Possession, Use, and Transfer of Select Agents and Toxins; Biennial Review, 10656-10658 [2015-04169]

Download as PDF 10656 Federal Register / Vol. 80, No. 39 / Friday, February 27, 2015 / Proposed Rules Wynkoop Street, Denver, Colorado 80202–1129, 303–312–6145, morrison.kendra@epa.gov. SUPPLEMENTARY INFORMATION: In the ‘‘Rules and Regulations’’ section of this Federal Register, EPA is publishing these negative declarations as a direct final rule without prior proposal because the Agency views this as a noncontroversial action and anticipates no adverse comments. A detailed rationale for publication is set forth in the preamble to the direct final rule. If EPA receives no adverse comments, EPA will not take further action on this proposed rule. If EPA receives adverse comments, EPA will withdraw the direct final rule and it will not take effect. EPA will address all public comments in a subsequent final rule based on this proposed rule. EPA will not institute a second comment period on this action. Any parties interested in commenting must do so at this time. Please note that if EPA receives adverse comment on an amendment, paragraph, or section of this rule and if that provision may be severed from the remainder of the rule, EPA may adopt as final those provisions of the rule that are not the subject of an adverse comment. See the information provided in the Direct Final action of the same title which is located in the Rules and Regulations Section of this Federal Register. Authority: 42 U.S.C. 7401 et seq. Dated: January 30, 2015. Debra H. Thomas, Acting Regional Administrator, Region 8. [FR Doc. 2015–03921 Filed 2–26–15; 8:45 am] BILLING CODE 6560–50–P DEPARTMENT OF HEALTH AND HUMAN SERVICES 42 CFR Part 73 [Docket No. CDC–2015–0006] RIN 0920–AA59 Possession, Use, and Transfer of Select Agents and Toxins; Biennial Review Centers for Disease Control and Prevention (CDC), Department of Health and Human Services (HHS). ACTION: Advance notice of proposed rulemaking and request for comments. tkelley on DSK3SPTVN1PROD with PROPOSALS AGENCY: In accordance with the Public Health Security and Bioterrorism Preparedness and Response Act of 2002, Subtitle A (Department of Health and Human Services) of Title II (Enhancing Controls on Dangerous Biological SUMMARY: VerDate Sep<11>2014 16:15 Feb 26, 2015 Jkt 235001 Agents and Toxins) of Public Law 107– 188 (June 12, 2002) (the Bioterrorism Response Act), the Centers for Disease Control and Prevention (CDC) located within the Department of Health and Human Services (HHS) has initiated the review of the HHS list of biological agents and toxins that have the potential to pose a severe threat to public health and safety. We are considering whether to propose amending the HHS list by removing six biological agents. DATES: Comments should be received on or before April 28, 2015. ADDRESSES: You may submit comments, identified by Regulation Identifier Number (RIN), 0920–AA59 or Docket Number CDC–2015–0006 in the heading of this document by any of the following methods: • Federal eRulemaking Portal: https:// www.regulations.gov. Follow the instructions for submitting comments. • Mail: Centers for Disease Control and Prevention, Select Agent Program, 1600 Clifton Road NE., Mailstop A–46, Atlanta, Georgia 30329, ATTN: RIN 0920–AAxx. Instructions: All submissions received must include the agency name and RIN for this rulemaking. All relevant comments received will be posted without change to https:// www.regulations.gov, including any personal information provided. Docket Access: For access to the docket to read background documents or comments received or to download an electronic version of the ANPRM, go to https://www.regulations.gov. Comments will be available for public inspection Monday through Friday, except for legal holidays, from 9 a.m. until 5 p.m. at 1600 Clifton Road NE., Atlanta, GA 30329. Please call ahead to 1–866–694–4867 and ask for a representative in the Division of Select Agents and Toxins to schedule your visit. Please be aware that comments and other submissions from members of the public are made available for public viewing without changes. FOR FURTHER INFORMATION CONTACT: Robbin