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Large-scale public venues as medical emergency sites in disasters: lessons from COVID-19 and the use of Fangcang shelter hospitals in Wuhan, China.
Fang, Dongping; Pan, Shengjie; Li, Zaishang; Yuan, Ting; Jiang, Benran; Gan, Di; Sheng, Bai; Han, Jing; Wang, Tao; Liu, Zhongmin.
  • Fang D; Department of Construction Management, School of Civil Engineering, Tsinghua University, Beijing, China.
  • Pan S; Department of Construction Management, School of Civil Engineering, Tsinghua University, Beijing, China.
  • Li Z; Department of Construction Management, School of Civil Engineering, Tsinghua University, Beijing, China.
  • Yuan T; Department of Orthopedic Surgery, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, China.
  • Jiang B; Specialty & Inpatient Center, ParkwayHealth Shanghai, Shanghai, China.
  • Gan D; Department of Emergency, Shanghai East Hospital, Tongji University School of Medicine / National Emergency Medical Team (Shanghai), Shanghai, China.
  • Sheng B; School of Arts and Media, Tongji University, Shanghai, China.
  • Han J; Emergency Management Office, Shanghai East Hospital, Tongji University School of Medicine, Shanghai, China.
  • Wang T; Department of Emergency, Shanghai East Hospital, Tongji University School of Medicine / National Emergency Medical Team (Shanghai), Shanghai, China zhongmin_liu_seh@sina.com happywt0403@126.com.
  • Liu Z; Department of Emergency, Shanghai East Hospital, Tongji University School of Medicine / National Emergency Medical Team (Shanghai), Shanghai, China zhongmin_liu_seh@sina.com happywt0403@126.com.
BMJ Glob Health ; 5(6)2020 06.
Article in English | MEDLINE | ID: covidwho-603209
ABSTRACT
Since the COVID-19 outbreak, Wuhan has adopted three methods of admitting patients for treatment designated hospitals, newly built temporary hospitals and Fangcang shelter hospitals. It has been proven that converting large-scale public venues such as stadiums and exhibition centres into Fangcang shelter hospitals, which serve as hospitals for isolation, treatment and disease monitoring of patients with mild symptoms, is the most effective way to control virus transmission and reduce mortality. This paper presents some experiences learnt from treating COVID-19 in Wuhan, the first city to report the outbreak and which suffered from a shortage of emergency supplies, heavy workload among staff and a shortage of hospital beds during the early stages of the pandemic. The experiences include location, accessibility, spacious outdoor area, spacious indoor space, power supply, architectural layout design and partition isolation, ventilation, sewage, and problems in the construction and management of Fangcang shelter hospitals. During the COVID-19 pandemic, traditional approaches to disaster preparedness have demonstrated intrinsic problems, such as poor economic performance, inefficiency and lack of flexibility. Converting large-scale public venues into Fangcang shelter hospitals is an important means to rapidly improve the function of the city's healthcare system during a pandemic. This valuable experience in Wuhan will help other countries in their battle against the current COVID-19 pandemic and will also contribute to disaster preparedness and mitigation in the future.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Public Facilities / Coronavirus Infections / Disaster Planning / Hospitals, Isolation / Pandemics Type of study: Qualitative research Limits: Humans Country/Region as subject: Asia Language: English Year: 2020 Document Type: Article Affiliation country: Bmjgh-2020-002815

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Public Facilities / Coronavirus Infections / Disaster Planning / Hospitals, Isolation / Pandemics Type of study: Qualitative research Limits: Humans Country/Region as subject: Asia Language: English Year: 2020 Document Type: Article Affiliation country: Bmjgh-2020-002815