Building Design and Engineering Approaches to Airborne Infection Control Harvard Medical School and Brigham and Women’s Hospital Boston, MA, USA August 1-12, 2016
Monday, 01 August 2016
07:15 – 08:00 Check-in and Continental Breakfast
08:00 – 09:15 Overview of Airborne Infections & Introduction to the Course (Ed Nardell)
09:15 – 10:15 Introduction to Aerosols and Their Dynamic Properties (Joe Brain)
10:15 – 10:30 Refreshment Break
10:30 – 11:15 Basics of Airborne Infection Prevention and Control (Paul Jensen)
11:15 – 11:45 Barriers to Airborne Infection Control in Resource-Limited Settings (Grigory Volchenkov)
12:00 – 12:45 Lunch
12:45 – 13:00 Accessing Presentations using www.GHDonline.org (Paul Jensen)
13:00 – 15:00 Ventilation Systems: Operation and Testing (Jack Price)
15:00 – 15:15 Refreshment Break
15:15 – 15:45 Air Velocity and Air Volume Measuring Instruments (Jack Price)
15:45 – 16:00 Introduction to Ventilation Lab Experiments (Jack Price)
16:00 – 17:00 Introduction to the Design Process: Design Cycle and Design Briefs (Patricia Gruits, Amy Shao)
17:00 – 17:15 Introduction to Course Design Projects (Amy Shao)
Tuesday, 02 August 2016
07:15 – 08:00 Continental Breakfast
08:00 – 09:00 Preparation for Pandemic Influenza (Al DeMaria)
09:00 – 09:30 Preparation for Emerging Infectious Diseases
09:30 – 10:00 Discussion on Influenza and Emerging Infectious Diseases (Al DeMaria, Paul Jensen, Ed Nardell)
10:00 – 10:15 Refreshment Break
10:15 – 12:15 Examples of Application and Execution of Airborne Infection Control Measures (Paul Jensen, Grigory Volchenkov); Two class presentations
12:15 – 13:00 Lunch
13:00 – 14:15 Lab IA: HSPH Facility Visits (Danny Beaudoin)
Lab IB: Measuring Air Exchange and Volumetric Airflow Rate (Jack Price, Peter James)
14:15 – 14:30 Refreshment Break
14:30 – 15:45 Lab IA: HSPH Facility Visits (Danny Beaudoin)
Lab IB: Measuring Air Exchange and Volumetric Airflow Rate (Jack Price, Peter James)
15:45 – 16:15 Discussion: Measuring Air Exchange Rate and Volumetric Airflow Rate Calculations (Peter James)
16:15 – 17:15 Air Filtration Description and Theory (Jack Price)
Wednesday, 03 August 2016
07:15 – 08:00 Continental Breakfast
08:00 – 09:15 Lab Hoods, Biosafety Cabinets, Room Pressure Differentials, and Airflow Patterns (Lou DiBerardinis)
09:15 – 09:30 Refreshment Break
09:30 – 11:15 Lab II: Measure Room Pressure Differential and Airflow Direction (Peter James, Paul Jensen, Jack Price, Grigory Volchenkov)
11:15 – 12:15 Free-standing Room Air-cleaning Devises and Their Effectiveness (Steve Rudnick)
12:15 – 13:00 Lunch
13:00 – 14:00 Evaluation of Environmental Controls: Effectiveness and Cost (Grigory Volchenkov)
14:00 – 15:00 Exhaust Ventilation: Simple to Complex and “Where goes that air?” (Paul Jensen)
15:00 – 15:15 Refreshment Break
15:15 – 16:00 TB and Impact of Treatment (Ed Nardell)
16:00 – 17:00 Planning and Costing Tools for Airborne IPC (Paul Jensen)
17:00 – 18:00 Exercise I: Evaluate Isolation Rooms and UVGI Installation at BWH (Grigory Volchenkov, Ed Nardell, Jack Price)
17:00 – 18:15 Exercise II: Architectural Brief Development (Patricia Gruits, Amy Shao)
Thursday, 04 August 2016
07:15 – 08:00 Continental Breakfast
08:00 – 10:00 Natural Ventilation for Infection Control in Health Care Settings (Hal Levin)
10:00 – 10:15 Refreshment Break
10:15 – 11:00 Natural Ventilation: Simple, Moderate, Complex, and Mixed Mode (Paul Jensen, Hal Levin, Ed Nardell, Grigory Volchenkov)
11:00 – 12:00 Ultraviolet Germicidal Irradiation (UVGI): History and Theory of Efficacy (Ed Nardell)
12:00 – 12:30 Lunch
12:30 – 13:00 Walk to Northeastern University
13:00 – 17:00 Lab IV: Ventilation Laboratory at Northeastern University (7 exercises) (Jack Price, Students/Faculty)
17:00 – 17:45 Discussion of Exercises and Box Lunch @ Northeastern University (Jack Price)
17:45 – 18:00 Logistics for Trip to The Eagleson Institute
18:00 – ?? Walk back to Countway Library, The Tree House, or wherever you want to go!
