Healthcare: The Latest Architecture and News

At the inauguration of the First Brazilian Congress of Eugenics in July of 1929, the physician and anthropologist Edgar Roquette-Pinto addressed an audience preoccupied with the question of how a country as vast as Brazil could best increase and improve its population. To accomplish this, Roquette-Pinto exalted “eugenia” as the new science that, together with medicine and hygiene, would guarantee the efficiency and perfection of the race. With the following words, the Brazilian scientist underscored a positivist agenda that brought architecture to the very core of the eugenics—the so-called science of race “improvement”—movement: “It is critical to emphasize that the influence [on our race] does not stem from the natural environment but rather from the artificial environment, created by man.” With these opening remarks to the Congress, Roquette-Pinto called attention to the crucial role that the man-made environment plays in the “amelioration” of what he called “the biological patrimony” of Brazil’s diverse population. In his invitation to social engineering, Roquette Pinto pointed to the environmental-genetic collusion that they hoped would bring with it the very possibility of progress.

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What would it mean to design buildings that exceed the economic accountings of liberal biopolitics, that instead offer an entirely different rationale for supporting health? In the years that Michel Foucault conceptualized the term biopolitics, he was part of a constellation of researchers and architects who developed care praxes that defined the value of life and its maintenance through a desire-based calculus. The welfare state institutions of architect Nicole Sonolet in particular—mental hospitals, public housing complexes, and new village typologies built mainly in postwar France and postcolonial Algeria from the 1950s to the 1980s—were designed not only to support but to center the needs of people often excluded from design processes. Sonolet’s mental health centers for residents of Paris’s 13th arrondissement, in particular, were key projects for discovering a design practice tied to the provision of care for its own sake.

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Adjaye Associates has been commissioned the design of district hospitals, part of the Agenda 111 initiative by the Ghana Government. The major vision for Ghana’s healthcare sector will consist of 111 Hospitals including 101 District Hospitals, 2 Psychiatric Hospitals, 7 Regional Hospitals, and the Redevelopment of the Accra Psychiatric Hospital.

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In this week's reprint from Metropolis Magazine, authors Madeline Burke-Vigeland, FAIA, LEED AP, a principal at Gensler, and Benjamin A. Miko, MD, assistant professor of Medicine at Columbia University Medical Center explore how uniform standards applied across the built environment can protect our communities from COVID-19 and future pandemics.

Skidmore, Owings & Merrill (SOM) unveiled its design for the New York City Public Health Laboratory, a ten storey building meant to strengthen the metropole's capability to respond to a variety of public health issues and future challenges. The laboratory is organized within a cubic glass volume stepping outward, which rises from a masonry-clad podium containing community-related functions. In order to give the new facility an active role within the Harlem neighbourhood, the design incorporates a training lab and an auditorium available to the community.

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Auckland in New Zealand has topped the ranking in the 2021 EIU's annual world's most liveable city survey. Classifying 140 cities across five categories including stability, healthcare, culture and environment, education, and infrastructure, this year’s edition of the review has been highly affected by the global pandemic. Australia, Japan, and New Zealand took leading positions, while European and Canadian cities fell down the ranking.

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A new film by OMA / Reinier de Graaf titled “The Hospital of the Future” has been released as a part of the exhibition, Twelve Cautionary Urban Tales at Matadero Madrid Centre for Contemporary Creation. Dubbed a “visual manifesto”, the 12-minute short film questions the long-standing conventions in the field of healthcare architecture in terms of the methodology behind how hospitals are built and also why they are built in certain ways. Through an exploration of the role that disease has played in shaping cities, the film offers a lens into the future of what we might expect for healthcare design, especially as we emerge from the COVID-19 pandemic.

For several years, Rosi Pachilova has been looking into and building upon the tools we use to analyse and configure layouts for our built environment. Together with Dr Kerstin Sailer, a reader in Social and Spatial Networks at the Space Syntax Laboratory, UCL, she has developed a tool that can assess spatial proposals for their impact on the quality of care of healthcare providers. In 2019, their work was awarded the RIBA President’s Award for Research in the Building in Quality category.

