Лектор проф. Искандарова Г.Т. COMMUNAL AND LABOUR HYGIENE DEPARTMENT LECTURE ON ENVIRONMENTAL SANITATION FOR THE 5TH YEAR HYGIENIC REQUIREMENTS FOR DESIGN, PLANNING AND CONSTRUCTION OF HEALTH FACILITIES LECTURER: PROF. ISKANDAROV G.T.

 To accommodate the building of hospitals, maternity hospitals and other projects binding model projects, individual and re-use, as well as the projects of reconstruction and renovation ( redevelopment ) of buildings and facilities of medical institutions must be coordinated with the authorities and institutions of sanitary- epidemiological service. A LAND PLOT :

 in a green residential or suburban areas in accordance with the approved master plan and detailed plan of the village with a view of its functional zoning.  Large specialized ( psychiatric, tuberculosis, and other infectious. ) Hospital or complexes is necessary to have :  in the suburbs or outlying areas, as far as possible in green spaces, subject to breaks from residential area not less than 1000m TREATMENT FACILITIES MUST BE LOCATED :

WHEN SELECTING THE SITE SHOULD BE CONSIDERED : environmental health situation dominant wind direction

occupancy of hospitals in areas previously used for landfill,field sanitation,animal burial,cemeterycontaminated by organic,chemical or other wastes. IT IS STRICTLY FORBIDDEN :

no closer than 30 meters from the red line construction meters from residential buildings, depending on the number of storeys of buildings of medical institutions TREATMENT AND WARD HOUSING SHOULD BE PLACED:

THE SIZE OF LAND PLOTS HOSPITALS CapacityThe size of land plots (m2 for 1 berth) >50 berth and more60

-infections and cancer - 15% -tuberculosis and psychiatric - 25% -replace treatment for adults - 20% for children - 40%. LAND AREA HOSPITALS, LOCATED IN A SUBURBAN AREA, SHOULD BE INCREASED:

-treatment buildings for infectious and non -infectious patients -garden and parks, -polyclinic, -pathoanatomi housing Hardaway part engineering structures. AT THE HOSPITAL SHOULD BE ALLOCATED TO THE ZONE :

-Optimal insolation conditions, -lightness, -ventilation, -sound insulation SANITATION GAPS BETWEEN BUILDINGS AND OTHER BUILDINGS ON THE HOSPITAL SITE SHOULD PROVIDE:

ORIENTATION OF WINDOWS OF PREMISES : FacilitiesGeographic latitude 45 degrees N ( north) and south Operating, resuscitation area, sectional birth N, NE, NW Laboratory for bacteriology, for receiving the infectious material, its analysis, vskryvochnye N, NE, NW, SE, E Chamber of tuberculous and infectious diseases S, SE, E, NE, NW Intensive careDo not focus on the west and south- west House of children's departments of up to 3 years old, games room in the pediatric ward S, SE, E

-2.5 Opposing height building, but not less than 24 m. Vivarium must be located: -At least 50 m from the House and 100 meters from the property. The distance from the body to the pathology ward buildings:-not less than 30 meters. THE DISTANCE BETWEEN THE BUILDINGS WITH WINDOWS CHAMBERS SHOULD BE:

-reception hall of Offices should be separate for each division: children, obstetric, infection, STI, TB, mental (psychosomatic). -reception hall of Other offices should be shared and located in the main building with the largest number of beds. COMPOSITION AND A RECEPTION AREA OF ​​ THE PREMISES:

 In the infectious disease clinic entrances, stairwells and elevators must be:  -separately for admission and discharge of patients.In the infectious disease clinic to receive patients should include :  -reception hall - viewing boxes, the number of which is determined according to the number of beds in the room.

-Composition Square and the main and auxiliary buildings ward offices should be determined by the design assignment. is the usual ward section is calculated with 30 beds, 2 of which 1 bunk and not less than 2 x 2 bed chambers. -More than 4 beds in the ward are not allowed to p Recommended distribution of beds in the following sections : chambers of 3 beds, 2 with 2 beds, 2 and 1 bed.ost. THE COMPOSITION OF FLOOR SPACE AND WARD OFFICES :

In maternity clinics, as independent, and as part of multi-profile hospitals, architectural and planning solutions should provide : THE COMPOSITION AND THE FLOOR SPACE OF OBSTETRIC FACILITIES : clear zoning offices cyclicality of filling and sanitizing, streamlining of hospital flows improving working conditions of staff.

THE NUMBER OF BEDS IN THE BOXES, AND HALF-BOXES WARDS : Name of premises The number of beds in the infectious department > Over 100 For adultsFor Children The number of beds in the boxes, half-boxes and chamber in the % number of beds in the infectious department Boxes for 1 bed Boxes for 2 bed Half-boxes for 1 bed Half-boxes for 2 bed Chambers

ПЛОЩАДИ ПОМЕЩЕНИЙ СЕКЦИЙ, СОСТОЯЩИХ ИЗ БОКСОВ ИЛИ ПОЛУБОКСОВ. Name of premisesThe area of m2 ( ​​ not less than) 12 1.Boxes a) WC consisting of bath restroom For 1 bed 22For 2 bed 27 b) Chamber c) gateway between the chamber and the corridor 2.Half-boxes a) WC consisting of bath restroom For 1 bed 22For 2 bed 27 b) Chamber c) gateway between the chamber and the corridor

All new and existing hospitals, maternity homes and other hospitals should be equipped with : REQUIREMENTS SANITARY, MEDICAL, TECHNOLOGICAL AND OTHER EQUIPMENT, FURNITURE, INVENTORY. plumbing, sewerage, The centralized hot water supply, heat supply Ventilation an electric, telephone networks and other utilities.

THANK YOU FOR ATTENTION!