Friday, 05 August 2016
06:30 – 07:00 Continental Breakfast
07:00 – 09:00 Travel to Sanford, ME
09:00 – 15:00 Biosafety and Biological Safety Cabinetry, The Eagleson Institute
15:00-18:00 Lobster Bake
18:00-20:00 Travel to Boston, MA
Monday, 08 August 2016
07:15 – 08:00 Continental Breakfast
08:00 – 09:15 In-duct, Whole Room Air, and Other UVGI Applications: Design, Installation and maintenance: Impact and Their Effectiveness (Paul Jensen, Grigory Volchenkov)
09:15 – 09:30 Discussion of UVGI Applications – Follow up from previous two sessions (Paul Jensen, Ed Nardell, Richard Vincent, Grigory Volchenkov)
09:30 – 10:45 Radiometers and Lower- and Upper-Room UVGI Measurements (Steve Rudnick, Richard Vincent)
10:45 – 11:00 Refreshment Break
11:00 – 12:15 Lab III: UVGI Measurements (Paul Jensen, Ed Nardell, Richard Vincent, Grigory Volchenkov, Steve Rudnick)
12:15 – 13:00 Lunch
13:00 – 13:45 Upper-Room UVGI: Equipment Types and Their Emission Characteristics; Examples of Application (Richard Vincent)
13:45 – 14:00 Global Health Delivery Project at Harvard University (www.ghdonline.org) (Marie Connelly)
14:00 – 14:30 UVGI Equipment Maintenance (Tom Dumyahn)
14:30 – 15:15 Workshop: Introduction and Demonstration: Computer-Aided Design (CAD) Program for Design of Complex Upper-Room UVGI Systems (Richard Vincent)
15:15 – 15:30 Refreshment Break
15:30 – 17:30 Implementation of Environmental Controls in Healthcare Settings: Case Studies (Tariq Qaiser, Paul Jensen, Ed Nardell, Grigory Volchenkov)
Tuesday, 09 August 2016
07:30 – 08:00 Continental Breakfast
08:00 – 09:00 Hospital Design: International Norms, Codes, and Standards (Tariq Qaiser, Michael Murphy or Alan Ricks)
09:00 – 10:45 Workshop: Designing a Health Care Facility under Conditions of Limited Resources (Michael Murphy, Alan Ricks, Grigory Volchenkov, Tariq Qaiser)
10:45 – 11:00 Refreshment Break
11:00 – 11:30 Discussion: The WWWWWH (Who, What, When, Where, Why, and How) of Class Presentations (Tariq Qaiser)
11:30 – 12:00 Class participants work on their presentations.
12:00 – 12:45 Lunch
12:45 – 14:45 Class Exercise: Selected Case Studies from Participants: Three participants presented (Amie Shao, Sierra Bainbridge, Tariq Qaiser)
14:45 – 15:00 Refreshment Break
15:00 – 16:15 Face Masks and Respirators: Protection Factors, Selection, Fit Testing, Comfort, and Communication (Paul Jensen)
16:15 – 17:15 Face Masks and Respirators: Respirator Demonstrations and Fit Testing Exercise (Grigory Volchenkov)
Wednesday, 10 August 2016
07:30 – 08:00 Continental Breakfast
08:00 – 10:00 Design and Maintenance of Hospitals and Other Health Care Facilities to Minimize Airborne Disease Transmission (Paul Jensen, Grigory Volchenkov)
10:00 – 10:15 Refreshment Break
10:15 – 11:00 Hospital Design: Facilities for Sputum Collection and Other Critical Services (Grigory Volchenkov)
11:00 – 12:00 Student Case Studies (Tariq Qaiser, Grigory Volchenkov)
12:00 – 12:45 Lunch
12:45 – 15:00 Student Case Studies (Tariq Qaiser, Grigory Volchenkov)
15:00 – 15:15 Refreshment Break
15:15 – 16:15 Workshop: Designing a Health Care Facility under Conditions of Limited Resources (Viet Nam) (Amy Shao)
16:15 – 16:45 Workshop: Designing a Health Care Facility under Conditions of Limited Resources (Brazil) (Sierra Bainbridge)
Thursday, 11 August 2016
07:30 – 08:00 Continental Breakfast
08:00 – 08:45 Basics of Laboratory Biosafety (Paul Jensen)
08:45 – 10:15 Biosafety Laboratories: Planning & Design Considerations (Janet Baum)
10:15 – 10:30 Refreshment Break
10:30 – 12:15 Biohazard Containment Facilities – Programming: Program Considerations (Janet Baum)
12:15 – 13:00 Lunch
13:00 – 15:00 High Containment Laboratories: Risk Assessment, Design, Construction, Materials, and Commissioning – Meeting International Funding Requirements (Bab Farahpour, Fred Khoshbin)
15:00 – 15:15 Refreshment Break
15:15 – 16:45 Panel Discussion: Designing a Minimum Biosafety Lab for a Resource-Limited Country (Janet Baum, Bab Farahpour, Paul Jensen, Fred Khoshbin)
16:45 – 18:00 Exercise I: Inspect and Evaluate isolation Rooms and UVGI Installation at BWH (Grigory Volchenkov, Ed Nardell, Jack Price)
16:45 – 18:15 Exercise II: Architectural Brief Development (Patricia Gruits, Tariq Qaiser, Amy Shao)
Friday, 12 August 2016
07:30-08:00 Continental Breakfast
08:00-09:30 Commissioning the Facility: Validating Adherence to Design Specifications and Function (Steve Rizzo)
09:30-10:30 How to be an Effective and Professional Consultant (Paul Jensen)
10:30-10:45 Refreshment Break
10:45-12:45 Seminar: Solving Problems Associated with Health Care Facilities and Airborne Transmission Problems in Prisons, Jails, Shelters, Refugee Camps, and Other Challenging Settings (Tariq Qaiser, Paul Jensen, Ed Nardell, Grigory Volchenkov)
12:45-13:30 Lunch
13:30-16:30 Class Exercise: Selected Case Studies from Participants (Paul Jensen, Grigory Volchenkov)
16:30-17:00 Course Summary and Discussion (Paul Jensen, Ed Nardell)
17:15-18:00 Course Evaluations