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File:Structure of NIAID Integrated Research Facility.jpg
Essential features of a biosafety level 4 (BSL-4) laboratory<ref name=irf>Template:Cite web</ref>

A biosafety level (BSL), or pathogen/protection level, is a set of biocontainment precautions required to isolate dangerous biological agents in an enclosed laboratory facility. The levels of containment range from the lowest biosafety level 1 (BSL-1) to the highest at level 4 (BSL-4).<ref name=":0">Template:Cite book</ref> In the United States, the Centers for Disease Control and Prevention (CDC) have specified these levels in a publication referred to as Biosafety in Microbiological and Biomedical Laboratories (BMBL).<ref name="BMBL">Template:Cite book</ref> In the European Union (EU), the same biosafety levels are defined in a directive.<ref>Directive 2000/54/EC of the European Parliament and of the Council of 18 September 2000 on the protection of workers from risks related to exposure to biological agents at work (seventh individual directive within the meaning of Article 16(1) of Directive 89/391/EEC)</ref> In Canada the four levels are known as Containment Levels.<ref>Template:Cite web</ref> Facilities with these designations are also sometimes given as P1 through P4 (for pathogen or protection level), as in the term P3 laboratory.<ref name=NIHold>Template:Cite book</ref>

At the lowest level of biosafety, precautions may consist of regular hand-washing and minimal protective equipment. At higher biosafety levels, precautions may include airflow systems, multiple containment rooms, sealed containers, positive pressure personnel suits, established protocols for all procedures, extensive personnel training, and high levels of security to control access to the facility. Health Canada reports that world-wide until 1999 there were recorded over 5,000 cases of accidental laboratory infections and 190 deaths.<ref name="ryebio">Template:Cite news</ref>

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History

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The first prototype Class III (maximum containment) biosafety cabinet was fashioned in 1943 by Hubert Kaempf Jr., then a U.S. Army soldier, under the direction of Arnold G. Wedum, Director (1944–1969) of Industrial Health and Safety at the United States Army Biological Warfare Laboratories, Camp Detrick, Maryland. Kaempf was tired of his MP duties at Detrick and was able to transfer to the sheet metal department working with the contractor, the H.K. Ferguson Co.<ref>Template:Cite web, 3rd edition. Kaempf retired from Fort Detrick in 1994, having completed more than 50 years service. He was chief of the mechanical branch, Directorate of Engineering and Housing.</ref>

On 18 April 1955, fourteen representatives met at Camp Detrick in Frederick, Maryland. The meeting was to share knowledge and experiences regarding biosafety, chemical, radiological, and industrial safety issues that were common to the operations at the three principal biological warfare (BW) laboratories of the U.S. Army.<ref>Template:Cite web</ref> Because of the potential implication of the work conducted at biological warfare laboratories, the conferences were restricted to top level security clearances. Beginning in 1957, these conferences were planned to include non-classified sessions as well as classified sessions to enable broader sharing of biological safety information. It was not until 1964, however, that conferences were held in a government installation not associated with a biological warfare program.<ref name="USDA-ABSA">Template:Cite web</ref>

Over the next ten years, the biological safety conferences grew to include representatives from all federal agencies that sponsored or conducted research with pathogenic microorganisms. By 1966, it began to include representatives from universities, private laboratories, hospitals, and industrial complexes. Throughout the 1970s, participation in the conferences continued to expand and by 1983 discussions began regarding the creation of a formal organization.<ref name="USDA-ABSA" /> The American Biological Safety Association (ABSA) was officially established in 1984 and a constitution and bylaws were drafted the same year. As of 2008, ABSA includes some 1,600 members in its professional association.<ref name="USDA-ABSA" />