Despite all the news of re-openings, lifted restrictions, al fresco options dining, and a return to something more closely resembling “normal,” COVID-19 is still very much with us. And despite the defeatist/downplayed/nothing to see here stance embraced by the current presidential administration, the United States is still in the midst of an unprecedented public health crisis. In some states, both new reported cases and hospitalizations have now reached record highs.

This being said, the need for accessible, easy to fabricate, and quick-to-deploy testing facility solutions are still in great need, particularly in dense urban areas, at large institutions and workplaces, and in underserved communities where coronavirus testing might come as a luxury, not a basic necessity. In terms of testing availability, all bases need to and must be covered.

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As the healthcare infrastructure is becoming overwhelmed and hospitals around the world are reaching their capacities, new alternative possibilities are emerging. In response to bed shortage and facility saturation, architects around the world are taking action, in the on-going fight against the coronavirus. Focusing their knowhow to find fast and efficient design solutions that can be implemented anywhere, they are proposing flexible, fast assembled, mobile, and simple structures. With a very tight timetable, some projects are already implemented and in service, while others remain on a conceptual level, waiting to be adopted.

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The first unit from Carlo Ratti’s CURA project was built at a temporary hospital in Turin, north of Italy, one of the world’s hardest-hit regions by the pandemic. Launched four weeks ago, the initiative to convert shipping containers into plug-in Intensive-Care Pods for COVID-19 patients was assembled at record speed.

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Hassell has approached health and wellness differently in the newest healthcare facility in Western Australia. With innovation at the core of the architectural concept, the Murdoch Knowledge Health Precinct puts people first, creating a state-of-the-art intervention, a hub for activities and interconnected public spaces.

As New York is facing unprecedented circumstances and as the numbers of infected people with the coronavirus are reaching new highs, officials are seeking fast and efficient solutions to generate useful spaces for patients. With a timeline of a few weeks, the city is looking into ways of altering the existing structures.

Call for workshop tutors for SESAM 2020 Poliklinika is now officially open! The event will take place between 28th May and 7th June 2020 in Slavutych, Ukraine.

Anyone studying or working in the field of architecture, or any other area of expertise closely related to spatial practices, anywhere in the World, can apply by submitting a single pdf file in English to easaukraine@gmail.com by Feb 17, 23:59 Slavutych TIME (EET, GMT +2).

Designed by Skidmore, Owings & Merrill LLP (SOM) with local architecture partner May Architecture, the new Winship at Midtown facility for cancer care is an addition to the Emory University Hospital Midtown (EUHM) campus and the existing Winship Cancer Institute.

White Arkitekter has unveiled its design for a mother and baby unit for the Panzi Hospital in the Democratic Republic of Congo. The Scandinavian firm developed a new facility to be built onto the existing hospital, designed to improve the wellbeing for mothers and children. The project was highly commended at WAF 2018 in the Health-Future Project category.

The Panzi Hospital, set up following 20 years of war and devastation, has expanded its focus to treating survivors of sexual violence and serves over 400,000 people. The new unit will replace the overcrowded facilities at Panzi Hospital, which deals with up to 3500 births per year, and aims to reduce the maternal and post-natal mortality rate while providing more positive birth experiences.

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When the world undergoes major changes (be it social, economic, technological, or political), the world of architecture needs to adapt alongside. Changes in government policy, for example, can bring about new opportunities for design to thrive, such as the influx of high-quality social housing currently being designed throughout London. Technological advances are easier to notice, but societal changes have just as much impact upon the architecture industry and the buildings we design.

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The Renzo Piano Building Workshop (RPBW) has presented their preliminary design approaches for three hospitals in Greece. Part of a €200 million ($240 million) healthcare initiative launched by the Greek government, RPBW will produce designs for a General Hospital of Kromotini, a Children’s Hospital in Thessaloniki, and the Evangelismos Hospital in Athens which will also form part of the University’s Faculty of Nursing.

The three schemes are united by a “people-centric” approach, with each project seeking to integrate into their natural environments with an emphasis on natural light. The projects will follow the design ethos of the Stavros Niarchos Foundational Cultural Center by RPBW, completed in 2016.

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