Weyant, Director, Division of Select Agents and Toxins, Centers for Disease Control and Prevention, 1600 Clifton Road NE., Mailstop A–46, Atlanta, Georgia 30329. Telephone: (404) 718–2000. SUPPLEMENTARY INFORMATION: The Preamble to this notice of proposed rulemaking is organized as follows: I. Public Participation II. Background III. Changes to 42 CFR Part 73, Modifications to the List of Select Agents and Toxins Being Considered A. Coxiella burnetii PO 00000 Frm 00030 Fmt 4702 Sfmt 4702 B. Rickettsia prowazekii C. Bacillus anthracis Pasteur strain D. Brucella abortus, B. melitensis, and B. suis IV. References I. Public Participation Interested persons or organizations are invited to participate in this rulemaking by submitting written views, recommendations, and data. Comments are invited on any topic related to this rulemaking. In addition, HHS/CDC invites comments specifically as to whether there are biological agents or toxins that should be added or removed from the HHS list of select agents and toxins based on the following criteria, or any other appropriate criteria: (1) The effect on human health of exposure to the agent or toxin; (2) The degree of contagiousness of the agent or toxin and the methods by which the agent or toxin is transferred to humans; and (3) The availability and effectiveness of pharmacotherapies and immunizations to treat and prevent any illness resulting from infection by the agent or exposure to the toxin. (4) The needs of children and other vulnerable populations. Comments received, including attachments and other supporting materials, are part of the public record and subject to public disclosure. Do not include any information in your comment or supporting materials that you consider confidential or inappropriate for public disclosure. HHS/CDC will carefully consider all comments submitted in preparation of a proposed final rule. II. Background The Bioterrorism Response Act requires the HHS Secretary to establish by regulation a list of biological agents and toxins that have the potential to pose a severe threat to public health and safety. In determining whether to include an agent or toxin on the list, the HHS Secretary considers criteria such as the effect on human health of exposure to an agent or toxin; the degree of contagiousness of the agent and the methods by which the agent or toxin is transferred to humans; the availability and effectiveness of pharmacotherapies and immunizations to treat and prevent illnesses resulting from an agent or toxin; and the needs of children and other vulnerable populations. The current list of HHS select agents and toxins can be found at 42 CFR 73.3 (HHS select agents and toxins) and 42 CFR 73.4 (Overlap select agents and toxins). The list of HHS and Overlap E:\FR\FM\27FEP1.SGM 27FEP1 tkelley on DSK3SPTVN1PROD with PROPOSALS Federal Register / Vol. 80, No. 39 / Friday, February 27, 2015 / Proposed Rules select agents and toxins is available at: https://www.selectagents.gov/ Select%20Agents%20and%20Toxins %20List.html. The HHS Secretary last republished the list of HHS select agents and toxins in the Federal Register on October 5, 2012 (77 FR 61084). The list of HHS select agents and toxins is divided into two sections. The select agents and toxins listed in § 73.3 (HHS select agents and toxins) are those regulated only by HHS under the authority of the Bioterrorism Response Act (42 U.S.C. 262a). The select agents and toxins listed in § 73.4 (Overlap select agents and toxins) are those regulated by HHS under the authority of the Bioterrorism Response Act and regulated by the U.S. Department of Agriculture under the authority of the Agricultural Bioterrorism Protection Act of 2002 (7 U.S.C. 8401). The Bioterrorism Response Act requires the HHS Secretary to review and republish the list of select agents and toxins on at least a biennial basis. Using government subject matter experts, HHS/CDC conducts the biennial review process in consultation with the HHS/CDC Intragovernmental Select Agents and Toxins Technical Advisory Committee (ISATTAC). The ISATTAC recommends changes to the list of HHS select agents and toxins. The ISATTAC is comprised of Federal government