In 1977, Jim Peacock of the Australian Academy of Science asked Bill Snowdon, then chief of the CSIRO's Australian Animal Health Laboratory (AAHL) if he could have the newly released United States' National Institutes of Health and the British equivalent requirements for the development of infrastructure for bio-containment reviewed by AAHL personnel with a view to recommending the adoption of one of them by Australian authorities. The review was carried out by CSIRO AAHL Project Manager Bill Curnow and CSIRO Engineer Arthur Jenkins. They drafted outcomes for each of the levels of security. AAHL was notionally classified as "substantially beyond P4". These were adopted by the Australian Academy of Science and became the basis for Australian legislation. It opened in 1985 costing AU$185 million, built on Corio Oval.<ref>Template:Cite web</ref> The Australian Animal Health Laboratory is a Class 4/ P4 Laboratory.<ref name="Lowenthal2016">Template:Cite journal</ref><ref name="Racaniello2014"/>

In 2003, the Chinese Academy of Sciences approved the construction of mainland China's first BSL-4 laboratory at the Wuhan Institute of Virology (WIV). In 2014, the WIV's National Bio-safety Laboratory was built at a cost of 300 million yuan (US$44 million), in collaboration and with assistance from the French government's CIRI lab.<ref name=inwiv>Template:Cite news</ref><ref name=pmid28230144>Template:Cite journal</ref><ref name=augur>Template:Cite web</ref>

In 2007 a scientific review paper stated that the Canadian Science Centre for Human and Animal Health, which was designed in the early 1990s, "has become the prototype for modern BSL4 laboratories".<ref>Template:Cite journal</ref>

Starting with the 2020 COVID-19 pandemic near the facilities of the WIV, work in biocontainment facilities has been politicized, especially in the US Senate for example as the result of Rand Paul's work.<ref name="forrp">Template:Cite news</ref> Russia asked questions on 25 October 2022 in the United Nations over the presence in Ukraine of biolabs.<ref name="apeml">Template:Cite news</ref> In April 2023, Sudan's descent into civil war caused worries at the World Health Organization over its National Public Laboratory as contending factions battled over its area and NPL staff were kicked out in favor of installing a military base at its premises.<ref name="jhbbc">Template:Cite news</ref> At the time, the facility contained organisms rated at BSL-2.<ref name="dwfox">Template:Cite news</ref>

Levels

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Biosafety level 1

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Biosafety level 1 (BSL-1) is suitable for work with well-characterized agents which do not cause disease in healthy humans. In general, these agents should pose minimal potential hazard to laboratory personnel and the environment.<ref name=CDCBiosafety>Template:Cite book</ref> At this level, precautions are limited relative to other levels. Laboratory personnel must wash their hands upon entering and exiting the lab. Research with these agents may be performed on standard open laboratory benches without the use of special containment equipment. However, eating and drinking are generally prohibited in laboratory areas.<ref name=CDCBiosafety/> Potentially infectious material must be decontaminated before disposal, either by adding a chemical such as bleach or isopropanol or by packaging for decontamination elsewhere.<ref name=CDCBiosafety/> Personal protective equipment is only required for circumstances where personnel might be exposed to hazardous material.<ref name=CDCBiosafety/> BSL-1 laboratories must have a door which can be closed to limit access to the lab. However, it is not necessary for BSL-1 labs to be isolated from the general building.<ref name=richmond/>

This level of biosafety is appropriate for work with several kinds of microorganisms including non-pathogenic strains of Escherichia coli and Staphylococcus, Bacillus subtilis, Saccharomyces cerevisiae and other organisms not suspected to contribute to human disease.<ref name=ColumbiaEHS>Template:Cite web</ref> Due to the relative ease and safety of maintaining a BSL-1 laboratory, these are the types of laboratories generally used as teaching spaces for high schools and colleges.<ref name=richmond>Template:Cite web</ref>

Biosafety level 2

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At this level, all precautions used at Biosafety level 1 are followed, and some additional precautions are taken. BSL-2 differs from BSL-1 in that:

  • "laboratory personnel have specific training in handling pathogenic agents and are directed by competent scientists."<ref name=BMBL6/><ref name="MU_EHS">Template:Cite web</ref>
  • Access to the laboratory is limited when work is being conducted.
  • Certain procedures in which infectious aerosols or splashes may be created are conducted in biological safety cabinets or other physical containment equipment.<ref name=CDCBiosafety/>
  • Extreme precautions are taken with contaminated sharp items.

