Abstract: Historically in the United States, occupational health and medical surveillance programs for biodefense laboratories that work with Biological Select Agents and Toxins (BSAT) or other infectious organisms are sponsored by the federal government (DoD, HHS, USDA, etc.) or state universities (Jahrling et al., 2009; Kortepeter et al., 2008; Risi et al., 2010). These programs are operated…