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5.0    ABBREVIATIONS

                          5.1   IATA     –      International  Air Transport  Association
                           5.2  UN       –      United Nation
                           5.3  GMO      –      genetically  modified  organism
                           5.4  MS       –      Malaysian  Standard
                           5.5  ID       –      Identification
                           5.6  DGR      –      Dangerous  Goods Regulations
                           5.7  SDDG     –      Shipper’s Declaration  for Dangerous  Goods
                           5.8  PCR      –      Polymerase Chain Reaction
                           5.9  MSDS     –      Material Safety Data Sheet
                           5.10   PI     –      Packaging Instructions
                           5.11   HPE    -      Histopathology Examinations


                   6.0    PROCEDURE FOR AIR TRANSPORT

                          6.1     General Requirements

                      i.      Determine the specimens to be transported.
                       ii.    Identify the UN class applicable to the specimen category. Refer to Appendix 1.
                       iii.   Categorize the patients’ specimens according to Category A, Category B, Category C or
                              Exempt Substances and specimens containing preservatives (Appendix 2, 3 and 4)
                       iv.    Pack  all  patients’  specimens  according  to  categories  specified  in  IATA  packaging
                              instructions. Different categories have slightly different packaging needs specified in IATA
                              packaging  instructions,  but  all  follow  the  basic  triple  packaging  (Appendix  7  and  8)
                              requirement. Ensure that packages will arrive at their destination in good condition and
                              present no hazard to persons or animals during transport.
                       v.     Pack  Category  A  biological  materials  for  air  transport  following  requirements  in  IATA
                              Packaging  instructions  620  (Appendix  11:    Packaging  Instruction/PI).  Use  the  package
                              which is marked with the appropriate UN numbers and proper shipping names (UN 2814
                              for infectious substance affecting human).   Refer to Appendix3.
                       vi.    Pack  Category  B  biological  materials  for  air  transport  following  requirements  in  IATA
                              Packaging instructions 650 (Appendix 11: PI). Use the package with the appropriate UN
                              number and proper shipping name (UN 3373 for biological substance for Category  B).
                              Refer to Appendix3.
                       vii.   Pack,  mark  and  label  all  infectious  substances  using  a  triple  packaging  system
                              (Appendix 7 and 8). The system comprises a primary receptacle, secondary packaging
                              and an outer packaging.
                       viii.   A leak-proof primary receptacle(container):

                                Label the primary container with the name of patient, identification card or hospital
                                 registration number, specimen type (if necessary) and test request
                                Secure  the  primary  receptacle  with  a  water  proof,  leak-proof  seal  and  secure  the
                                 screw cap with a stretch wrapping eg. parafilm or masking tape.
                                For  tissue  specimen  in  preservative  (for  HPE)  plastic  bag  should  not    be  used  as
                                 primary receptacle.
                                Specimens sent in liquid nitrogen should be placed in a dry shipper (a vacuum flask
                                 that are designed for the safe shipment of specimen at liquid nitrogen temperature
                                 without the risk of spilling liquid nitrogen).
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