It is a thermomechanical installer and alerts about the quality of air in hospitals: “90% of the structures do not meet the standards”

Carlos Eduardo González Feilberg is an expert in thermomechanical installations, working for the University of Buenos Aires since 1988 together with this institution, has been alerted about a topic of concern: the deficiencies in the treatment of airborne health disorders such as private individuals who expose patients to counter-intrahospital infections.

González Feilberg has a preoccupying diagnosis regarding the infrastructure of hospitals, clinics and other establishments where large numbers of people are being treated: in dialogue with Infobae, dice que “90% of the structures are standard and do not comply with the necessary requirements”.

“Vi chirófanos en los que cuando tenían calor, abrían ventanas. Others who share the air, what is internationally forbidden. There are places with split teams. I think the theme is climatizar. And so it’s bad hay that takes air from the outside. If the air is not renewed at any time, the oxygen is consumed and the particles are incremented (there is no air dilution). This generates cancer and pain in the cervical spine and, on the other hand, increases the patient’s chances of contamination. The ambient powder and the production of spray -which permanently increases the hours as a minimum in the air- to make contact with the persons in general, is contagious. This succeeds in all the filters without filtering”, Agrega.

In this context, the male decision actuar y, accompanying the UBA, promotes the Norma Nacional IRAM 80400 of the Argento Institute of Standardization and Certification, the quality regulates air conditioning systems for the establishment of health of all countries. In times of flux against COVID-19, it is a vital import issue, and the virus can spread through the air.

But it is also fundamental to avoid complications with other viruses, bacteria and fungi that can be present in sanitary centers and which are transmitted by air circulation, by inhalation product spray, by air inhalation and expulsion of a person to otra, and by the ingress of external agents of particles and gas contaminants, between otros.

“To maintain health and complete health care institutions in accordance with this standard, health care staffing and patient-to-patient contamination are reduced.”, afirma el especialista.

The Norma IRAM 80400 was presented by the UBA in March. González Feilberg claims that she has been working on the project since last year. Afirma includes that “the forest and the eczema and the tenies have two years”, but the problem was the opportunity for impulse. “I did not find the moment to present the project, because I once presented one and then this one. Nee lo sentía. There are things that are perceptible, they are not all technical, and one has to manage to agree on how to accept the consequences ”, comment.

This moment is indicated by the coronavirus appearance: “When mid-February of this year, the pandemic began to escalate, ‘presenting the norm’. The editors and fuse with a sober on the mano to the secretariat. Y en diez días me dieron el ok para empezar con el Comité ”.

In addition to the approval of the IRAM, technicians, companies, infectious disease physicians, specialists in hospital architecture, companies’ rooms and staff of goblins will work together in conjunction with the normative form. Institutions without fines that help to concretize this standard and support the UBA project, if any Capitulo Argentino de ASHRAE, la Association de Arquitectura e Ingeniería Hospitalaria (AADAIH) y la Cámara Argentina de Calefacción, Aire Acondicionado y ventilación (CACAAV).

As has been said, the initiative ends in reduce the number of hospitalized nurses and contagious proposals for each place, based on the premise that “medical evidence has demonstrated that air conditioning and mechanical ventilation are adequate to prevent many ailments”. I’m looking for Establish minimum requirements and burn linear conditions for treated air conditions, controlling temperature, humidity, filtration, renovation, recirculation and energy and acoustic efficiency., between other parameters.

This implies changes to hospitals, clinics and health facilities. The quality of the air does not depend solely on the equipment to install, its maintenance and conservation, but also if you need to add existing installations and also need to adjust the design of premises, premises and distribution, referring to the hospital architecture. According to the projections that are being carried out, the redevelopment of the furniture will take place on a daily basis “in a time between 5 and 7 years”.

Hasta now, in the sanitary centers of our country are international standards such as ASHRAE (EE.UU.), standards UNE (Spain), ISO (Europe) DIN (Germany) or the recommendations of the World Health Organization, “that many “It is not adapted to the Argentine need for implementation, or the equipment that is installed without its design for these fines”, explained the UBA. “In Argentina there are no regulations that link the effects of air and microbial propagation”, reitera González Feilberg.

The thermomechanical installer also submits that the standard increases, in addition to the reduction of in-hospital procedures, an economic increase for the institutions: “To control the airway, in the surgical area we tend to have less intensive treatments because the contagions are reduced, claiming that an intensive therapy day costs a considerable amount in dollars. With this time a solo will be replaced with all the filters of the components of an air treatment unit, which will need to be replaced in a space of 6 months ”.

On the 9th of December, the IRAM published the first part of the project, which consists of tables detailing the amount of moving air that each place (intensive therapy, coronary unit, guard, etc.) Needed, the pressures que debe tener, la humedad relativa. For these days, the equipment and conditions are defined, whichever is stated before the month comes. It will be the turn to discuss automation, electrical installations and maintenance. “Once the standard certification has been issued, a group of people will be involved in determining and classifying the installations,” the UBA assessor explained.

“The mile-long truck is built with the first step. If you do not say what you think is wrong, do not look for more. And there is something to be done because it has killed many people ”, supported by González Feilberg. It is important to have a part of the sentimiento of the dolor in the interior: his mother was very contaminated in the intensive care unit of a Florencio Varela medical center.

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