The Manila Times

Silver lining: Lessons to learn 2

- FELINO A. PALAFOX JR. Notes on Hospitals JournalofA­ffectiveDi­sorders

WE are in the second week of an enhanced community quarantine that now includes the rest of Luzon. I hope you are all healthy and safe in your own homes. As the days pass under strict quarantine, our vulnerabil­ities and challenges are further revealed. Substantia­l lessons and well- founded perception­s from different sectors regarding our readiness and response to the Covid- 19 health emergency increase.

Last week, I shared with you how proper urban planning is essential in promoting public health and in managing health emergencie­s. Today, I want to explain how good design and architectu­re can also heal and increase occupants’ well- being.

For us architects, interior designers, urban planners and engineers, the health consequenc­es that the built environmen­t has on people’s health have become more pronounced. As early as 400 BC, the Greek physician Hippocrate­s, who is deemed to be one of the most remarkable figures in the history of medicine, believed that poor physical environmen­ts contribute to the spread of disease and other illnesses. Now that we are required to practice social distancing, the extra space we might have in our homes that serve as the best kind of deterrent to the virus is a valuable resource not every family in the Philippine­s has. Metro Manila alone is filled with densely populated areas. Many households share very little space among several family members without proper ventilatio­n and adequate light, which is not ideal for social distancing. Many do not even have access to basic resources like clean running water, clean toilets and wash areas, so regular hand WASHING IS ALSO DIFfiCULT TO FOLLOW.

Evidence-based design

Evidence- based design pertains to arriving at design decisions that promote health and wellbeing by using scientific evidence. Healthcare environmen­ts can be designed to be more effective if scientific research is applied. For example, there was a study on the length of stay of patients in an ICU. Patients staying in a room with and without a window were compared. Results showed that patients who stayed in a room with a window recovered much faster and were discharged more quickly.

Healing elements of architectu­re

Florence Nightingal­e, the pioneer of modern nursing, wrote in her in 1859: “Direct sunlight, not only daylight, is necessary for speedy recovery . . . All hospital buildings in this climate should be erected so that as great a surface as possible should receive direct sunlight.” She was an advocate of the curative and purifying properties of sunlight. The healing effects of exposure to daylight was further proven by a study in the that showed how depressed patients recovered faster with regular exposure to morning light.

Le Corbusier, the precursor of modern architectu­re and one of

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