employees from CDC, Biomedical Advanced Research and Development Authority (BARDA) within the Office of the Assistant Secretary for Preparedness and Response, the National Institutes of Health (NIH), the Food and Drug Administration (FDA), the Department of Homeland Security (DHS), the Department of Defense (DOD), the USDA/Animal and Plant Health Inspection Service (APHIS), USDA/ Agricultural Research Service (ARS), and USDA/CVB (Center for Veterinary Biologics). Based on the criteria outlined in the Bioterrorism Response Act, the ISATTAC used the following measures in its review: the degree of pathogenicity (ability of an organism to cause disease), communicability (ability to spread from infected to susceptible hosts), ease of dissemination, route of exposure, environmental stability, ease of production, ability to genetically manipulate or alter, long-term health effects, acute morbidity (illness), acute mortality (death), available treatment, status of host immunity, vulnerability of special populations, and the burden or impact on the health care system. VerDate Sep<11>2014 16:15 Feb 26, 2015 Jkt 235001 III. Proposed Changes to 42 CFR Part 73, Modifications to the List of Select Agents and Toxins Being Considered The purpose of this advanced notice of proposed rulemaking is to seek public comment on the appropriateness of the current list of HHS and Overlap select agents and toxins. Specifically, we are providing an opportunity for interested persons to submit comments, research data, and other information that will better inform us as to whether: (1) There are any other biological agents or toxins that should be added to the list because they have the potential to pose a severe threat to public health and safety; (2) there are any other biological agents or toxins currently on the list that should be removed because they no longer have the potential to pose a severe threat to public health and safety, and/or (3) the biological agents specifically listed in the following paragraphs should be removed or remain on the list. HHS/CDC is also seeking comments on the following considerations regarding the list of HHS and Overlap select agents: A. Coxiella burnetii Coxiella burnetii causes a disease called Q fever. Q fever is an acute febrile rickettsial disease that varies in severity and duration. Should Coxiella burnetii be removed or retained as a HHS select agent? Are there other reasons or research data to support the removal besides the following reasons? • It is not easily transmitted from person to person (1); • It has a low mortality rate with antibiotic treatment (2); and • There is an investigational new drug (IND) vaccine available for at-risk personnel (3). 10657 C. Bacillus anthracis Pasteur Strain Bacillus anthracis is the bacterium that causes anthrax, an acute disease in animals and humans. However, different strains of B. anthracis have different abilities to cause disease. The Pasteur strain, for example, is unable to produce toxic factors and is not considered harmful to humans. Should B. anthracis Pasteur strain be removed or retained as an Overlap select agent? Are there other reasons or research data to support the removal besides the following reasons? • B. anthracis Pasteur strain lacks the plasmid that encodes the toxin genes causing disease (6); • B. anthracis Sterne strain, which lacks the plasmid that encodes for the capsule, was excluded from the requirements of the regulations effective on February 27, 2003 (7–8); and • Historically, the B. anthracis Pasteur strain has been retained as a select agent to allow for continued oversight of laboratories in which the accidental (or intentional) combination of this strain with the Sterne strain could occur to produce de novo the wild type phenotype B. anthracis. However, a recent study indicates that bacterial transformation of B. subtilis with plasmid DNA (e.g. pXO1 into Bacillus anthracis Pasteur strain) is inefficient; indicating that transformation with bacteria such as B. anthracis would also be inefficient (9). D. Brucella abortus, B. melitensis, and B. suis Brucella abortus, B. melitensis, and B. suis bacteria cause brucellosis, a disease that can spread from