Biosafety level 2 is suitable for work involving agents of moderate potential hazard to personnel and the environment.<ref name=richmond/> This includes various microbes that cause mild disease to humans, or are difficult to contract via aerosol in a lab setting.<ref name=BMBLSec3>Template:Cite book</ref> Examples of pathogens classified as "Risk Group 2" in the United States include seasonal influenza,<ref name=EHSstanford>Template:Cite web</ref> SARS-CoV-2,<ref name=SC2>Template:Cite web</ref> hepatitis A, B, and C viruses, human immunodeficiency virus (HIV), pathogenic strains of Escherichia coli and Staphylococcus, Salmonella, Plasmodium falciparum, and Toxoplasma gondii.<ref name=BMBLSec3/><ref name=BMBLRecs>For a list of infectious agents and the recommended biosafety level at which they should be studied, see Template:Cite book</ref> Notably, the European Union departs from the United States and classifies HIV and hepatitis B Template:Endash G as Risk Group 3 agents best handled at BSL-3.<ref name="EU_200054EC">Template:Cite journal</ref>

Prions, the infectious agents that transmit prion diseases such as vCJD, are typically handled under Biosafety Level 2 or higher.<ref name=BMBL6>Template:Cite book</ref> This is due to the lack of any evidence of aerosol transmission and relatively higher infective dose of prion diseases, though some circumstances (such as handling animal-infective prions in a facility which cares for vulnerable animals) would require BSL-3 conditions.<ref name=BMBL6/>

Biosafety level 3

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File:Influenza virus research.jpg
Dr Terrence Tumpey at US Centers for Disease Control, Atlanta, Georgia, US, working with influenza virus under biosafety level 3 conditions, with respirator inside a biosafety cabinet (BSC).

Biosafety level 3 is appropriate for work involving microbes which can cause serious and potentially lethal disease via the inhalation route.<ref name=CDCBiosafety/> This type of work can be done in clinical, diagnostic, teaching, research, or production facilities.<ref name=richmond/> Here, the precautions undertaken in BSL-1 and BSL-2 labs are followed, as well as additional measures including:

  • A laboratory-specific biosafety manual must be drafted which details how the laboratory will operate in compliance with all safety requirements.<ref name=CDCBiosafety/>
  • All laboratory personnel are provided medical surveillance and offered relevant immunizations (where available) to reduce the risk of an accidental or unnoticed infection.<ref name=CDCBiosafety/>
  • All procedures involving infectious material must be done within a biosafety cabinet.<ref name=CDCBiosafety/>
  • Lab personnel must wear solid-front protective clothing (i.e. gowns that tie in the back). This cannot be worn outside of the lab and must be discarded or decontaminated after each use.<ref name=CDCBiosafety/>

Also, the facility which houses the BSL-3 lab must have certain features to ensure appropriate containment. The entrance to the lab must be separated from areas of the building with unrestricted traffic flow.<ref name=CDCBiosafety/> Also, the lab must be behind two sets of self-closing doors (to reduce the risk of aerosols escaping).<ref name=richmond/> The construction of the lab is such that it can be easily cleaned. Carpets are not permitted, and any seams in the floors, walls, and ceilings are sealed to allow easy cleaning and decontamination.<ref name=CDCBiosafety/> Also, windows must be sealed, and a ventilation system installed which forces air to flow from the "clean" areas of the lab to the areas where infectious agents are handled.<ref name=CDCBiosafety/> Air from the lab must be filtered before it can be recirculated.<ref name=CDCBiosafety/>

