The COVID-19 pandemic placed public health systems everywhere under tremendous strain. In Los Angeles County, for example, existing public health laboratory operations already exceeded available space prior to the pandemic, as per the 2016 DPH Lab Consolidation Project. For emerging infectious diseases and outbreaks, including the COVID-19 pandemic, the clinical community relies on the public health laboratory for testing. This is especially true for rare diseases and new emerging diseases. Historically, for swine flu, Zika virus, COVID-19, and monkeypox, the public health laboratory was the only diagnostic laboratory able to provide testing until commercial laboratories were able to implement diagnostics. As a result of the pandemic, the Department of Public Health (DPH) has identified the need to increase laboratory space and consolidate existing testing programs to expand capacity and maximize efficiency.
The project consists of a study to determine the feasibility and best approach for consolidating all DPH testing programs countywide by modernizing the existing laboratory to incorporate new testing equipment and technology. The DPH Consolidated Laboratory Study will help improve services provided to more than 100 hospitals and 14 public health clinics that currently lack the capability to fully identify of the vast array of diseases with public health significance, ranging from COVID-19, monkeypox, West Nile, or botulism to sexually transmitted infections. The study will also consider the capabilities needed to respond to human-triggered public health threats ranging from bioterrorism to sewage spills. Examples of resulting recommendations could include:
• centralizing services to improve and accelerate receipt and analysis of specimens
• improving security measures to comply with State and federal protocols and to mitigate vandalism issues
• upgrading electrical, mechanical and network systems
• increasing or reducing workspace for particular functions based on pandemic-related operational changes
• expanding administrative staff space and laboratory areas for non-genome specimens.
Ultimately, the study will provide DPH with guidance on buildout approach, space allocations, performance requirements for building systems and components, infrastructure recommendations, and conceptual site and floor plans.