'Nigeria has National Reference Laboratories
(NRL) and Zonal Reference Laboratories but designed along with specific disease areas- TB, HIV, Lassa and Avian influenza laboratories.
With support from the Global Fund, Pakistan operates a large network of TB diagnostics and clinics through the National TB ConAtrol Programme (NTP), which provides comprehensive training to doctors, establishes national reference laboratories
and arranges quality drug distribution through provincial TB programmes.
National AIDS Research Institute (NARI) at Pune forms the apex followed by national reference laboratories
This included both local hospitals and large national reference laboratories
As with the EML, it is vital that the tests included in the EDL are reasonably available for people who need them, whether in the form of point-of-care tests in physicians' offices, local laboratories for moderate complexity tests, or as high-complexity tests in regional and national reference laboratories
. Schroeder and colleagues discuss the results of a laboratory and physician office survey in Kampala, Uganda, and conclude that most but not all tests in the proposed EDL are available in this resource-poor setting, pointing to the potential impact an EDL could have in comparable situations.
This method of distributing lab test results is routine for national reference laboratories
, but often lab results from health systems and community laboratories reside only in physician EHR patient portals.
In this region, food safety policies have been emphasized by efforts from Control Laboratories, National Reference Laboratories
, European Food Safety Authority, and EU Reference Laboratories (EURLs).
In order to reach the desired targets and to lessen the burden on the three existing national reference laboratories
(NRLs) for performing culture & DST, two additional NRLs and multiple intermediate reference laboratories have also been proposed .
For specific products, or risks, the Commission can also designate national reference laboratories
. These laboratories must meet the criteria set out by the Commission: their sufficiently qualified personnel should have the necessary equipment and should act in the public interest impartially and independently.
The other classical TSE cases, i.e., non-Nor98 cases (648 sheep and 53 goats), which typically showed a 3-band pattern between 19-30 kDa, have been further characterized by applying a discriminatory Western blot method, described as the Agence francaise de securite sanitaire des aliments (French Food Safety Agency) discriminatory method in the Technical Handbook for National Reference Laboratories