A 2015 study by USA Today journalists, identified more than 200 lab sites in the U.S. that were accredited biosafety levels 3 or 4.<ref name="pcnp">Template:Cite news</ref> The Proceedings of a Workshop on "Developing Norms for the Provision of Biological Laboratories in Low-Resource Contexts" provides a list of BSL-3 laboratories in those countries.<ref name="bsl3low">Template:Cite news</ref>

Biosafety level 3 is commonly used for research and diagnostic work involving various microbes which can be transmitted by aerosol and/or cause severe disease. These include Francisella tularensis, Mycobacterium tuberculosis, Chlamydia psittaci, Venezuelan equine encephalitis virus, Eastern equine encephalitis virus, SARS-CoV-1, MERS-CoV, Coxiella burnetii, Rift Valley fever virus, Rickettsia rickettsii, several species of Brucella, chikungunya, yellow fever virus, West Nile virus, and Yersinia pestis.<ref name=BMBLRecs/>

Biosafety level 4Template:Anchor

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File:Positive-pressure biosafety suit.jpg
CDC technician dons an older-model positive-pressure suit before entering one of the CDC's earlier BSL-4 labs.

Biosafety level 4 (BSL-4) is the highest level of biosafety precautions, and is appropriate for work with agents that could easily be aerosol-transmitted within the laboratory and cause severe to fatal disease in humans for which there are no available vaccines or treatments. BSL-4 labs are generally set up to be either cabinet laboratories or protective-suit laboratories.<ref name=":0" /> In cabinet laboratories, all work must be done within a class III biosafety cabinet. Materials leaving the cabinet must be decontaminated by passing through an autoclave or a tank of disinfectant. The cabinets themselves are required to have seamless edges to allow easy cleaning. Also, the cabinet and all materials within must be free of sharp edges to reduce the risk of damage to the gloves. In a protective-suit lab, all work must be done in a class II biosafety cabinet by personnel wearing a positive pressure suit. To exit a BSL-4 lab, personnel must pass through a chemical shower for decontamination, then a room for removing the positive-pressure suit, followed by a personal shower. Entry into the BSL-4 lab is restricted to trained and authorized individuals, and all persons entering and exiting the lab must be recorded.<ref name=CDCBiosafety/>

As with BSL-3 laboratories, BSL-4 labs must be separated from areas that receive unrestricted traffic. Also, airflow is tightly controlled to ensure that air always flows from "clean" areas of the lab to areas where work with infectious agents is being performed. The entrance to the BSL-4 lab must also employ airlocks to minimize the possibility that aerosols from the lab could be removed from the lab. All laboratory waste, including filtered air, water, and trash must also be decontaminated before it can leave the facility.<ref name=CDCBiosafety/>

Biosafety level 4 laboratories are used for diagnostic work and research on easily transmitted pathogens which can cause fatal disease. These include a number of viruses known to cause viral hemorrhagic fever such as Marburg virus, Ebola virus, Lassa virus, and Crimean-Congo hemorrhagic fever. Other pathogens handled at BSL-4 include Hendra virus, Nipah virus, and some flaviviruses. Also, poorly characterized pathogens which appear closely related to dangerous pathogens are often handled at this level until enough data is obtained either to confirm continued work at this level, or to permit working with them at a lower level.<ref name=BMBLRecs/> This level is also used for work with smallpox virus, though this work is only performed at the Centers for Disease Control and Prevention in Atlanta, United States, and the State Research Center of Virology and Biotechnology in Koltsovo, Russia.<ref name=BMBLSmallpox>Template:Cite book</ref>

BSL-4 facilities for extraterrestrial samples

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Template:Main Sample-return missions that bring samples from a Category V body back to Earth must be curated at facilities rated BSL-4. Because the existing BSL-4 facilities in the world do not provide the level of cleanliness needed for such pristine samples,<ref name="Hsu 2009">Template:Cite web</ref> there is a need to design a facility dedicated to curation of restricted (potentially biohazardous) extraterrestrial materials. The systems of such facilities must be able to contain unknown biohazards, as the size of any putative alien microorganism is unknown. Ideally, it should filter particles down to 10 nanometers, and release of a particle 50 nanometers or larger is unacceptable under any circumstance.<ref name="GTA 2013">Template:Cite web</ref>

