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Why not simply classify all medical specimens as Category A? That way I would be sure that I never "under-classify" any shipments.

The packaging and documentation requirements for Category A Infectious Substance Affecting Humans are much more detailed and stringent than the requirements for Category B, Biological Substances.

The certified containers used to transport Category A specimens are more expensive as well. Category B Biological Substances can be safely transported when packaged in compliance with IATA Packing Instruction 650.

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