1921
Volume 103, Issue 2
  • ISSN: 0002-9637
  • E-ISSN: 1476-1645

Abstract

Abstract.

As COVID-19 cases continue to increase globally, fragile health systems already facing challenges with health system infrastructure, SARS-CoV-2 diagnostic capacity, and patient isolation capabilities may be left with few options to effectively care for acutely ill patients. Haiti—with only two laboratories that can perform reverse transcriptase PCR for SARS-CoV-2, a paucity of hospital beds, and an exponential increase in cases—provides an example that underpins the need for immediate infrastructure solutions for the crisis. We present two COVID-19 treatment center designs that leverage lessons learned from previous outbreaks of communicable infectious diseases and provide potential solutions when caseload exceeds existing capacity, with and without access to SARS-CoV-2 testing. These designs are intended for settings in which health facilities and testing resources for COVID-19 are surpassed during the pandemic, are adaptable to local conditions and constraints, and mitigate the likelihood of nosocomial transmission while offering an option to care for hospitalized patients.

[open-access] This is an open-access article distributed under the terms of the Creative Commons Attribution (CC-BY) License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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References

  1. Wadvalla B-A, 2020. COVID-19: decisive action is the hallmark of South Africa’s early success against coronavirus. BMJ. Available at: https://www.bmj.com/content/369/bmj.m1623. Accessed June 3, 2020.
    [Google Scholar]
  2. Condo J, Uwizihiwe JP, Nsanzimana S, 2020. Learn from Rwanda’s success in tackling COVID-19. Nature 581: 384.
    [Google Scholar]
  3. Olum R, Bongomin F, 2020. Uganda’s first 100 COVID-19 cases: trends and lessons. Int J Infect Dis 96: 517518.
    [Google Scholar]
  4. El-Sadr WM, Justman J, 2020. Africa in the path of COVID-19. N Engl J Med (Epub ahead of print). Available at: https://doi.org/10.1056/NEJMp2008193.
    [Google Scholar]
  5. Rouzier V, Liautaud B, Deschamps MM, 2020. Facing the monster in Haiti. N Engl J Med (Epub ahead of print). Available at: https://doi.org/10.1056/NEJMc2021362.
    [Google Scholar]
  6. Ministère de la Santé Publique et de la Population, 2020. COVID-19: Situation En Haiti. Available at: https://www.mspp.gouv.ht/page-covid-19.php. Accessed June 3, 2020.
    [Google Scholar]
  7. Le Nouvelliste, 2020. COVID-19: Les Gens Affluent Au Centre de Dépistage de GHESKIO. Available at: https://lenouvelliste.com/article/216547/covid-19-les-gens-affluent-au-centre-de-depistage-de-gheskio. Accessed June 3, 2020.
  8. Médecins Sans Frontières, 2020. MSF Calls for No Patents or Profiteering on COVID-19 Drugs, Tests, and Vaccines in Pandemic. Available at: https://msfaccess.org/msf-calls-no-patents-or-profiteering-covid-19-drugs-tests-and-vaccines-pandemic. Accessed June 3, 2020.
    [Google Scholar]
  9. World Health Organization, 2020. Advice on the Use of Point-of-Care Immunodiagnostic Tests for COVID-19. Available at: https://www.who.int/news-room/commentaries/detail/advice-on-the-use-of-point-of-care-immunodiagnostic-tests-for-covid-19. Accessed June 3, 2020.
    [Google Scholar]
  10. Le Nouvelliste, 2020. Entre Appel à la Solidarité et de Sombres Prévisions, le Dr William Pape Fait le Point. Available at: https://lenouvelliste.com/article/215314/entre-appel-a-la-solidarite-et-de-sombres-previsions-le-dr-william-pape-fait-le-point. Accessed June 3, 2020.
    [Google Scholar]
  11. Charles J, 2020. Prayer and preparation: how one Haiti hospital is confronting COVID-19. Miami Herald. Available at: https://www.miamiherald.com/news/nation-world/world/americas/haiti/article242771366.html. Accessed June 3, 2020.
    [Google Scholar]
  12. Andrus JK, Evans-Gilbert T, Santos JI, Guzman MG, Rosenthal PJ, Toscano C, Valenzuela MT, Siqueira M, Etienne C, Breman JG, 2020. Perspectives on battling COVID-19 in countries of Latin America and the Caribbean. Am J Trop Med Hyg 103: 593596.
    [Google Scholar]
  13. Cupertino GA, Cupertino MDC, Gomes AP, Braga LM, Siqueira-Batista R, 2020. COVID-19 and Brazilian indigenous populations. Am J Trop Med Hyg 103: 609612.
    [Google Scholar]
  14. World Health Organization, 2020. Severe Acute Respiratory Infections Treatment Centre. Available at: https://www.who.int/publications-detail/severe-acute-respiratory-infections-treatment-centre. Accessed April 15, 2020.
    [Google Scholar]
  15. Ernst S, Weinrobe C, Bien-Aime C, Rawson I, 2011. Cholera management and prevention at Hôpital albert Schweitzer, Haiti. Emerg Infect Dis 17: 21552157.
    [Google Scholar]
  16. Levine AC, Shetty PP, Burbach R, Cheemalapati S, Glavis-Bloom J, Wiskel T, Kesselly JKT, 2015. Derivation and internal validation of the Ebola prediction score for risk stratification of patients with suspected Ebola virus disease. Ann Emerg Med 66: 285293.
    [Google Scholar]
  17. World Health Organization, 2009. Natural Ventilation for Infection Control in Health-Care Settings. Available at: https://www.ncbi.nlm.nih.gov/books/NBK143284/pdf/Bookshelf_NBK143284.pdf. Accessed April 15, 2020.
    [Google Scholar]
  18. Qian H, Li Y, Seto WH, Ching P, Ching WH, Sun HQ, 2010. Natural ventilation for reducing airborne infection in hospitals. Build Environ 45: 559565.
    [Google Scholar]
  19. Khot WY, Nadkar MY, 2020. The 2019 novel coronavirus outbreak - a global threat. J Assoc Physicians India 68: 6771.
    [Google Scholar]
  20. World Health Organization, 2020. Tuberculosis. Available at: https://www.who.int/news-room/fact-sheets/detail/tuberculosis. Accessed June 3, 2020.
    [Google Scholar]
  21. Bordi L, Nicastri E, Scorzolini L, Di Caro A, Capobianchi MR, Castilletti C, Lalle E, 2020. Differential diagnosis of illness in patients under investigation for the novel coronavirus (SARS-CoV-2), Italy. Eurosurveillance 25: 2000170.
    [Google Scholar]
  22. World Health Organization, 2020. Modes of Transmission of Virus Causing COVID-19: Implications for IPC Precaution Recommendations. Available at: https://www.who.int/news-room/commentaries/detail/modes-of-transmission-of-virus-causing-covid-19-implications-for-ipc-precaution-recommendations. Accessed April 15, 2020.
    [Google Scholar]
  23. Charles J, 2020. As the coronavirus accelerates in Haiti, top doctor says no need to test. Miami Herald. Available at: https://www.miamiherald.com/news/nation-world/world/americas/haiti/article243336146.html. Accessed June 15, 2020.
    [Google Scholar]
  24. Johnson CY, Sun LH, McGinley L, 2020. In hard-hit areas, testing restricted to health care workers, hospital patients. The Washington Post. Available at: https://www.washingtonpost.com/health/2020/03/21/coronavirus-testing-strategyshift/. Accessed June 17, 2020.
    [Google Scholar]
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  • Received : 16 Jun 2020
  • Accepted : 19 Jun 2020
  • Published online : 26 Jun 2020
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