO Technical
Instructions. For liquids, we propose to increase the amount of
material permitted in each inner packaging from 500 mL (16.9 ounces) to
1 L (34 ounces); the limitation on the total amount of material that is
permitted in the outer packaging remains 4 L (1 gallon). For solids, we
propose to delete the limitation on the amount of material permitted in
each inner packaging; again, the limitation on the total amount of
material permitted in the outer packaging remains 4 kg (8.8 pounds). In
addition, we propose to require at least one surface of the outer
packaging to have a minimum dimension of 100 mm by 100 mm (3.9 inches).
Consistent with provisions proposed to be adopted for the 14th
Edition of the UN Recommendations, we propose to require a package
containing a Category B infectious substance and prepared in accordance
with Sec. 173.199 to be marked with the identification number ``UN
3373'' in a square-on-point configuration and with the proper shipping
name ``Biological substances, Category B.'' Each side of the square-on-
point mark must be at least 50 mm in length, and the proper shipping
name
[[Page 29178]]
``Biological substances, Category B'' must be in letters at least 6 mm
high. We are also proposing to require the proper shipping name, UN
number, and the name, address, and telephone number of a person
knowledgeable about the shipment to be included on a written document,
such as an air waybill or bill of lading, or on the outer packaging.
The knowledgeable person should be able to provide information about
how to respond to emergencies or releases involving the package and
appropriate first aid and treatment. Finally, we propose to permit
small amounts of hazardous materials in Packing Groups II or III, not
to exceed 30 mL (1 ounce) or 30 g (1 ounce) in each inner packaging, to
be used to preserve or stabilize the material. Such preservatives would
not be subject to HMR requirements.
Category B infectious substances prepared in accordance with Sec.
173.199 are excepted from all other HMR requirements except for
incident reporting and the requirements in Part 175 of the HMR that
prohibit a hazardous material subject to the HMR requirements from
being transported in the cabin of a passenger aircraft or the flight
deck of any aircraft.
Part 175
Section 175.630. We are proposing to add a new paragraph (c) to
this section to require air carriers to inspect packages containing
Division 6.2 materials for leakage when they are unloaded. If evidence
of leakage is found, the cargo compartment must be disinfected.
X. Rulemaking Analysis and Notices
A. Statutory/Legal Authority for This Rulemaking
This NPRM is published under the following statutory authorities:
1. 49 U.S.C. 5103(b) authorizes the Secretary of Transportation to
prescribe regulations for the safe transportation, including security,
of hazardous material in intrastate, interstate, and foreign commerce.
This NPRM proposes regulations to enhance the safe and secure
transportation of infectious substances in intrastate, interstate, and
foreign commerce. To this end, as discussed in detail earlier in this
preamble, the NPRM proposes to revise current HMR requirements
applicable to infectious substances for classification, packaging, and
hazard communication and for offerors and transporters of certain
infectious substances to develop and implement security plans.
2. 49 U.S.C. 5120(b) authorizes the Secretary of Transportation to
ensure that, to the extent practicable, regulations governing the
transportation of hazardous materials in commerce are consistent with
standards adopted by international authorities. This NPRM proposes
regulations applicable to the transportation of infectious substances
in commerce that are consistent with international standards applicable
to such transportation. To this end, as discussed in detail earlier in
this preamble, the NPRM proposes to harmonize current HMR requirements
for infectious substances with the standards adopted for the
transportation of infectious substances in the UN Recommendations, the
2005-2006 ICAO Technical Instructions, and Amendment 32 to the IMDG
Code. The continually increasing amount of hazardous materials
transported in international commerce warrants the harmonization of
domestic and international requirements to the greatest extent
possible. Harmonization serves to facilitate international
transportation; at the same time, harmonization ensures the safety of
people, property, and the environment by reducing the potential for
confusion and misunderstanding that could result if shippers and
transporters were required to comply with two or more conflicting sets
of regulatory requirements. While the intent of this rulelmaking is to
align the HMR with international standards, we review and consider each
amendment on its own merit based on its overall impact on
transportation safety and the economic implications associated with its
adoption into the HMR. Our goal is to harmonize without sacrificing the
current HMR level of safety and without imposing undue burdens on the
regulated public. Thus, as discussed in detail earlier in this
preamble, there are several instances where we elected not to propose
adoption of a specific provision of the UN Recommendations or the ICAO
Technical Instructions; further, we propose to maintain a number of
current exceptions for domestic transportation that should minimize the
compliance burden on the regulated community.
B. Executive Order 12866 and DOT Regulatory Policies and Procedures
This NPRM is a significant regulatory action under section 3(f) of
Executive Order 12866 and, therefore, was reviewed by the Office of
Management and Budget. This proposed rule is also considered
significant under the Regulatory Policies and Procedures of the
Department of Transportation (44 FR 11034). Benefits resulting from the
adoption of the amendments in this NPRM include reduced transportation
costs for shipments of certain infectious substances and enhanced
transportation safety and efficiency resulting from consistent domestic
and international transportation requirements. The NPRM would result in
new costs of compliance related to the development and implementation
of transportation security plans for persons who ship USDA-regulated
select agents and toxins. A regulatory evaluation for this NPRM is in
the public docket for this rulemaking.
This NPRM proposes to relax requirements for transporting Category
B infectious substances. Currently, many of these infectious substances
must be shipped in appropriately marked and labeled UN specification
packagings and accompanied by shipping papers and emergency response
information; these infectious substances are also subject to inc