EMERGENCY FACILITIES
JIM CRABB – PRINCIPAL; DUSTIN SMITH – MECHANICAL ENGINEER; JAMES RAMAGE – MECHANICAL CONSULTANT, MAZZETTI, USA
The emergency design response from the IFHE
This article explores the response from the International Federation of Healthcare Engineering to a request by the World Health Organization to provide assistance with designing emergency facilities for tackling COVID-19 in Burkina Faso, Haiti and Ghana.
When the world was faced with a global pandemic, the response necessitated an equally global response. This is a story of resiliency, reverse innovation, knowledge sharing, and community. In late March 2020, The World Health
Organization (WHO) established an international help desk to assist countries with limited resources in setting up COVID treatment centers. The WHO Help Desk (WHD) asked the International Federation of Healthcare Engineering (IFHE) for architectural and engineering teams to provide consulting and design services.
The US constituent, Association of
Medical Facility Professionals (AMFP, identified engineering and consulting firm Mazzetti and architects LS3P to form the first such team (Team 1), assigned to help the small African country of Burkina Faso convert a clinic, under construction, to treat COVID-19 patients. As of this publication, sixteen pro bono
design teams have been formed and disseminated on various projects around the world. Translation support has been provided by other volunteers, including members of H. H. Angus and the IFHE-EU.
That kind of technical volunteer opportunity is unique. IFHE and its members are grateful to be involved and to see the design community coming together to help hospitals fight coronavirus around the world. Each volunteer team received training
on WHO’s Severe Acute Respiratory Infection (SARI) treatment facility design in the context of COVID-19. This includes basic principles and layout for screening and treatment, setting up temporary spaces, and repurposing of existing buildings. While referencing the WHO templates
Jim Crabb Dustin Smith James Ramage
•Jim Crabb is a with more than three decades of experience designing mechanical systems for healthcare facilities. He officially joined Mazzetti in January 2018 with the merger of PerryCrabb and Mazzetti. He led the engineering teams who designed the first two hospitals in Georgia to use waste energy for all building heating and hot water production. One of those was the first in the state to receive LEED Gold certification for Healthcare. Most recently, Jim has led Mazzetti’s response to designing COVID hospitals in underserved countries in coordination with the International Federation of Healthcare Engineers (IFHE) and the World Health Organization (WHO). Jim resides in Atlanta. •Dustin Smith is a mechanical engineer at Mazzetti with more than five years of experience as a mechanical designer and engineer. He earned his B.S. in Mechanical Engineering from Georgia Institute of Technology and is a licensed professional engineer and HVAC contractor in Georgia with extensive field experience. He is involved with the American Society of Plumbing Engineers (ASPE), Georgia Society for Healthcare Engineers (GASHE) and the American Society of Heating, Refrigerating and Air-Conditioning Engineers (ASHRAE). Dustin resides in Atlanta, leading this Mazzetti office. •James Ramage is a senior mechanical/sustainability consultant with more than seven years of experience in the field of mechanical HVAC design and commissioning, environmentally sustainable building design, energy modelling, and compliance with building and environmental codes. James honed his planning and technical skills by working on some of the largest hospital and data centre projects across Australia. James has extensive experience using IES for energy modelling, daylight analysis and thermal comfort analysis. James also performs facade analysis on designs to look at reducing a building’s energy via passive means. James is a member of CIBSE, Engineers Australia, and Green Building Council Australia. James resides in Nashville.
IFHE DIGEST 2021
and standards for the deliverables, the design teams needed to appropriately adapt for each hospital’s local constraints. The teams had to identify appropriate measures for ventilation, PPE and staff and patient flow through the particular space. The below are publicly available resources, specifically for this effort, from the WHO. l SARI Manual:
https://www.who.int/ publications-detail/severe-acute- respiratory-infections-treatment-centre
l Online course, ‘SARI Treatment Facility Design:
https://openwho.org/ courses/SARI-facilities/items/ 31wbPJpVjMBEq7L64fXxFO
Burkina Faso project – April 2020 At the end of April, Team 1 (Mazzetti and LS3P) was notified of the first project, located in the West African country Burkina Faso. The project scope was converting an existing healthcare building in Dédougou for the care of COVID-19 patients . We understood the facility is new but
was originally intended for maternity services. The plan allowed for different levels of acuity, from low to critical. We had our first project meeting on Thursday 30 April, and we delivered a final draft on Friday 8 May. Quick turnaround! The building was unconditioned and
previously relied on windows for natural ventilation. We proposed a hybrid system, providing mechanical exhaust, enhancing
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