Because NASA and ESA are collaborating on the Mars Sample Return campaign, due to return samples from Mars in the early 2030s, the need for a Sample Receiving Facility (SRF) is becoming more pressing. An SRF is expected to take 7 to 10 years from design to completion,<ref name="Assessment 2009">Template:Cite report</ref><ref name="MSRtaskgroup">Template:Cite web</ref> and an additional two years is recommended for the staff to become proficient and accustomed to the facilities.<ref name='Assessment 2009'/>

Safety concerns

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A North Carolina Mosquito & Vector Control Association (NCMVCA) study highlighted safety concerns. In the United States, laboratories can be funded by federal, state, private, non-profit, or academically. The last accounts for 72% of the funding.<ref>Template:Cite web</ref>

High-containment labs that are registered with the Centers for Disease Control and Prevention (CDC) and the U.S. Department of Agriculture's (USDA) Select Agent Program must adhere to Department of Defense standards.<ref>Template:Cite web</ref> Since BSL3 and 4 laboratories in the United States are regulated by either the CDC or USDA or another federal agency (depending on the pathogens they handle), no single federal agency is responsible for regulating or tracking the number of these labs.<ref>Template:Cite web</ref> U.S. high-containment laboratories that handle pathogens which are declared as "select agents" must be inspected periodically by the CDC or USDA, adhere to certain standards, and maintain ongoing education on biosecurity and biosafety policies as mandated by law.<ref>Template:Cite book</ref>

List of BSL-4 facilities

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Template:Incomplete list

According to a U.S. Government Accountability Office (GAO) report published on 4 October 2007, a total of 1,356 CDC/USDA registered BSL-3 facilities were identified throughout the United States.<ref name="gao.gov">Template:Cite web</ref> Approximately 36% of these laboratories are located in academia. 15 BSL-4 facilities were identified in the U.S. in 2007, including nine at federal labs.<ref name="gao.gov"/> As of May 2021, there are 42 BSL-4 facilities in operation around the world, with a further 17 planned or under construction.<ref>Template:Cite web</ref>

The following is a list of existing BSL-4 facilities worldwide.