animals to humans. Should B. abortus, B. melitensis, and B. suis be removed or retained as select agents? Are there other reasons or research data to support B. Rickettsia prowazekii the removal besides the following reasons? Rickettsia prowazekii causes epidemic • B. abortus has a low human typhus. Epidemic typhus is a potentially mortality rate (10); lethal, louse-borne, disease caused by R. • B. abortus, B. melitensis, and B. prowazekii. Should Rickettsia suis are readily treatable with prowazekii be removed or retained as a antibiotics (10); and HHS select agent? Are there other • Human-to-human transmission is reasons or research data to support the extremely rare, and wildlife carriers in removal besides the following reasons? the United States often come into • It is readily treatable with contact with humans without significant antibiotics (4); transmission (10). • The risk of mass casualties is low IV. References because R. prowazekii can be treated 1. T.J. Marrie. Q fever. In: Marrie TJ, editor. with a single dose of doxycycline when Q fever. Vol. 1. Boca Raton, FL: CRC symptoms are present (4); and Press; 1990. (The disease). • Transmissibility from person to 2. M. Maurin and D. Raoult. Q fever. Clin person is low due to the fact that R. Microbiol Rev. Oct. 1999;12(4):518–53. prowazekii is usually transmitted via 3. Biosafety in Microbiological and blood, although it can be spread through Biomedical Laboratories (BMBL) 5th inhalation of louse feces. Edition, https://www.cdc.gov/biosafety/ PO 00000 Frm 00031 Fmt 4702 Sfmt 4702 E:\FR\FM\27FEP1.SGM 27FEP1 10658 Federal Register / Vol. 80, No. 39 / Friday, February 27, 2015 / Proposed Rules publications/bmbl5/BMBL5_sect_VIII_ d.pdf. 4. D. Raoult, J.B. Ndihokubwayo, H. TissotDupont, V. Roux, B. Faugere, R. Abegbinni, and R.J. Birtles. Outbreak of epidemic typhus associated with trench fever in Burundi. The Lancet. Aug. 1998; 352 (3125):353–358. 5. D. Raoult, T. Woodward, and J.S. Dumler. The history of epidemic typhus. Infect Dis Clin N Am. Mar. 2004; 18(1):127– 140. 6. B.E. Ivins, J.W. Ezzell, J. Jemski, K.W. Hedlund, J.D. Ristroph, and S.H. Leppla. Immunization Studies with Attenuated Strains of Bacillus anthracis. Infection and Immunity. May 1986; 52(2):454–458. 7. Centers for Disease Control and Prevention, National Center for Emerging and Zoonotic Infectious Diseases ‘‘Anthrax Sterne strain (34F2) of Bacillus anthracis,’’ https://www.cdc.gov/nczved/ divisions/dfbmd/diseases/anthrax_ sterne/. 8. Federal Select Agent Program, ‘‘Select Agents and Toxins Exclusions,’’ https:// www.selectagents.gov/ SelectAgentsandToxinsExclusions.html. 9. C. Johnston, B. Martin, G. Fichant, P. Polard, and J.P. Claverys. Bacterial transformation: distribution, shared mechanisms and divergent control. Nature Rev. Microbiol. 2014; 12: 181– 196. 10. Center for Food Security and Public Health, ‘‘Brucellosis Technical fact sheet,’’ https://www.cfsph.iastate.edu/ Factsheets/pdfs/brucellosis.pdf. FEDERAL COMMUNICATIONS COMMISSION You may submit comments, identified by WC Docket Nos. 10–90 and 14–259, by any of the following methods: • Electronic Filers: Comments may be filed electronically using the Internet by accessing the ECFS: https:// fjallfoss.fcc.gov/ecfs2/. • People with Disabilities: Contact the FCC to request reasonable accommodations (accessible format documents, sign language interpreters, CART, etc.) by email: FCC504@fcc.gov or phone: 202–418–0530 or TTY: 202– 418–0432. For detailed instructions for submitting comments and additional information on the rulemaking process, see the SUPPLEMENTARY INFORMATION section of this document. FOR FURTHER INFORMATION CONTACT: Heidi Lankau, Wireline Competition Bureau at (202) 418–7400 or TTY (202) 418–0484. SUPPLEMENTARY INFORMATION: This is a synopsis of the Wireline Competition Bureau’s Public Notices (Notices) in WC Docket No. 10–90, 14–259; DA 15–140, released January 30, 2015 and DA 15– 158, released February 4, 2015. The complete text of these documents are available for inspection and copying during normal business hours in the FCC Reference Information Center, Portals II, 445 12th Street SW., Room CY–A257, Washington, DC 20554. The document