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Check out our new Laboratory Animal Occupational Health and Safety Program Manual
Medical History Questionnaire FAQs
The MHQ is a requirement for all personnel that are involved in animal research activities including animal care, access to vivarium spaces, handling animal tissues, sponsors of animal research and those that support animal research. The Medical History Questionnaire covers medical history and immunization requirements for working with specific animal research species to protect both human and animal health.
There is additional policy requiring a medical surveillance program.
1. The MHQ is required if you are working with research animals, animal tissues, need access to the vivarium (animal housing) or are in contact with quarantine animals or insects per the ARC policy.
2. There are further requirements for a medical surveillance program from the accrediting non-profit group American Association for the Accreditation of Laboratory Animal Care (AAALAC International), which UCLA has proudly been accredited by.
3. UCLA Policy 990: Use of Animals in Research, Teaching, and Testing, states that the Guide is required to be followed along with federal, state and local acts and regulations.
Please complete the MHQ annually, or every three years, as enrollment is required for all that visit animal spaces including study areas, vivariums and/or laboratories that use research animals. Enrollment in the MHQ program is required for all personnel involved in the care and use of research animals regardless of whether they handle animals. This requirement includes EH&S, facilities, investigator staff/students, volunteers, personnel that handles animal tissues, and all PIs and faculty sponsors of Animal Research Committee protocols.
You can also view the status of your MHQ by logging back on to the MHQ site. Look under the “actions” column. If you have a “revision request” please go through your application correcting the information. It is important to go through the entire application for it to be resubmitted with the updated information.
Student Questions: please e-mail asheimmune@ashe.ucla.edu
Faculty & Staff Questions: please e-mail occupationalhealth@mednet.ucla.edu
Technical Questions: please e-mail mhqsupport@mednet.ucla.edu
Not sure who to contact? Please e-mail AnimalResearchSafety@ucla.ehs.edu
While all immunizations are highly recommended there are some that are required to protect both human health and animal health. You can find this information here.
You can find the current declination forms here. Please upload the declination forms on the MHQ site in the section that asks for uploads of the specific vaccines and titers.
UCLA staff and facility are able to get vaccines for free from Occupational Health (OH). UCLA students under UCSHIP are also able to receive vaccines free of charge from the Arthur Ashe Student Health & Wellness Center (Ashe). Students that are not enrolled in UCSHIP will need pay for vaccines out of pocket or from their medical insurance provider. Visiting researchers need to obtain their vaccines and titers from their home university or personal medical provider.
The MHQ was updated August 20th 2024 to include a new submission expiration time frame to every three years for those working with the category “All Other Animals”.
All additional animal categories remain an annual MHQ requirement.
The MHQ is for UCLA staff, faculty and students.
If you are a visiting researcher or a non-UCLA worker working with research animals please follow the directions in this form.
COVID-19 Non-Medical Mask Guidelines
Laboratory Animal Occupational Health and Safety Program Manual
Questions?
Contact UCLA Animal Research Safety at AnimalResearchSafety@ehs.ucla.edu
or email Vivarium Safety Officer
Kaitlyn Estabaya.
Resources
For more information on our program's partnering departments:
UCLA Division of Laboratory Animal Medicine
UCLA Occupational Health Services
UCLA Research Safety and Animal Welfare Administration
