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EMERGENCY FACILITIES


Exterior view (left) and infirmary (right) of the Hospital Independência annex in Porto Alegre. For COVID-19, a working group was


created in order to prepare an institutional contingency plan and, based on this document, a Physical Infrastructure Action Plan was prepared. The strategy adopted by the State Secretariat of Health of Mato Grosso do Sul (SES-MS) was to define the regional hospital of Mato Grosso do Sul (HRMS) as a reference for receiving suspected and/or confirmed cases of COVID-19, with Humap-UFMS being the backup for the network. With the increase in the number of


confirmed cases, and the consequent saturation of HRMS, there was a need to expand ICU beds at Humap-UFMS and make alterations. The primary objectives of the


infrastructure adaptations Humap-UFMS were to provide adequate ventilation system and room exhaust, and install a central clinical vacuum system. Some 21 extract systems were


purchased to adapt the extract system, and extract fans were installed to promote forced ventilation in the ‘Clinical Respiratory Decision Area’ and ‘Red Area’ environments, in the Emergency Medical Service, as well as in the Materials and Sterilization Centre. Then, extract systems were installed in the ICUs. Another important adaptation was the installation of a container that served as a staff hygiene dressing room.


South-east and South regions The South-east region has an area of approximately 925,000 square kilometres and is composed of four states with a population of 85 million. The South region has an area of approximately 577,000 square kilometres, and is made up of three states with more than 29 million inhabitants.


Hospital Independência In June, the Hospital Independência opened in Porto Alegre, the capital city of the state of Rio Grande do Sul in the Southern region. Built in just 30 days, the hospital has 60 beds in 12 rooms – 10 collective and two single rooms - in addition to a nursing station, pharmacy,


IFHE DIGEST 2021


service room, sterilisation centre, pantry and linen room. On site, the public is served exclusively


by the Unified Health System (SUS) of Brazil. After the pandemic, the structure will be permanently incorporated into the health system and the hospital will have a total of 160 beds. The units were structured using the modular construction technique - designed by construction company Brasil ao Cubo - which allows the delivery of works at a speed four times greater than a common construction. The technique consists of fitting individual modules produced in a factory and then assembled at the construction site. With a total area of 842 square metres, the hospital also features a ramp and walkway that allows interconnection with the existing hospital. The project, divided into two floors, also makes it possible to expand and build a third floor in the future.


BiomeHub Laboratory BiomeHub, the Neoprospecta health spin- off, is a biotechnology company in the area of human health, which focuses on the application of NGS (new generation sequencing) and PCR technology in real time for the analysis of microbiomes in hospital environments, genomics and metagenomics to support the investigation of infectious diseases and


the analysis of the human microbiome. The laboratory with a 192.48 square


metres laboratory area was installed in the building of the CERTI Foundation, located in the Sapiens Park Technological Park in the city of Florianópolis in the state of Santa Catarina. Due to the COVID-19 pandemic, BiomeHub accelerated the installation of its new laboratory, in order to increase the ability to carry out problems for detection, by real time PCR, of the new coronavirus (SARS-CoV-2), supporting the public and private health system to fight the pandemic. The structure and equipment foreseen


in the new laboratory will have a maximum processing capacity of 1,800 samples per day for the detection of SARS-CoV-2 by PCR in real time.


References 1 Brazilian Association Technical Standards. Desempenho térmico de edificações Parte 3: Zoneamento bioclimático brasileiro e diretrizes construtivas para habitações unifamiliares de interesse social, 2003 http://www.labeee.ufsc.br/sites/default/files/ projetos/normalizacao/Termica_parte3_ SET2004.pdf.


2 Atkinson J, Chartier Y, Pessoa-Silva CL et al. Natural Ventilation for Infection Control in Health-Care Settings, WHO, 2009 https://www.who.int/water_sanitation_ health/publications/natural_ventilation.pdf.


IFHE


Interior views of the BiomeHub genomics and molecular biology lab in Florianópolis in the state of Santa Catarina.


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