By Yong-Bee Lim, Biodefense PhD Candidate
COVID-19 has devastated much of the world. As of July 1, the World Health Organization (WHO) reported that there have been over 10.3 million confirmed cases of this novel coronavirus with over 500,000 deaths, a mortality rate of nearly 5%. The United States alone accounts for roughly 25% of global cases and deaths – a fact that has done significant damage to the U.S. reputation in the international community.
One method that countries have used to address these high case numbers is to slow the infection rate amongst the general population. This method utilizes a two-pronged approach that is colloquially known as “flattening the curve.” One prong leverages communication platforms to encourage and inform best practices for citizens, such as washing hands frequently with proper technique, self-isolating when one is sick or suspects illness, and avoiding other people whenever possible. The second prong takes more aggressive action to limit the potential spread of the disease, such as instituting stay-at-home orders, moving education to online formats, and shutting down business operations where people congregate.
In the United States, many states are now trying to re-open their businesses and public spaces with varying levels of success. A group that is taking a more cautious approach to re-opening is Do-It-Yourself Biology (DIYBio) community labs – community science spaces where people come together to explore the life sciences, educate others in everything from scientific theory to lab skills, empower individuals to pursue communal or individual projects, and engage in biotech-driven entrepreneurial ventures.
On June 17th, the MIT Media Lab hosted a timely webinar to discuss Reopening Community Labs in a Time of COVID – Balancing the Needs and Risks of DIYBio Spaces During a Global Pandemic. This webinar brought together a diverse panel of experts from community labs, the life sciences, and public health to discuss the unique challenges and opportunities community labs have faced during the pandemic, the current state of the disease throughout the United States, and considerations and recommendations for reopening.
The panelists included Maria Chavez, the Executive Director and Board Member of BioCurious (a community lab based in Santa Clara, CA: https://biocurious.org/); Dr. Angela Armendariz, Director of Operations and Lab Manager at Genspace (a community lab based in Brooklyn, NY: https://www.genspace.org/); Dr. Thomas Burkett, Founder, former Executive Director, and current Board Chair at the Baltimore UnderGround Science Space [BUGSS] (a community lab based in Baltimore, MD of which I am also a member: https://bugssonline.org/); and Dr. Saskia Popescu, who works as an infectious disease epidemiologist and infection Preventionist in Arizona (and is a proud alum of the Biodefense PhD program). I served as the moderator for the event.
COVID-19 Opportunities and Challenges in the DIYBio Community Lab Ecosystem
Community labs face many obstacles even during normal times. Panelists highlighted the overall negative perception of community labs outside of the DIYBio ecosystem: that these labs could be irresponsible or malicious, and could accidentally or inadvertently cause harm within the larger communities they operate in. This perception, plus a sense of responsibility for the communities that they live in, were the main reasons why many community labs shuttered their spaces even before they were legally required to do so.
Closing down the labs created difficulties of their own. Chavez noted that BioCurious depends significantly on entrepreneurs who use the lab as an incubator space, complete with lab equipment, bench space, and office space. The loss of this income was significant over the course of two months. Chavez was happy to report, however, that BioCurious would resume its operations as an incubator space once California begins reopening, while keeping the lab closed to other potential users. Armendariz echoed these sentiments of financial hardship – many community labs run on shoe-string budgets, and the fact that Genspace maintains paid staff means that it consumes significantly more capital than the average community lab. In terms of being able to run community projects, Burkett highlighted the Inner Harbor DNA Barcoding Project as an example of how BUGSS was very fortunate to have a number of community lab projects that are mostly at the discussion and analysis stage; community projects at BUGSS would have ground to a halt if they required lab work.
However, community labs have learned to adapt to these hardships. All three panelists noted that their community labs had pivoted toward online formats to continue providing resources and helping educate others in a remote capacity. Some examples of remote community lab activities include convening expert panels to discuss the promise and challenges of vaccine development and clinical trials, making DIY disinfectants, discussing health inequities related to insulin access, and being a resource for the public to ask questions about science.
The State of the COVID in the United States
Popescu highlighted how the pandemic has essentially split America into two. There is one America where people are trying to return to a sense of normalcy, including going out to public spaces, eating at restaurants, and having large gatherings for everything from personal parties to political rallies. However, she noted that this America stands in stark contrast to the other America that she sees unfolding: one where the United States is experiencing significant upticks in COVID-19 cases.
She partially attributed the surge in cases to poor implementation of guidance related to reopening – states that chose to open rapidly despite the public health guidance have now erased all gains achieved through the earlier implementation of social distancing measures. This issue is also exacerbated by poor communication about cases; just because a state or community is reopening does not necessarily mean that there are no cases of COVID-19. This has unfortunate repercussions for public spaces as, most likely, this increases the likelihood that states will have to close everything down again to try and contain new outbreaks of COVID-19.
In addition, Popescu noted that the pandemic is exposing gaps in the nation’s preparedness against large-scale biological events. Hospital supplies have dwindled for essential personal protective equipment (PPE) including masks, gowns, and gloves. While these supplies have gotten significant attention in the COVID-19 discourse, Popescu pointed out that disinfectants are also in short supply. She stated that resupplying with bleach could help deal with the disinfectant issue, but that bleach also has the unfortunate effect of degrading medical equipment, lab equipment, and PPE.
Considerations and Recommendations for Reopening
While the situation in the United States is very troubling, Popescu noted that the national picture of COVID-19 does not necessarily reflect what is happening at the local level. For instance, the situation in Arizona may be quite different from the situation in the state of Virginia. Therefore, one recommendation she offered to the DIYBio community is to keep track of local news concerning COVID-19 cases, because the risks of reopening may be different depending on where the lab is located in the United States.
Popescu also highlighted that labs are inherently difficult to open given how people operate in close quarters in such spaces. The panelists all agreed with this, saying that community labs function as social spaces and education spaces where people congregate to learn, so lab work sometimes brings people less than 6 inches away from each other. To ameliorate these concerns, Popescu recommended that community labs:
- Build a plan to address safety measures to prevent infections and response measures in the event of a potential positive case of COVID-19 emerges within the community lab community
- Encourage and build a culture of transparency in the community lab space
- Be careful of COVID-19 snake-oil salesmen: products that claim to address COVID-19 concerns that seem “too good to be true” probably are
- Evaluate workflow to minimize potential transmission, including minimizing the number of people in the space, minimizing the length of time people work together, increasing the distance between people, decreasing high-energy activities like yelling, and being mindful of the type of environment that community labs operate in
- Be mindful of potential vulnerabilities, like removing masks in break rooms.
- Retrain personnel and users in safety protocols and safe lab practices
- Clean spaces regularly and, if in a rented space, find out who is responsible for making sure the space is cleaned
- Be flexible – as circumstances change, be able to change the lab’s actions, protocols, and procedures to keep up-to-date with the latest guidance from public health authorities
Reopening a community space while COVID-19 cases continue to rise is a path potentially fraught with peril. However, DIYBio community labs are committed to continuing their mission of engaging the public in science while they proactively limit access to their physical spaces to help their communities “flatten the curve.” As these spaces consider reopening, they are building bridges and broadening their ecosystem to get advice from public health experts and others to find ways to reopen and operate in responsible ways.
It is clear the discussion and recommendations between community lab leaders and public health can be applied in many other contexts. View the event in its entirety with additional insightful comments throughout the webinar here.