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Covid-19 Rapid Response A S S A L O C R I A A S S U T A L O C R I A T I U T O T I C O C E N E N T T I O I O H F C H K F R E A C N K E Y R A H E T A N E Y A H T AAK COVID-19 RAPID RESPONSE PROPOSED GUIDELINES ON PLANNING AND DESIGN OF COVID-19 QUARANTINE AND TREATMENT CENTRES, AND LONG TERM INFRASTRUCTURAL INTERVENTIONS FOR THE KENYAN CONTEXT. 2020 FIRST EDITION AAK COVID-19 RESPONSE APRIL 20201 A S S A L O C R I A U T T I C O E N T I O H F C K R E A N E Y A H TABLE OF CONTENTS T Introduction....................................................................................................................3 • Introduction............................................................................................................................................4 • Participating Volunteer Professionals.............................................................................................5 • Leadership Team....................................................................................................................................6 • Editorial Team.........................................................................................................................................7 • Interventions...........................................................................................................................................9 Chapter Two: Planning Considerations for setting up of quarantine facilities.........10 • Background Information on COVID-19......................................................................................12 • Definition of Terms.............................................................................................................................13 • Why Quarantine?..................................................................................................................................15 • Identification of a Suitable Site for Quarantine........................................................................15 • Space Considerations for a Quarantine Site.............................................................................16 • Accommodation, Infrastructure and Functional Requirements.........................................16 • Risk Assessment of the Quarantine Facility..............................................................................20 • Standard Operating Procedures for Quarantine Facilities...................................................21 • Establishment of Infection Prevention Control (IPC) Measures........................................25 • Design Considerations for SARI ( Severe Acute Respiratory Infection) Centers (WHO Guidelines)............................................................................................................................................28 • Selection and Design of SARI Facilities........................................................................................43 Chapter Three: INNOVATIVE DESIGN SOLUTIONS AT BUILDING SCALE................50 • Field Hospitals- Tents........................................................................................................................52 • Field Hospitals- Containers.............................................................................................................65 • Field Hospitals- Army Huts.............................................................................................................69 Chapter Four: INNOVATIVE SOULTIONS AT URBAN SCALE.....................................80 • Dealing with COVID-19 in Public Spaces....................................................................................82 • Response by Religious Institutions .............................................................................................88 • Risk Assessment and Interventions in High Density Areas..................................................90 Chapter Five: Innovative solutions at Regional/ County Level................................95 • Map of Identified Isolation Centres per Cluster......................................................................97 • Map Indicating spread of Confirmed Cases.............................................................................98 • List of Identified Isolation Centres per Cluster........................................................................99 Chapter Six: Policy and Long Term Post Covid-19 Solutions..................................106 • Short Term Interventions...............................................................................................................108 • Long Term Interventions.................................................................................................................108 2 AAK COVID-19 RESPONSE A S S A L O C R I A U T T I C O E N T I