[Code of Federal Regulations] [Title 42, Volume 1] [Revised as of October 1, 2004] From the U.S. Government Printing Office via GPO Access [CITE: 42CFR72.3] [Page 438-441] TITLE 42--PUBLIC HEALTH CHAPTER I--PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES PART 72_INTERSTATE SHIPMENT OF ETIOLOGIC AGENTS \1\--Table of Contents Sec. 72.3 Transportation of materials containing certain etiologic agents; minimum packaging requirements. Notwithstanding the provisions of Sec. 72.2, no person may knowingly transport or cause to be transported in interstate traffic, directly or indirectly, any material (other than biological products) known to contain, or reasonably believed by such person to contain, one or more of the following etiologic agents unless such material is packaged, labeled, and shipped in accordance with the requirements specified in paragraphs (a) through (f) of this section: Bacterial Agents Acinetobacter calcoaceticus. Actinobacillus-- all species. Actinomycetaceae-- all members. Aeromonas hydrophila. Arachnia propionica. Arizona hinshawii-- all serotypes. Bacillus anthracis. Bacteroides spp. Bartonella-- all species. Bordetella-- all species. Borrelia recurrentis, B. vincenti. Brucella-- all species. Campylobacter (Vibrio) foetus, C. (Vibrio) jejuni. Chlamydia psittaci, C. trachomatis. Clostridium botulinum, Cl. chauvoei, Cl. haemolyticum, Cl. histolyticum,Cl. novyi, Cl. septicum, Cl. tetani. [[Page 439]] Corynebacterium diphtheriae, C. equi, C. haemolyticum, C. pseudotuberculosis, C. pyogenes, C. renale. Edwarsiella tarda. Erysipelothrix insidiosa. Escherichia coli, all enteropathogenic serotypes. Francisella (Pasteurella) Tularensis. Haemophilus ducreyi, H. influenzae. Klebsiella-- all species and all serotypes. Legionella-- all species and all Legionella-like organisms. Leptospira interrogans-- all serovars. Listeria-- all species. Mimae polymorpha. Moraxella-- all species. Mycobacterium-- all species. Mycoplasma-- all species. Neisseria gonorrhoeae, N. meningitidis. Nocardia asteroides. Pasteurella-- all species. Plesiomonas shigelloides. Proteus-- all species. Pseudomonas mallei. Pseudomonas pseudomallei. Salmonella-- all species and all serotypes. Shigella-- all species and all serotypes. Sphaerophorus necrophorus. Staphylococcus aureus. Streptobacillus moniliformis. Streptococcus pneumoniae. Streptococcus pyogenes. Treponema careteum, T. pallidum, and T. pertenue. Vibrio cholerae, V. parahemolyticus. Yersinia (Pasteurella) pestis, Y. enterocolitica. Fungal Agents Blastomyces dermatitidis. Coccidioides immitis. Cryptococcus neoformans. Histoplasma capsulatum. Paracoccidioides brasiliensis. Viral and Rickettsial Agents Adenoviruses--human--all types. Arboviruses--all types. Coxiella burnetii. Coxsackie A and B viruses--all types. Creutzfeldt--Jacob agent Cytomegaloviruses. Dengue viruses--all types. Ebola virus. Echoviruses--all types. Encephalomyocarditis virus. Hemorrhagic fever agents including, but not limited to, Crimean hemorrhagic fever (Congo), Junin, Machupo viruses, and Korean hemorrhagic fever viruses. Hepatitis associated materials (hepatitis A, hepatitis B, hepatitis nonA-nonB). Herpesvirus--all members. Infectious bronchitis-like virus. Influenza viruses--all types. Kuru agent. Lassa virus. Lymphocytic choriomeningitis virus. Marburg virus. Measles virus. Mumps virus. Parainfluenza viruses--all types. Polioviruses--all types. Poxviruses--all members. Rabies virus--all strains. Reoviruses--all types. Respiratory syncytial virus. Rhinoviruses--all types. Rickettsia-- all species. Rochalimaea quintana. Rotaviruses--all types. Rubella virus. Simian virus 40. Tick-borne encephalitis virus complex, including Russian spring-summer encephalitis, Kyasanur forest disease, Omsk hemorrhagic fever, and Central European encephalitis viruses. Vaccinia virus. Varicella virus. Variola major and Variola minor viruses. Vesicular stomatis viruses--all types. White pox viruses. Yellow fever virus. \2\ --------------------------------------------------------------------------- \2\ This list may be revised from time to time by Notice published in the Federal Register to identify additional agents which must be packaged in accordance with the requirements contained in this part. (a) Volume not exceeding 50 ml. Material shall be placed in a securely closed, watertight