Country Location Name Date
established
Description
Argentina Buenos Aires National Service of Healthcare and Agriculture Quality (SENASA) Diagnostic laboratory for foot-and-mouth disease.<ref>Template:Cite web</ref>
Australia Geelong, Victoria Australian Centre for Disease Preparedness 1985 Capable of housing from large experimental animals to insects under conditions that exceed all BSL 4 requirements. The antecedent of all such facilities developed since the 1980s. Arguably the most researched design and construction project ever. The ACDP is subdivided into a number of isolation zones that can be managed at differing containment levels concurrently. CSIRO AAHL Project Manager and Architect, William Curnow, provided technical reviews to Canadian, Indian, UK and French Authorities and consulted with Dr Jerry Callis [PIADC] to UN FAO on matters of bio-containment. Formerly known as the Australian Animal Health Laboratory (AAHL) and renamed to Australian Centre for Disease Preparedness April 2020
Melbourne, Victoria University of Melbourne – Doherty Institute for Infection and Immunity 2014 Diagnostic reference lab.<ref>Template:Cite web</ref><ref name=Racaniello2014>Template:Cite web</ref>
National High Security Laboratory Operates under the auspice of the Victoria Infectious Diseases Reference Laboratory.<ref>Template:Cite web</ref>
Belarus Minsk Republican Research and Practical Center for Epidemiology and Microbiology (RPPCM) Formerly the SRIEM.<ref name="Kuhn2013" />
Brazil Pedro Leopoldo, Minas Gerais Laboratório Nacional Agropecuário de Minas Gerais (Lanagro/MG) 2014 Focus on Agropecuary diseases and diagnostics, like the foot-and-mouth disease.<ref>Template:Cite web</ref>
Campinas, São Paulo Laboratório Nacional de Máxima Contenção Biológica (LNMCB) 2026 (expected) It was announced in 2021 to be built near the Sincrotron lab.<ref>Template:Cite act</ref><ref>Template:Cite web</ref>
Canada Winnipeg, Manitoba National Microbiology Laboratory 1999<ref>Template:Cite press release</ref> Located at the Canadian Science Centre for Human and Animal Health, it is jointly operated by the Public Health Agency of Canada and the Canadian Food Inspection Agency.<ref>Template:Cite web</ref>
Saskatoon, Saskatchewan Vaccine and Infectious Disease Organization 2025 (estimated)<ref>Template:Cite web</ref> Operated by the University of Saskatchewan and located near the Canadian Light Source.<ref>Template:Cite web</ref>
China Wuhan, Hubei Wuhan Institute of Virology of the Chinese Academy of Sciences 2015 Wuhan Institute of Virology has existed since 1956 and already hosted BSL-3 laboratories. A BSL-4 facility was completed in 2015, and became the first BSL-4 laboratory in China.<ref>Template:Cite web</ref>
Harbin, Heilongjiang Harbin Veterinary Research Institute of the Chinese Academy of Agricultural Sciences 2018 Harbin Veterinary Research Institute researches prevention and control of major infectious diseases. China's second, and the first for large animals, BSL-4 lab.<ref>Template:Cite web</ref>
Czech Republic Těchonín, Pardubice Region Biological Defense Center 1971, rebuilt 2003–2007 Hospital and research facility. Located at the Centrum biologické ochrany (Biological Defense Center). Operated by Army of the Czech Republic.<ref>Template:Cite web</ref>
France Brétigny-sur-Orge, Essonne French Armed Biomedical Research Institute, French Defence Health Service 2015 French Army laboratory.<ref>Template:Cite news</ref>
Lyon, Metropolis of Lyon Jean Mérieux BSL-4 Laboratory 1999 Built and owned by the Fondation Mérieux. Since 2004, operated by INSERM.<ref>Template:Cite web</ref>
Vert-le-Petit, Essonne French general directorate of armaments (DGA) 2013 Operated by the Ministry of Defense.<ref>Template:Cite web</ref>
Gabon Franceville, Haut-Ogooué Province Centre International de Recherches Médicales de Franceville This facility is operated by a research organization supported by both Gabonese (mainly) and French governments, and is West Africa's only P4 lab (BSL-4).<ref>Template:Cite web</ref>
Germany Berlin Robert Koch Institute 2015 Diagnostic and experimental lab facility.<ref>Template:Cite web</ref>
