Board on Health Sciences Policy & Board on Life Sciences 
Technologies to Enable Autonomous Detection for BioWatch 
Ensuring Timely and Accurate Information for Public Health Officials: Workshop Summary

The Bio Watch program, funded and overseen by the Department of Homeland Security (DHS), has three main elements–sampling, analysis, and response–each coordinated by different agencies. The Environmental Protection Agency maintains the sampling component, the sensors that collect airborne particles. The Centers for Disease Control and Prevention coordinates analysis and laboratory testing of the samples, though testing is actually carried out in state and local public health laboratories. Local jurisdictions are responsible for the public health response to positive findings. The Federal Bureau of Investigation is designated as the lead agency for the law enforcement response if a bioterrorism event is detected. In 2003 DHS deployed the first generation of Bio Watch air samplers. The current version of this technology, referred to as Generation 2.0, requires daily manual collection and testing of air filters from each monitor. DHS has also considered newer automated technologies (Generation 2.5 and Generation 3.0) which have the potential to produce results more quickly, at a lower cost, and for a greater number of threat agents.Technologies to Enable Autonomous Detection for Bio Watch is the summary of a workshop hosted jointly by the Institute of Medicine and the National Research Council in June 2013 to explore alternative cost-effective systems that would meet the requirements for a Bio Watch Generation 3.0 autonomous detection system, or autonomous detector, for aerosolized agents . The workshop discussions and presentations focused on examination of the use of four classes of technologies–nucleic acid signatures, protein signatures, genomic sequencing, and mass spectrometry–that could reach Technology Readiness Level (TRL) 6-plus in which the technology has been validated and is ready to be tested in a relevant environment over three different tiers of temporal timeframes: those technologies that could be TRL 6-plus ready as part of an integrated system by 2016, those that are likely to be ready in the period 2016 to 2020, and those are not likely to be ready until after 2020. Technologies to Enable Autonomous Detection for Bio Watch discusses the history of the Bio Watch program, the role of public health officials and laboratorians in the interpretation of Bio Watch data and the information that is needed from a system for effective decision making, and the current state of the art of four families of technology for the Bio Watch program. This report explores how the technologies discussed might be strategically combined or deployed to optimize their contributions to an effective environmental detection capability.