may also be purchased from the Commission’s duplicating contractor, Best Copy and Printing, Inc., 445 12th Street SW., Room CY–B402, Washington, DC 20554, telephone (800) 378–3160 or (202) 863–2893, facsimile (202) 863–2898, or via Internet at https://www.bcpiweb.com. 47 CFR Part 54 I. Introduction Dated: February 5, 2015. Sylvia M. Burwell, Secretary. [FR Doc. 2015–04169 Filed 2–26–15; 8:45 am] BILLING CODE 4163–18–P [WC Docket No. 10–90, 14–259; DA 15–140; DA 15–158] Wireline Competition Bureau Seeks Comment More Generally on Letter of Credit Proposals for Connect America Phase II Competitive Bidding Process Federal Communications Commission. ACTION: Proposed rule. AGENCY: In these documents, the Wireline Competition Bureau seeks comment more generally on letter of credit proposals raised by several petitions for waiver and their potential applicability to the Phase II competitive bidding process. DATES: Comments are due on or before March 30, 2015 and reply comments are due on or before April 13, 2015. tkelley on DSK3SPTVN1PROD with PROPOSALS SUMMARY: VerDate Sep<11>2014 16:15 Feb 26, 2015 Jkt 235001 ADDRESSES: 1. On January 27, 2015, the Alliance of Rural Broadband Applicants filed a petition for limited waiver of certain letter of credit (LOC) requirements applicable to the rural broadband experiments. On February 3, 2015, NTCA—The Rural Broadband Association filed an emergency petition for limited waiver of the LOC bank eligibility requirements applicable to the rural broadband experiments. On January 21, 2015, the National Rural Utilities Cooperative Finance Corporation and its affiliate, the Rural Telephone Finance Cooperative, also filed a petition for waiver of one aspect of the Commission’s LOC bank eligibility requirements. 2. The Bureau notes that these petitions for waiver raise issues that may be relevant to broader pending questions regarding possible LOC PO 00000 Frm 00032 Fmt 4702 Sfmt 4702 requirements for recipients of funding awarded through the Phase II competitive bidding process. Thus, during the comment period established, the Bureau encourages parties to comment on the petitions’ LOC proposals more generally and their potential applicability to the Phase II competitive bidding process. 3. In order to develop a complete record on the issues presented in the waiver petition, the request for more general comment will be treated, for ex parte purposes, as ‘‘permit-but-disclose’’ in accordance with section 1.1200(a) of the Commission’s rules, subject to the requirements under section 1.1206(b). II. Procedural Matters 1. Initial Regulatory Flexibility Act Analysis 4. The USF/ICC Transformation Order and FNPRM included an Initial Regulatory Flexibility Analysis (IRFA) pursuant to 5 U.S.C. 603, exploring the potential impact on small entities of the Commission’s proposal. We invite parties to file comments on the IRFA in light of this additional notice. 2. Initial Paperwork Reduction Act of 1995 Analysis 5. This document seeks comment on a potential new or revised information collection requirement. If the Commission adopts a new or revised information collection requirement, the Commission will publish a separate notice in the Federal Register inviting the public to comment on the requirement, as required by the Paperwork Reduction Act of 1995, Public Law 104–13 (44 U.S.C. 3501– 3520). In addition, pursuant to the Small Business Paperwork Relief Act of 2002, Public Law 107–198, see 44 U.S.C. 3506(c)(4), the Commission seeks specific comment on how it might ‘‘further reduce the information collection burden for small business concerns with fewer than 25 employees.’’ 3. Filing Requirements 6. Pursuant to §§ 1.415 and 1.419 of the Commission’s rules, 47 CFR 1.415, 1.419, interested parties may file comments and reply comments on or before the dates indicated on the first page of this document. Comments may be filed using the Commission’s Electronic Comment Filing System (ECFS). See Electronic Filing of Documents in Rulemaking Proceedings, 63 FR 24121 (1998). • Electronic Filers: Comments may be filed electronically using the Internet by accessing the ECFS: https:// fjallfoss.fcc.gov/ecfs2/. E:\FR\FM\27FEP1.SGM 27FEP1

