scholarly journals Hospitales sustentables: partidas críticas para su construcción y el rol de la inspección técnica

2021 ◽  
Vol 11 (2) ◽  
pp. 22-33
Author(s):  
Pablo Canales ◽  
Claudia Valderrama-Ulloa ◽  
Ximena Ferrada
Keyword(s):  
Public Health ◽  
Design Criteria ◽  
Technical Aspects ◽  
The Public ◽  
Construction Contracts ◽  
Public Health Infrastructure ◽  
Health Infrastructure ◽  
Monitoring Process ◽  
Hospital Construction ◽  
Design Construction

Currently, the public health infrastructure in Chile, at its different scales, has made important advances in determining sustainability design criteria. However, it is possible to see that, during its construction, there are no standardized verification processes on sustainability aspects, and that the work of technical inspection focuses on the administrative compliance of construction contracts, rather than on checking technical aspects. This research proposes a list of critical items and activities to supervise hospital construction, to guarantee sustainable criteria in their operation. A survey was also made to professionals involved in the design, construction, and supervision of hospital construction, ranking the results with a multi-criteria methodology (AHP), which showed a preference in the thermal envelope (20%) and thermal and ventilation installations (17%). Finally, based on the weaknesses stated by the professionals, a control and monitoring process of these items and activities is proposed, redesigning the work of the Worksite’ Technical Inspector.

Immigrant Communities and COVID-19: Strengthening the Public Health Response

2021 ◽  
Vol 111 (S3) ◽  
pp. S224-S231
Author(s):  
Lan N. Đoàn ◽  
Stella K. Chong ◽  
Supriya Misra ◽  
Simona C. Kwon ◽  
Stella S. Yi
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Care Providers ◽  
Low Income ◽  
Immigrant Communities ◽  
Care Providers ◽  
Public Health Response ◽  
The Public ◽  
Public Health Infrastructure ◽  
Health Infrastructure

The COVID-19 pandemic has exposed the many broken fragments of US health care and social service systems, reinforcing extant health and socioeconomic inequities faced by structurally marginalized immigrant communities. Throughout the pandemic, even during the most critical period of rising cases in different epicenters, immigrants continued to work in high-risk-exposure environments while simultaneously having less access to health care and economic relief and facing discrimination. We describe systemic factors that have adversely affected low-income immigrants, including limiting their work opportunities to essential jobs, living in substandard housing conditions that do not allow for social distancing or space to safely isolate from others in the household, and policies that discourage access to public resources that are available to them or that make resources completely inaccessible. We demonstrate that the current public health infrastructure has not improved health care access or linkages to necessary services, treatments, or culturally competent health care providers, and we provide suggestions for how the Public Health 3.0 framework could advance this. We recommend the following strategies to improve the Public Health 3.0 public health infrastructure and mitigate widening disparities: (1) address the social determinants of health, (2) broaden engagement with stakeholders across multiple sectors, and (3) develop appropriate tools and technologies. (Am J Public Health. 2021;111(S3):S224–S231. https://doi.org/10.2105/AJPH.2021.306433 )

Modeling and Optimizing the Public-Health Infrastructure for Emergency Response

2009 ◽  
Vol 39 (5) ◽  
pp. 476-490 ◽  
Author(s):  
Eva K. Lee ◽  
Chien-Hung Chen ◽  
Ferdinand Pietz ◽  
Bernard Benecke
Keyword(s):  
Public Health ◽  
Emergency Response ◽  
The Public ◽  
Public Health Infrastructure ◽  
Health Infrastructure

scholarly journals COVID-19 most vulnerable Mexican cities lack the public health infrastructure to face the pandemic: a new temporally-explicit model

2020 ◽  
Author(s):  
Wesley Dáttilo ◽  
Alcides Castro e Silva ◽  
Roger Guevara ◽  
Ian MacGregor Fors ◽  
Sérvio Pontes Ribeiro
Keyword(s):  
Public Health ◽  
Transportation Network ◽  
Air Transportation ◽  
Explicit Model ◽  
Infection Rates ◽  
Social Distancing ◽  
Infected People ◽  
The Public ◽  
Public Health Infrastructure ◽  
Health Infrastructure

AbstractRecently, a wide array of epidemiological models have been developed to guide public health actors in containing the rapid dissemination of the new severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), cause of COVID-19. Despite their usefulness, many epidemiological models recently developed to understand the spread of SARS-CoV-2 and infection rates of COVID-19 fall short as they ignore human mobility, limiting our understanding of the spread of the disease, together with the vulnerability of population centers in a broad scale. We developed a new temporally-explicit model and simulated several social distancing scenarios to predict the vulnerability to COVID-19 of 50 Mexican cities that are interconnected by their air transportation network. Additionally, we assessed the sufficiency of the public health infrastructure in the focal cities to face the pandemic over time. Based on our model, we show that the most important cities within the Mexican air transportation network are the most vulnerable to COVID-19, with all assessed public health infrastructure being insufficient to face the modeled scenario for the pandemic after 100 days. Despite these alarming findings, our results show that social distancing could dramatically decrease the total number of infected people (77% drop-off for the 45% distancing scenario when contrasted with no distancing), flattening the growth of infection rate. Thus, we consider that this study provides useful information that may help decision-makers to timely implement health policies to anticipate and lessen the impact of the current pandemic in Mexico.Significance StatementWe used a new temporally-explicit model focused on air transportation networks to predict the vulnerability of 50 focal Mexican cities to COVID-19. We found that most vulnerable cities lack of the required public health infrastructure (i.e., number of inpatient and intensive care unit beds) to face this new pandemic, overloading in all cases after 100 days. However, our results show that a 45% social distancing scenario can reduce the number of infected people by up to 78.7%, flattening the growth rate of people with COVID-19 before infection rates soar exponentially countrywide.

scholarly journals THE PUBLIC HEALTH INFRASTRUCTURE AND OUR NATION'S HEALTH

2005 ◽  
Vol 26 (1) ◽  
pp. 303-318 ◽  
Author(s):  
Edward L. Baker ◽  
Margaret A. Potter ◽  
Deborah L. Jones ◽  
Shawna L. Mercer ◽  
Joan P. Cioffi ◽  
...  
Keyword(s):  
Public Health ◽  
The Public ◽  
Public Health Infrastructure ◽  
Health Infrastructure

Rebuilding the Public Health Infrastructure: The Challenge of Tuberculosis Control in New York City

1993 ◽  
Vol 21 (3-4) ◽  
pp. 352-359 ◽  
Author(s):  
Margaret A. Hamburg
Keyword(s):  
Public Health ◽  
New York ◽  
New York City ◽  
York City ◽  
Tuberculosis Control ◽  
Urban Centers ◽  
The Public ◽  
Public Health Infrastructure ◽  
Health Infrastructure

Nowhere in this nation is the return of tuberculosis more visible or more pronounced than in New York City. Fueled by poverty, homelessness and AIDS, tuberculosis has again reached epidemic proportions. New York City is at the forefront of the battle against this advancing disease. For this reason, and because the dynamics at work in New York City are a microcosm of those same forces at work in the larger society, what transpires here often foreshadows the direction that other urban centers will take. It is in this context that our New York experience provides a valuable framework for learning and for action.

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