container (primary container (test tube, vial, etc.)) which shall be enclosed in a second, durable watertight container (secondary container). Several primary containers may be enclosed in a single secondary container, if the total volume of all the primary containers so enclosed does not exceed 50 ml. The space at the top, bottom, and sides between the primary and secondary containers shall contain sufficient nonparticulate absorbent material (e.g., paper towel) to absorb the entire contents of the primary container(s) in case of breakage or leakage. Each set of primary and secondary containers shall then be enclosed in an outer shipping container constructed of corrugated fiberboard, cardboard, wood, or other material of equivalent strength. (b) Volume greater than 50 ml. Packaging of material in volumes of 50 ml. or more shall comply with requirements specified in paragraph (a) of this section. In addition, a shock absorbent material, in volume at least equal to [[Page 440]] that of the absorbent material between the primary and secondary containers, shall be placed at the top, bottom, and sides between the secondary container and the outer shipping container. Single primary containers shall not contain more than 1,000 ml of material. However, two or more primary containers whose combined volumes do not exceed 1,000 ml may be placed in a single, secondary container. The maximum amount of etiologic agent which may be enclosed within a single outer shipping container shall not exceed 4,000 ml. (c) Dry ice. If dry ice is used as a refrigerant, it must be placed outside the secondary container(s). If dry ice is used between the secondary container and the outer shipping container, the shock absorbent material shall be placed so that the secondary container does not become loose inside the outer shipping container as the dry ice sublimates. (d)(1) The outer shipping container of all materials containing etiologic agents transported in interstate traffic must bear a label as illustrated and described below: [GRAPHIC] [TIFF OMITTED] TC01FE91.049 (2) The color of material on which the label is printed must be white, the symbol red, and the printing in red or white as illustrated. (3) The label must be a rectangle measuring 51 millimeters (mm) (2 inches) high by 102.5 mm (4 inches) long. (4) The red symbol measuring 38 mm (1\1/2\ inches) in diameter must be centered in a white square measuring 51 mm (2 inches) on each side. (5) Type size of the letters of label shall be as follows: Etiologic agents--10 pt. rev. Biomedical material--14 pt. In case of damage or leakage--10 pt. rev. Notify Director CDC, Atlanta, Georgia--8 pt. rev. 404-633-5313--10 pt. rev. (e) Damaged packages. The carrier shall promptly, upon discovery of evidence of leakage or any other damage to packages bearing an Etiologic Agents/Biomedical Material label, isolate the package and notify the Director, Center for Disease Control, 1600 Clifton Road, NE., Atlanta, GA 30333, by telephone: (404) 633-5313. The carrier shall also notify the sender. (f) Registered mail or equivalent system. Transportation of the following etiologic agents shall be by registered mail or an equivalent system which requires or provides for sending notification of receipt to the sender immediately upon delivery: Coccidioides immitis. Ebola virus. Francisella (Pasteurella) tularensis. Hemorrhagic fever agents including, but not limited to, Crimean hemorrhagic fever (Congo), Junin, Machupo viruses, and Korean hemorrhagic fever viruses. [[Page 441]] Herpesvirus simiae (B virus). Histoplasma capsulatum. Lassa virus. Marburg virus. Pseudomonas mallei. Pseudomonas pseudomallei. Tick-borne encephalitis virus complex including, but not limited to, Russian spring-summer encephalitis, Kyasanur forest disease, Omsk Hemorrhagic fever, and Central European encephalitis viruses, Variola minor, and Variola major. Variola major, Variola minor, and Whitepox viruses. Yersinia (Pasteurella) pestis. \3\ --------------------------------------------------------------------------- \3\ This list may be revised from time to time by Notice published in the Federal Register to identify additional agents which must be transported in accordance with requirements contained in Sec. 72.3(f). ---------------------------------------------------------------------------