A secure, designated location is required for the routine post-mortem sampling of suspect rabid dogs. A specific post-mortem room for this purpose should be secure and only accessible to permitted people, with clear signage about the protocols and expectations of using the space. The post-mortem facility may be within government facilities, or could be outsourced to a local veterinary clinic or non-government partner. Regardless of the implementing entity, clear protocols and high standards are crucial for its safe operation.
Facility
Hygiene. The post-mortem space should be designed to be easily disinfected, including tables, ceilings and floor. Corners and gaps that are difficult to clean and where dirt can accumulate should be minimized and the floor should have drainage enabling the whole area to be washed down. The space should have a piped water supply to enable thorough disinfection of all surfaces and a sink for hand washing.
Changing area. There should ideally be a separate adjoining changing space where personal protective equipment is put on and removed to avoid people entering the post-mortem space in general clothing. Where a separate room is not possible, a cubicle within the post-mortem area can be created for this purpose.
Storage. The space should have a secure, clearly labelled freezer for the storage of biohazardous samples and cadavers. This should be kept locked to avoid access from unauthorised individuals. There should be secure storage space for the necessary equipment relating to rabies sampling, which is kept stocked so that all of the required materials are available when a sample needs to be taken.
Facility usage. Whilst the post-mortem area may be used for non-rabies related tasks, when suspect rabid tissues are being handled, access must be restricted to permitted individuals who are pre-exposure vaccinated and trained to be aware of protocols relating to rabies. After rabies-related tasks are completed, all potentially infectious materials should be labelled and securely stored or disposed of, and the area and equipment disinfected with viricidal detergent.
Waste disposal. Consideration should be made for the safe management and routine disposal of biohazardous waste. Sharps that have been used during the necropsy process present a high risk of rabies exposure and should be securely stored in rigid containers that are clearly labelled as biohazardous. Waste from necropsy procedures is often infectious and should be stored securely before disposal to avoid the risk of inadvertent exposure through animals scavenging or garbage raiders. Waste should be disposed of in a way that ensures destruction of infectious substances, for example through incineration.