Hamburg Bernhard Nocht Institute for Tropical Medicine 2014 Part of the Leibniz Center Infection. National reference lab for tropical viruses.<ref>Template:Cite web</ref>
Greifswald, Mecklenburg-Vorpommern Friedrich Loeffler Institute 2010 Focus on animal viral diseases and diagnostics.<ref>Template:Cite web</ref>
Marburg, Hesse Philipps University of Marburg 2008 Focuses on hemorrhagic fever viruses.<ref>Template:Cite web</ref>
Hungary Budapest National Center for Epidemiology 1998 Division of Virology operates three WHO National Reference Laboratories. The BSL-4 biosafety laboratory provides a modern means to process dangerous imported zoonotic viral pathogens.<ref>Template:Cite web</ref>
Pécs, Baranya County University of Pécs 2016 Opened in 2016, part of Szentágothai János Kutatóközpont.<ref>Template:Cite web</ref>
India Bhopal, Madhya Pradesh National Institute of High Security Animal Disease 1998 This BSL-3+ facility deals especially to zoonotic organisms and emerging infectious disease threats.<ref>Template:Cite web</ref>
Pune, Maharashtra National Institute of Virology 2012 India's most advanced BSL-4 category lab.<ref>Template:Cite news</ref>
Italy Rome, Lazio Istituto Nazionale per le Malattie Infettive 1997 The "National Institute of Infectious Diseases" used to operate within the Lazzaro Spallanzani hospital; the facility is now independent and is home to five BSL-3 labs as well as a single BSL-4 laboratory, which was completed in 1997.<ref>Template:Cite web</ref>
Milan, Lombardy Ospedale Luigi Sacco 2006
Japan Musashimurayama, Tokyo National Institute for Infectious Diseases 2015 Located at National Institute for Infectious Diseases, Department of Virology I. Built in 1981; operated at BSL-3 until 2015 due to opposition from nearby residents.<ref>Template:Cite news</ref>
Nagasaki, Nagasaki Prefecture Nagasaki University 2021 Facility for the study of infectious diseases.<ref>Template:Cite web</ref>
Tsukuba, Ibaraki Prefecture Institute of Physical and Chemical Research (RIKEN) 1984 Facility completed in 1984 but not operated as BSL-4 due to local opposition.<ref>Template:Cite web</ref>
Philippines New Clark City, Capas, Tarlac Virology Institute of the Philippines 2024 (expected) First BSL-4 Lab in the Philippines when completed.<ref>Template:Cite web</ref>
Russia Sergiyev Posad, Moscow Oblast 48th Central Scientific Research Institute Sergiev Posad<ref name="Kuhn2013">Template:Cite journal</ref>
Koltsovo, Novosibirsk Oblast State Research Center of Virology and Biotechnology (VECTOR) One of two WHO-approved facilities for work on smallpox virus.<ref name=BMBLSmallpox/>
Singapore Central Region DSO National Laboratories End-2025 (expected) First BSL-4 Lab in Singapore when completed.<ref>Template:Cite web</ref>
South Africa Johannesburg, Gauteng National Institute for Communicable Diseases 2002 <ref>Template:Cite web</ref>
South Korea Cheongju, North Chungcheong Province Korea Centers for Disease Control and Prevention 2017 First BSL-4 Lab in South Korea.<ref>Template:Cite news</ref><ref>Template:Cite journal</ref>
Sweden Solna, Stockholm County Public Health Agency of Sweden 2001 The only BSL-4 facility in the Nordic region. Constructed for research and diagnostics of hemorrhagic fever viruses.<ref>Template:Cite web</ref>
Switzerland Geneva, Canton of Geneva University Hospital of Geneva "Glove box" type laboratory; primarily for handling clinical samples.<ref>Template:Cite web</ref>
Spiez, Canton of Bern Spiez Laboratory 2013 Run by the Federal Office for Civil Protection of the Federal Department of Defence, Civil Protection and Sports.<ref name=SwissReport>Template:Cite web</ref>
Mittelhäusern, Canton of Bern The Institute of Virology and Immunology IVI<ref>Template:Cite web</ref> Part of the Food Safety and Veterinary Office (FSVO).<ref>Template:Cite web</ref> Primary purpose is diagnostics of highly pathogenic viruses.<ref name=SwissReport/>
Taiwan Taipei National Defense University – Institute of Preventive Medicine 1983 <ref>Template:Cite journal</ref>
Template:Ill <ref>檢驗及疫苗研製中心</ref>Template:Circular reference
United Kingdom Camden, Greater London Francis Crick Institute 2015 Has BSL-4 space but does not work on human pathogens.<ref>Template:Cite journal</ref>
