Fangcang shelter hospitals: a novel concept for responding to public health emergencies

被引:568
作者
Chen, Simiao [1 ,2 ,3 ]
Zhang, Zongjiu [4 ]
Yang, Juntao [5 ]
Wang, Jian [6 ]
Zhai, Xiaohui [6 ]
Barnighausen, Till [1 ,2 ,3 ,7 ]
Wang, Chen [3 ,8 ,9 ,10 ]
机构
[1] Heidelberg Univ, Fac Med, Heidelberg Inst Global Hlth, Heidelberg, Germany
[2] Heidelberg Univ, Univ Hosp, Heidelberg, Germany
[3] Chinese Acad Med Sci & Peking Union Med Coll, Beijing 100730, Peoples R China
[4] Natl Hlth Commiss Peoples Republ China, Beijing, Peoples R China
[5] Chinese Acad Med Sci & Peking Union Med Coll, Inst Basic Med Sci, State Key Lab Med Mol Biol, Beijing, Peoples R China
[6] Natl Ctr Med Serv Adm, Beijing, Peoples R China
[7] Harvard T H Chan Sch Publ Hlth, Dept Global Hlth & Populat, Boston, MA USA
[8] Natl Clin Res Ctr Resp Dis, Beijing, Peoples R China
[9] China Japan Friendship Hosp, Ctr Resp Med, Dept Pulm & Crit Care Med, Beijing, Peoples R China
[10] Chinese Acad Engeering, Beijing, Peoples R China
关键词
ACUTE RESPIRATORY SYNDROME; EBOLA-VIRUS DISEASE; OUTBREAK; WARD; CARE;
D O I
10.1016/S0140-6736(20)30744-3
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Fangcang shelter hospitals are a novel public health concept. They were implemented for the first time in China in February, 2020, to tackle the coronavirus disease 2019 (COVID-19) outbreak. The Fangcang shelter hospitals in China were large-scale, temporary hospitals, rapidly built by converting existing public venues, such as stadiums and exhibition centres, into health-care facilities. They served to isolate patients with mild to moderate COVID-19 from their families and communities, while providing medical care, disease monitoring, food, shelter, and social activities. We document the development of Fangcang shelter hospitals during the COVID-19 outbreak in China and explain their three key characteristics (rapid construction, massive scale, and low cost) and five essential functions (isolation, triage, basic medical care, frequent monitoring and rapid referral, and essential living and social engagement). Fangcang shelter hospitals could be powerful components of national responses to the COVID-19 pandemic, as well as future epidemics and public health emergencies.
引用
收藏
页码:1305 / 1314
页数:10
相关论文
共 64 条
[41]   Framework for the design and operation of high-level isolation units: consensus of the European Network of Infectious Diseases [J].
Bannister, Barbara ;
Pura, Vincenzo ;
Fusco, Francesco Maria ;
Heptonstall, Julia ;
Ippolito, Giuseppe .
LANCET INFECTIOUS DISEASES, 2009, 9 (01) :45-56
[42]   Is There a Case for Quarantine? Perspectives from SARS to Ebola [J].
Barbisch, Donna ;
Koenig, Kristi L. ;
Shih, Fuh-Yuan .
DISASTER MEDICINE AND PUBLIC HEALTH PREPAREDNESS, 2015, 9 (05) :547-553
[43]   The first 2019 novel coronavirus case in Nepal [J].
Bastola, Anup ;
Sah, Ranjit ;
Rodriguez-Morales, Alfonso J. ;
Lal, Bibek Kumar ;
Jha, Runa ;
Ojha, Hemant Chanda ;
Shrestha, Bikesh ;
Chu, Daniel K. W. ;
Poon, Leo L. M. ;
Costello, Anthony ;
Morita, Kouichi ;
Pandey, Basu Dev .
LANCET INFECTIOUS DISEASES, 2020, 20 (03) :279-280
[44]   Building an Intelligent Hospital to Fight Contagion [J].
Bataille, Jerome ;
Brouqui, Philippe .
CLINICAL INFECTIOUS DISEASES, 2017, 65 :S4-S11
[45]  
Cai Y, Epidemiological and clinical characteristics of 17 hospitalized patients with 2019 novel coronavirus infections outside Wuhan, China, DOI [10.1101/2020.02.11.20022053v1, 10.3760/cma.j.issn.0254-6450.2020.02.003]
[46]   A familial cluster of pneumonia associated with the 2019 novel coronavirus indicating person-to-person transmission: a study of a family cluster [J].
Chan, Jasper Fuk-Woo ;
Yuan, Shuofeng ;
Kok, Kin-Hang ;
To, Kelvin Kai-Wang ;
Chu, Hin ;
Yang, Jin ;
Xing, Fanfan ;
Liu, Jieling ;
Yip, Cyril Chik-Yan ;
Poon, Rosana Wing-Shan ;
Tsoi, Hoi-Wah ;
Lo, Simon Kam-Fai ;
Chan, Kwok-Hung ;
Poon, Vincent Kwok-Man ;
Chan, Wan-Mui ;
Ip, Jonathan Daniel ;
Cai, Jian-Piao ;
Cheng, Vincent Chi-Chung ;
Chen, Honglin ;
Hui, Christopher Kim-Ming ;
Yuen, Kwok-Yung .
LANCET, 2020, 395 (10223) :514-523
[47]   COVID-19 control in China during mass population movements at New Year [J].
Chen, Simiao ;
Yang, Juntao ;
Yang, Weizhong ;
Wang, Chen ;
Barnighausen, Till .
LANCET, 2020, 395 (10226) :764-766
[48]  
Farzan AN, 2020, Italy has abandoned us': people are being trapped at home with their loved ones' bodies amid coronavirus lockdown
[49]   Rapid creation of a temporary isolation ward for patients with severe acute respiratory syndrome in Taiwan [J].
Fung, CP ;
Hsieh, TL ;
Tan, KH ;
Loh, CH ;
Wu, JS ;
Li, CC ;
Chang, FY ;
Siu, LK ;
Yen, MY ;
Wang, LS ;
Wong, WW ;
Kao, WF ;
Hsu, JH ;
Lin, TH ;
Huang, FY ;
Lee, CH .
INFECTION CONTROL AND HOSPITAL EPIDEMIOLOGY, 2004, 25 (12) :1026-1032
[50]  
Gillespie E., 2016, Animal Visits in Healthcare Facilities Position Statement