O H F C K R E A N E Y A H T CHAPTER 1: INTRODUCTION AAK COVID-19 RESPONSE 3 A S S A L O C R I A U T T I C O E N T I O H F C K R E A N E Y A H T Introduction Established in 1967, AAK is Kenya’s leading This has culminated in the production of this Built and Natural Environment’s professional document; in which healthcare providers have association, incorporating Architects, also given their input. Our thanks to Kenya Quantity Surveyors, Town Planners, Engineers, Healthcare Federation for their support and Landscape Architects, Environmental Design guidance. Consultants and Construction Project Managers. As an umbrella association, we Additionally, since it is evident that our urban bring together professionals in National spaces are not planned for social distancing, and County Governments, the Private we intend to prepare long term urban Sector and Academia. We also act as a link management guidelines in the event there between professionals and stakeholders arises a similar pandemic in the future. in the construction industry including policy makers, manufacturers, real estate The objective of this document is to developers, financial institutions, among provide quick and innovative infrastructure others. guidelines to public and private health care sector players in response to Covid-19. With the pandemic accelerating, its far reaching consequences continue to It is advisable that in implementation that spread and catastrophically impact the registered professionals are engaged and interdependent global socio-economic the AAK membership stands ready to be sector. Given the scale and urgency of the engaged on design and supervision of the pandemic, the way forward is to address works. At the back of this publication we it through collaborative efforts across all have also published contacts of our firm sectors: government, private sector and the members available to provide this assistance civil society. when engaged. Towards this, it is only prudent that built In all the proposed solutions, we must insist environment professionals and consultants that where possible, LOCAL SOLUTIONS and participate in this overall social responsibility PRODUCTS be used. as a means of responding to the crisis. AAK has therefore galvanized and put together a BUY KENYA, BUILD KENYA technical advisory committee to give advice on repurposing and/or constructing quick and safe care and treatment centers for Mugure Njendu, COVID-19. AAK President 4 AAK COVID-19 RESPONSE A S S A L O C R I A U T T I C O E N T I O H F C K R E A N E Y A H T PARTICIPATING VOLUNTEER PROFESSIONALS Florence Nyole Ambrose Ofafa Benjamin Nyawade Mumbua Musyimi Patience Mulondo Alfred Aluvaala Ham Wesonga Cyrus Mbisi Charity Nyaga Lorraine Odhiambo Brenda Nyawara Stephen Nyagaya Yasir Brek Stanley Maina Dennis Mukuba John Mwaniki Olivia Otieno Musembi Mumo David Njenga Manmit Jabbal Joel Oyuga Francis Mbaya Susan Makhulo Eric Kigada Patrick Juma Stephen Lutta Benson Githinji Susan Kabue Juliet Rita Dominic Cox Alex Nyaga Raymond Muli Gideon Olawo Judith Onyoni Jasper Onyango P.V Osiago Baraka Mwau Nathan Mutunga Mugure Njendu AAK COVID-19 RESPONSE 5 A S S A L O C R I A U T T I C O E N T I O H F C K R E A N E Y A H T AAK COVID-19 RAPID RESPONSE LEADERSHIP TEAM 6 AAK COVID-19 RESPONSE A S S A L O C R I A U T T I C O E N T I O H F C K R E A N E Y A H T AAK COVID-19 RAPID RESPONSE EDITORIAL TEAM AAK COVID-19 RAPID RESPONSE DESIGN TEAM TM VIOLETTE RIUNGU-MUCHIRI DIANA MACHOKA Brand Builder, Creative Designer, Terracotta Moon Terracotta Moon AAK COVID-19 RESPONSE 7 A S S A L O C R I A U T T I C O E N T I O H F C K R E A N E Y A H T COLLABORATIVE KENYA HEALTHCARE FEDERATION COVID-19 RESPONSE TEAM KHF Chair KHF Vice Chair Amit Thakker Elizabeth Wala KHF CEO Supply chain Anastasia Nyalita Vinod Guptan ICT and mobile health Health reg, qual, stds Torooti Mwirigi Millicent Olulo Healthcare financing Pnrship, coms, resources Njoki Fernandes Anne Musava Human resources for health Board Director Ken Auma Faith Muigai 8 AAK COVID-19 RESPONSE A S S A L O C R I A U T T I C O E N T I O H F C K R E A N E Y A H T AAK COVID-19 RESPONSE 9 A S S A L O C R I A U T T I C O E N T I O H F C K R E A N E Y A H T CHAPTER 2: EMERGENCY RESPONSE AT NATIONAL LEVEL 10 AAK COVID-19 RESPONSE A S S A L O C R I A U T T I C O E N T I O H F C K R E A N E Y A H T Task Force 1 Contributors to this Publication Florence Nyole– Team Lead Ham Wesonga Charity Nyaga Yasir Brek Peter Ng’anga Caleb Mutali Robinson Manguro Dennis Mukuba Brenda Nyawara Wangeci Kamau Daina Murugi Patience Mulondo Mary Theresa Benjamin Nyawade Kevin Ndeti Eng. Limo Eng. Serem Nashon Okowa Editorial Contribution Patricia Baariu Mugure Njendu Compilation and Co-ordination James Odongo Ashley Mwangi Christine Mwaura AAK COVID-19 RESPONSE 11 A S
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