Colindale, Greater London Public Health England's Centre for Infections Department of Health laboratory. Diagnostics for various viral diseases.<ref name=NAPUK/> Part of the European Network of Biosafety-Level-4 Laboratories.<ref name=Nisii2013>Template:Cite journal</ref>
Mill Hill, Greater London National Institute for Medical Research Medical Research Council laboratory. Research and diagnostics for highly pathogenic viruses. Closed in 2017 and work moved to the Francis Crick Institute. Site demolished in 2018.<ref name=NAPUK/>
Potters Bar, Hertfordshire National Institute for Biological Standards and Control Department of Health and Home Office laboratory. Develop assays and reagents for research on virulent pathogens.<ref name=NAPUK/>
Addlestone, Surrey Animal and Plant Health Agency Department for Environment, Food and Rural Affairs laboratory. Diagnostics and research for animal diseases.<ref name=NAPUK/>
Pirbright, Surrey Institute for Animal Health Biotechnology and Biological Sciences Research Council laboratory. Research on highly pathogenic animal diseases.<ref name=NAPUK/>
Merial Animal Health Private lab. Produces vaccines against foot and mouth disease and bluetongue disease.<ref name=NAPUK/>
Porton Down, Wiltshire UK Health Security Agency Department of Health laboratory. Diagnostics and research for haemorrhagic fever viruses.<ref name=NAPUK/> Part of the European Network of Biosafety-Level-4 Laboratories.<ref name=Nisii2013/>
Defence Science and Technology Laboratory Ministry of Defence laboratory. Focuses on protection from biological weapons.<ref name=NAPUK>Template:Cite book</ref>
United States Atlanta, Georgia Centers for Disease Control and Prevention Currently operates in two buildings. One of two facilities in the world that officially hold smallpox.<ref name="BMBLSmallpox" />
Georgia State University 1997 Research focus on B virus.<ref>Template:Cite web</ref>
Manhattan, Kansas National Bio and Agro-Defense Facility (NBAF) 2023 Facility is operated by the Department of Homeland Security, and will replace the Plum Island Animal Disease Center. Began operation in 2023.<ref>Template:Cite web</ref><ref>Template:Cite web</ref>
Bethesda, Maryland National Institutes of Health (NIH) Located on the NIH Campus, it currently only operates with BSL-3 agents.<ref>Template:Cite web</ref>
Fort Detrick, Maryland Integrated Research Facility Operated by National Institute of Allergy and Infectious Diseases (NIAID). Focuses on animal models of human diseases.<ref>Template:Cite web</ref>
National Biodefense Analysis and Countermeasures Center Operated by the Department of Homeland Security. Focus on potential bioterrorism threats.<ref>Template:Cite web</ref>
US Army Medical Research Institute of Infectious Diseases (USAMRIID) 1969 Run by the United States Army. Research focuses on biological threats to the U.S. military.<ref>Template:Cite web</ref><ref>Template:Cite web</ref>
Boston, Massachusetts National Emerging Infectious Diseases Laboratory (NEIDL), Boston University Built 2008, Opened 2012,<ref>Template:Cite web</ref> BSL-4 Approval in 2017<ref>Template:Cite web</ref> Focus on potential threats to public health.<ref>Template:Cite web</ref> Operated by Boston University School of Medicine.<ref>Template:Cite web</ref>
Hamilton, Montana Rocky Mountain Laboratories Integrated Research Facility 2008 NIAID laboratory. Focus on vector-borne diseases.<ref>Template:Cite web</ref>
Galveston, Texas Galveston National Laboratory, National Biocontainment Facility Opened in 2008, facility is operated by the University of Texas Medical Branch (UTMB).<ref>Template:Cite web</ref>
Shope Laboratory 2004 Operated by UTMB.<ref>Template:Cite web</ref>
San Antonio, Texas Texas Biomedical Research Institute 1999 The only privately owned BSL-4 lab in the US.<ref>Template:Cite news</ref>
Richmond, Virginia Virginia Division of Consolidated Laboratories 2003 A BSL-4 lab that also acts as a BSL-3 lab.<ref>Template:Cite web</ref>

See also

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References

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Template:Bioterrorism Template:U.S. biological defense