Agencies

[Federal Register Volume 80, Number 39 (Friday, February 27, 2015)]
[Proposed Rules]
[Pages 10656-10658]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2015-04169]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

42 CFR Part 73

[Docket No. CDC-2015-0006]
RIN 0920-AA59


Possession, Use, and Transfer of Select Agents and Toxins; 
Biennial Review

AGENCY: Centers for Disease Control and Prevention (CDC), Department of 
Health and Human Services (HHS).

ACTION: Advance notice of proposed rulemaking and request for comments.

-----------------------------------------------------------------------

SUMMARY: In accordance with the Public Health Security and Bioterrorism 
Preparedness and Response Act of 2002, Subtitle A (Department of Health 
and Human Services) of Title II (Enhancing Controls on Dangerous 
Biological Agents and Toxins) of Public Law 107-188 (June 12, 2002) 
(the Bioterrorism Response Act), the Centers for Disease Control and 
Prevention (CDC) located within the Department of Health and Human 
Services (HHS) has initiated the review of the HHS list of biological 
agents and toxins that have the potential to pose a severe threat to 
public health and safety. We are considering whether to propose 
amending the HHS list by removing six biological agents.

DATES: Comments should be received on or before April 28, 2015.

ADDRESSES: You may submit comments, identified by Regulation Identifier 
Number (RIN), 0920-AA59 or Docket Number CDC-2015-0006 in the heading 
of this document by any of the following methods:
     Federal eRulemaking Portal: https://www.regulations.gov. 
Follow the instructions for submitting comments.
     Mail: Centers for Disease Control and Prevention, Select 
Agent Program, 1600 Clifton Road NE., Mailstop A-46, Atlanta, Georgia 
30329, ATTN: RIN 0920-AAxx.
    Instructions: All submissions received must include the agency name 
and RIN for this rulemaking. All relevant comments received will be 
posted without change to https://www.regulations.gov, including any 
personal information provided.
    Docket Access: For access to the docket to read background 
documents or comments received or to download an electronic version of 
the ANPRM, go to https://www.regulations.gov. Comments will be available 
for public inspection Monday through Friday, except for legal holidays, 
from 9 a.m. until 5 p.m. at 1600 Clifton Road NE., Atlanta, GA 30329. 
Please call ahead to 1-866-694-4867 and ask for a representative in the 
Division of Select Agents and Toxins to schedule your visit. Please be 
aware that comments and other submissions from members of the public 
are made available for public viewing without changes.

FOR FURTHER INFORMATION CONTACT: Robbin Weyant, Director, Division of 
Select Agents and Toxins, Centers for Disease Control and Prevention, 
1600 Clifton Road NE., Mailstop A-46, Atlanta, Georgia 30329. 
Telephone: (404) 718-2000.

SUPPLEMENTARY INFORMATION: The Preamble to this notice of proposed 
rulemaking is organized as follows:

I. Public Participation
II. Background
III. Changes to 42 CFR Part 73, Modifications to the List of Select 
Agents and Toxins Being Considered
    A. Coxiella burnetii
    B. Rickettsia prowazekii
    C. Bacillus anthracis Pasteur strain
    D. Brucella abortus, B. melitensis, and B. suis
IV. References

I. Public Participation

    Interested persons or organizations are invited to participate in 
this rulemaking by submitting written views, recommendations, and data. 
Comments are invited on any topic related to this rulemaking.
    In addition, HHS/CDC invites comments specifically as to whether 
there are biological agents or toxins that should be added or removed 
from the HHS list of select agents and toxins based on the following 
criteria, or any other appropriate criteria:
    (1) The effect on human health of exposure to the agent or toxin;
    (2) The degree of contagiousness of the agent or toxin and the 
methods by which the agent or toxin is transferred to humans; and
    (3) The availability and effectiveness of pharmacotherapies and 
immunizations to treat and prevent any illness resulting from infection 
by the agent or exposure to the toxin.
    (4) The needs of children and other vulnerable populations.
    Comments received, including attachments and other supporting 
materials, are part of the public record and subject to public 
disclosure. Do not include any information in your comment or 
supporting materials that you consider confidential or inappropriate 
for public disclosure. HHS/CDC will carefully consider all comments 
submitted in preparation of a proposed final rule.

II. Background

    The Bioterrorism Response Act requires the HHS Secretary to 
establish by regulation a list of biological agents and toxins that 
have the potential to pose a severe threat to public health and safety. 
In determining whether to include an agent or toxin on the list, the 
HHS Secretary considers criteria such as the effect on human health of 
exposure to an agent or toxin; the degree of contagiousness of the 
agent and the methods by which the agent or toxin is transferred to 
humans; the availability and effectiveness of pharmacotherapies and 
immunizations to treat and prevent illnesses resulting from an agent or 
toxin; and the needs of children and other vulnerable populations. The 
current list of HHS select agents and toxins can be found at 42 CFR 
73.3 (HHS select agents and toxins) and 42 CFR 73.4 (Overlap select 
agents and toxins). The list of HHS and Overlap

