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Design Criteria of Shelter Hospitals in Response to Biological Accidents: A Systematic Review

Published online by Cambridge University Press:  18 September 2024

Maryam Moradi Open the ORCID record for Maryam Moradi [Opens in a new window] ,
Simintaj Sharififar Open the ORCID record for Simintaj Sharififar [Opens in a new window] ,
Armin Zareiyan ,
Seyyed-Javad Hoseyni Shokuh  and
Ali Nasiri
Maryam Moradi
Affiliation:
Health in Disaster and Emergencies, Aja University of Medical Sciences, Tehran, Iran
Simintaj Sharififar*
Affiliation:
Department of Health in Disaster and Emergencies, School of Nursing, Aja University of Medical Sciences, Tehran, Iran
Armin Zareiyan
Affiliation:
Public Health Department, Health in Disaster and Emergencies Department, Nursing Faculty, Aja University of Medical Sciences, Tehran, Iran
Seyyed-Javad Hoseyni Shokuh
Affiliation:
Infection Disease Research Center and Department of Infection and Tropical Disease, Faculty of Medicine, Aja University of Medical Sciences, Tehran, Iran
Ali Nasiri
Affiliation:
Health in Disasters and Emergencies, School of Health Management Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran
*
Corresponding author: Simintaj Sharififar; Email: [email protected]
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Abstract

Background

The appropriate response to mass causality biological events requires well-established preparedness and providing a surge capacity. In such a situation, a practical solution is to convert large public venues into shelter hospitals. Due to the lack of a guideline for the transformation of a large public center into a hospital, the present study collected the design criteria for the transformation of public buildings into shelter hospitals in response to biological events such as epidemics or mass causality biological accidents.

Methods

The keywords were searched in Scopus, Web of Science, and PubMed databases until November 2021. This systematic review was conducted using terms related to mass causality biological accidents, shelter hospitals, and design criteria.

Results

Of 1802 extracted articles, duplicates (n = 280) and unrelated publications (n = 1342) were left out in the initial evaluation. Among 180 remained papers, 29 records satisfied our criteria after reviewing abstracts and full texts. Most of the included studies were related to the transformation of public venues into hospitals in response to the coronavirus disease 2019 (COVID-19) pandemic. The investigated themes included site selection, layout and structure, waste and wastewater management, ventilation, communication, food and medicine delivery, humanitarians and social supports, post-treatment care, and Management measures.

Conclusions

In summary, large public venues are highly recommended alternatives for surge capacity in response to mass causality biological accidents. However, the main challenges for using these centers are the provision of basic requirements such as water and electricity, ventilation, and available space.

Keywords

biological accidentsbiologicshelter hospitalsbiologic disaster
Type
Systematic Review
Information
Disaster Medicine and Public Health Preparedness , Volume 18 , 2024 , e120
Copyright
© The Author(s), 2024. Published by Cambridge University Press on behalf of Society for Disaster Medicine and Public Health, Inc

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