Politecnico di Milano, Department of Architecture, Built environment and Construction engineering (DABC), Design & Health Lab, Milano, Italy.
Politecnico di Milano, Department of Department of Management, Economics and Industrial Engineering (DIG), Milano, Italy.
Acta Biomed. 2021 Oct 5;92(S6):e2021446. doi: 10.23750/abm.v92iS6.12229.
The rapid evolution of Covid-19 and the availability of numerous vaccines led countries to set up Massive Vaccination campaign in a very short time. Since December 2020, due to the lack of specific guidelines, multidisciplinary groups started to investigate the minimum requirements for Massive Vaccination Centers (MVC). The aim of the paper is to shed light on the process of development of a scalable model for MVC layout design and implementation.
The methodology included two phases and six steps: 1)Study of MVC with i) acquisition of process data from experimental study on an early set up vaccination hub; ii) review of scientific literature on MVC; iii) review of existing available guidelines and international examples; 2) Design proposal with iv) functional and space requirements collection; v) standard MVC layout design and vi) scalable model definition.
The resulting layout is compact, has a good wayfinding and address safety reducing cross-contamination risks. Different vaccine lines have been designed with a central dilution area for process efficiency. Healthcare staff wellbeing is guaranteed by the provision of resting spaces, short distances, and the correct sizing of space for the different activities. To ensure optimal vaccination capacity at the peak of vaccination, a modular and scalable model of different sizes has been designed ranging from 400 to 12000 m2.
The modular layout has been used as basic model in the regional legislation, disclosed with the Deliberation n° XI / 4353 of 24/02/2021. Further research is encouraged to compare different national and international layouts.
Covid-19 的快速演变和众多疫苗的出现使得各国能够在很短的时间内开展大规模疫苗接种运动。自 2020 年 12 月以来,由于缺乏具体的指导方针,多学科小组开始研究大规模疫苗接种中心(MVC)的最低要求。本文旨在阐明 MVC 布局设计和实施可扩展模型的开发过程。
该方法包括两个阶段和六个步骤:1)对 MVC 进行研究,包括:i)从早期建立的疫苗接种中心实验研究中获取流程数据;ii)对 MVC 的科学文献进行综述;iii)审查现有的可用指南和国际范例;2)设计方案,包括:iv)功能和空间需求收集;v)标准 MVC 布局设计;vi)可扩展模型定义。
所得到的布局紧凑,具有良好的导向性,并通过减少交叉污染风险来确保安全性。不同的疫苗生产线都设计有中央稀释区,以提高流程效率。通过提供休息区、缩短距离以及为不同活动提供合适的空间大小,来保证医护人员的健康。为了在接种高峰期确保最佳的接种能力,设计了不同大小的模块化和可扩展模型,范围从 400 平方米到 12000 平方米。
模块化布局已被用作区域法规的基本模型,并在 2021 年 2 月 24 日的第 XI/4353 号决议中公布。鼓励进一步研究以比较不同国家和国际的布局。