[[Page 10657]]

select agents and toxins is available at: https://www.selectagents.gov/Select%20Agents%20and%20Toxins%20List.html.
    The HHS Secretary last republished the list of HHS select agents 
and toxins in the Federal Register on October 5, 2012 (77 FR 61084). 
The list of HHS select agents and toxins is divided into two sections. 
The select agents and toxins listed in Sec.  73.3 (HHS select agents 
and toxins) are those regulated only by HHS under the authority of the 
Bioterrorism Response Act (42 U.S.C. 262a). The select agents and 
toxins listed in Sec.  73.4 (Overlap select agents and toxins) are 
those regulated by HHS under the authority of the Bioterrorism Response 
Act and regulated by the U.S. Department of Agriculture under the 
authority of the Agricultural Bioterrorism Protection Act of 2002 (7 
U.S.C. 8401).
    The Bioterrorism Response Act requires the HHS Secretary to review 
and republish the list of select agents and toxins on at least a 
biennial basis. Using government subject matter experts, HHS/CDC 
conducts the biennial review process in consultation with the HHS/CDC 
Intragovernmental Select Agents and Toxins Technical Advisory Committee 
(ISATTAC). The ISATTAC recommends changes to the list of HHS select 
agents and toxins. The ISATTAC is comprised of Federal government 
employees from CDC, Biomedical Advanced Research and Development 
Authority (BARDA) within the Office of the Assistant Secretary for 
Preparedness and Response, the National Institutes of Health (NIH), the 
Food and Drug Administration (FDA), the Department of Homeland Security 
(DHS), the Department of Defense (DOD), the USDA/Animal and Plant 
Health Inspection Service (APHIS), USDA/Agricultural Research Service 
(ARS), and USDA/CVB (Center for Veterinary Biologics). Based on the 
criteria outlined in the Bioterrorism Response Act, the ISATTAC used 
the following measures in its review: the degree of pathogenicity 
(ability of an organism to cause disease), communicability (ability to 
spread from infected to susceptible hosts), ease of dissemination, 
route of exposure, environmental stability, ease of production, ability 
to genetically manipulate or alter, long-term health effects, acute 
morbidity (illness), acute mortality (death), available treatment, 
status of host immunity, vulnerability of special populations, and the 
burden or impact on the health care system.

III. Proposed Changes to 42 CFR Part 73, Modifications to the List of 
Select Agents and Toxins Being Considered

    The purpose of this advanced notice of proposed rulemaking is to 
seek public comment on the appropriateness of the current list of HHS 
and Overlap select agents and toxins. Specifically, we are providing an 
opportunity for interested persons to submit comments, research data, 
and other information that will better inform us as to whether: (1) 
There are any other biological agents or toxins that should be added to 
the list because they have the potential to pose a severe threat to 
public health and safety; (2) there are any other biological agents or 
toxins currently on the list that should be removed because they no 
longer have the potential to pose a severe threat to public health and 
safety, and/or (3) the biological agents specifically listed in the 
following paragraphs should be removed or remain on the list.
    HHS/CDC is also seeking comments on the following considerations 
regarding the list of HHS and Overlap select agents:

A. Coxiella burnetii

    Coxiella burnetii causes a disease called Q fever. Q fever is an 
acute febrile rickettsial disease that varies in severity and duration. 
Should Coxiella burnetii be removed or retained as a HHS select agent? 
Are there other reasons or research data to support the removal besides 
the following reasons?
     It is not easily transmitted from person to person (1);
     It has a low mortality rate with antibiotic treatment (2); 
and
     There is an investigational new drug (IND) vaccine 
available for at-risk personnel (3).

B. Rickettsia prowazekii

    Rickettsia prowazekii causes epidemic typhus. Epidemic typhus is a 
potentially lethal, louse-borne, disease caused by R. prowazekii. 
Should Rickettsia prowazekii be removed or retained as a HHS select 
agent? Are there other reasons or research data to support the removal 
besides the following reasons?
     It is readily treatable with antibiotics (4);
     The risk of mass casualties is low because R. prowazekii 
can be treated with a single dose of doxycycline when symptoms are 
present (4); and
     Transmissibility from person to person is low due to the 
fact that R. prowazekii is usually transmitted via blood, although it 
can be spread through inhalation of louse feces.

