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Engineering Solutions for Preventing Airborne Transmission in Hospitals with Resource Limitation and Demand Surge
- Source :
- Indian Journal of Critical Care Medicine : Peer-reviewed, Official Publication of Indian Society of Critical Care Medicine
- Publication Year :
- 2021
- Publisher :
- Jaypee Brothers Medical Publishing, 2021.
-
Abstract
- Among the various strategies for the prevention of airborne transmission, engineering measures are placed high in the hierarchy of control. Modern hospitals in high-income countries have mechanical systems of building ventilation also called HVAC (heating, ventilation, and air-conditioning) but installation and maintenance of such systems is a challenging and resource-intensive task. Even when the state-of-the-art technology was used to build airborne infection isolation rooms (AIIRs), recommended standards were often not met in field studies. The current coronavirus disease-2019 pandemic has highlighted the need to find cost-effective and less resource-intensive engineering solutions. Moreover, there is a need for the involvement of interdisciplinary teams to find innovative infection control solutions and doctors are frequently lacking in their understanding of building ventilation-related problems as well as their possible solutions. The current article describes building ventilation strategies (natural ventilation and hybrid ventilation) for hospitals where HVAC systems are either lacking or do not meet the recommended standards. Other measures like the use of portable air cleaning technologies and temporary negative-pressure rooms can be used as supplementary strategies in situations of demand surge. It can be easily understood that thermal comfort is compromised in buildings that are not mechanically fitted with HVAC systems, therefore the given building ventilation strategies are more helpful when climatic conditions are moderate or other measures are combined to maintain thermal comfort. How to cite this article Zia H, Singh R, Seth M, Ahmed A, Azim A. Engineering Solutions for Preventing Airborne Transmission in Hospitals with Resource Limitation and Demand Surge. Indian J Crit Care Med 2021;25(4):453–460.
- Subjects :
- Ventilation systems
Isolation (health care)
Review Article
Critical Care and Intensive Care Medicine
Airborne transmission
law.invention
03 medical and health sciences
0302 clinical medicine
Resource (project management)
law
Natural ventilation
HVAC
Medicine
Air cleaning technologies
business.industry
Thermal comfort
030208 emergency & critical care medicine
Hierarchy of hazard control
Hybrid ventilation
Temporary negative-pressure rooms
030228 respiratory system
Risk analysis (engineering)
Ventilation (architecture)
business
Subjects
Details
- ISSN :
- 1998359X and 09725229
- Volume :
- 25
- Database :
- OpenAIRE
- Journal :
- Indian Journal of Critical Care Medicine
- Accession number :
- edsair.doi.dedup.....e280be57fe4116c3b138789ef02f2816