C. Bacillus anthracis Pasteur Strain

    Bacillus anthracis is the bacterium that causes anthrax, an acute 
disease in animals and humans. However, different strains of B. 
anthracis have different abilities to cause disease. The Pasteur 
strain, for example, is unable to produce toxic factors and is not 
considered harmful to humans. Should B. anthracis Pasteur strain be 
removed or retained as an Overlap select agent? Are there other reasons 
or research data to support the removal besides the following reasons?
     B. anthracis Pasteur strain lacks the plasmid that encodes 
the toxin genes causing disease (6);
     B. anthracis Sterne strain, which lacks the plasmid that 
encodes for the capsule, was excluded from the requirements of the 
regulations effective on February 27, 2003 (7-8); and
     Historically, the B. anthracis Pasteur strain has been 
retained as a select agent to allow for continued oversight of 
laboratories in which the accidental (or intentional) combination of 
this strain with the Sterne strain could occur to produce de novo the 
wild type phenotype B. anthracis. However, a recent study indicates 
that bacterial transformation of B. subtilis with plasmid DNA (e.g. 
pXO1 into Bacillus anthracis Pasteur strain) is inefficient; indicating 
that transformation with bacteria such as B. anthracis would also be 
inefficient (9).

D. Brucella abortus, B. melitensis, and B. suis

    Brucella abortus, B. melitensis, and B. suis bacteria cause 
brucellosis, a disease that can spread from animals to humans. Should 
B. abortus, B. melitensis, and B. suis be removed or retained as select 
agents? Are there other reasons or research data to support the removal 
besides the following reasons?
     B. abortus has a low human mortality rate (10);
     B. abortus, B. melitensis, and B. suis are readily 
treatable with antibiotics (10); and
     Human-to-human transmission is extremely rare, and 
wildlife carriers in the United States often come into contact with 
humans without significant transmission (10).

IV. References

1. T.J. Marrie. Q fever. In: Marrie TJ, editor. Q fever. Vol. 1. 
Boca Raton, FL: CRC Press; 1990. (The disease).
2. M. Maurin and D. Raoult. Q fever. Clin Microbiol Rev. Oct. 
1999;12(4):518-53.
3. Biosafety in Microbiological and Biomedical Laboratories (BMBL) 
5th Edition, https://www.cdc.gov/biosafety/

[[Page 10658]]

publications/bmbl5/BMBL5_sect_VIII_d.pdf.
4. D. Raoult, J.B. Ndihokubwayo, H. Tissot-Dupont, V. Roux, B. 
Faugere, R. Abegbinni, and R.J. Birtles. Outbreak of epidemic typhus 
associated with trench fever in Burundi. The Lancet. Aug. 1998; 352 
(3125):353-358.
5. D. Raoult, T. Woodward, and J.S. Dumler. The history of epidemic 
typhus. Infect Dis Clin N Am. Mar. 2004; 18(1):127-140.
6. B.E. Ivins, J.W. Ezzell, J. Jemski, K.W. Hedlund, J.D. Ristroph, 
and S.H. Leppla. Immunization Studies with Attenuated Strains of 
Bacillus anthracis. Infection and Immunity. May 1986; 52(2):454-458.
7. Centers for Disease Control and Prevention, National Center for 
Emerging and Zoonotic Infectious Diseases ``Anthrax Sterne strain 
(34F2) of Bacillus anthracis,'' https://www.cdc.gov/nczved/divisions/dfbmd/diseases/anthrax_sterne/.
8. Federal Select Agent Program, ``Select Agents and Toxins 
Exclusions,'' https://www.selectagents.gov/SelectAgentsandToxinsExclusions.html.
9. C. Johnston, B. Martin, G. Fichant, P. Polard, and J.P. Claverys. 
Bacterial transformation: distribution, shared mechanisms and 
divergent control. Nature Rev. Microbiol. 2014; 12: 181-196.
10. Center for Food Security and Public Health, ``Brucellosis 
Technical fact sheet,'' https://www.cfsph.iastate.edu/Factsheets/pdfs/brucellosis.pdf.

    Dated: February 5, 2015.
Sylvia M. Burwell,
Secretary.
[FR Doc. 2015-04169 Filed 2-26-15; 8:45 am]
BILLING CODE 4163-18-P
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