Transcript 1PubEng

Source: http://www.who.org/aboutwho/en/definition.html
10-04-03
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To reach Complete Health
an individual / group must be able to:
1. Identify aspirations & capabilities
2. Realise aspirations
3. Satisfy needs
4. Change or Cope with their environment
Source: The World Health Organisation;
http://www.who.int/hpr/confrence2/documents/ottawa.html
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Health & Comfort
Aim:
Explaining and applying the
principles of built environments
that bring a high level of vitality
and optimal comfort up to a high
age
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Building (Services) Engineering
for
•
•
•
•
Enhancement & Satisfaction of Persons
Prevention & Engagement of Hazards
Compensation & Assistance
Care Support & Care Organisation
Source: Gerontechnology 2(2):169-172; 2002
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Building (Services) Engineering
for
• Enhancement & Satisfaction of persons
– Comfort
• Prevention & Engagement of Hazards
– Safety & Security
• Compensation & Assistance
– Assistive Technology
• Care Support & Care Organisation
– Health Care Technology
Source: Gerontechnology 2(2):169-172; 2002
01-09-2004
7y710-1PubEng: J.E.M.H. van
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Building (Services) Engineering
for
• Enhancement & Satisfaction of persons
– Comfort (Thermal, Lighting, Acoustic, Olfactory, Communication)
• Prevention & Engagement of Hazards
– Safety & Security (Burglary, Fire Hazards, other Accident Risks,
Cancer, Allergy, Hyperreactivity, Infection)
• Compensation & Assistance of persons
– Assistive Technology (Mobility, Communication, Daily Work
and Domestic Activities, Stimulation of Independence)
• Care Support & Care Organisation
– Health Care Technology (Surveillance, Telemedicine, Telecare,
Empowering of Frail Persons, Managing Care)
Source: Gerontechnology 2(2):169-172; 2002
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Comfort & Health
• Comfortable in one category may bring
discomfort in another
• Comfort may be unhealthy
• Discomfort may lead to disease
• Health is more than comfort
Improving Quality of Live  Increasing Comfort
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Segovia Aqueduct
Source: ENCYCLOPÆDIA BRITANNICA;
http://www.britannica.com/bcom/eb/article/single_image/0,5716,20704+bin%5Fid,00.html
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Anthrax Bioterrorism
Fate of the Victim:
1. First symptoms after 12 Hours to 5 Days
2. Treatment only effective the first day
3. Skin infection: red-brown papule with pus and later a black
crust; flu-like symptoms; few but some deaths
4. Food-borne infection: with 100% intact mucous
membranes: no infection; damaged mucous membranes:
alimentary canal and lymph nodes die off slowly, 100%
mortality without timely treatment
5. Lung infection: lymph system dies off, later also heart and
lungs, 100% mortality without timely treatment
Anthrax spores may stay viable for decades!
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Environmental Health
comprises those aspects
of human health and disease
that are determined
by factors in the environment.
It also refers to (…..) assessing
and controlling factors in the
environment that can
potentially affect health
Source: The World Health Organisation
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Public Health
is the art of applying science
in the context of politics
so as to reduce inequalities in health
while ensuring the best health
for the greatest numbers
Source: The World Health Report 1998. Life in the 21st century. A vision for all;
http://www.who.int/whr/1998/whr-en.htm
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Ergonomics or Human
Factors
is a domain of science dealing with
the application of information
on physical and psychological
characteristics of persons
to the design
of devices & systems for human use
Source: ENCYCLOPÆDIA BRITANNICA; http://www.britannica.com/
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Building Physics
is a domain of science
dealing with the relationships
between building construction
and physical phenomena,
such as fire safety, comfort, and
energy conservation
Source: PJM van der Meijs 1979. Bouwfysica. Spruyt, van Mantgem & de Does,
Leiden. ISBN 90 238 0979 3
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Sick Building Syndrome
a collection of certain specific
complaints and symptoms
experienced by workers during
or after a stay in certain
building spaces
Source: E Eyskens, L Feenstra, AE Meinders (eds) 1991. Codex Medicus. Elsevier,
Amsterdam. ISBN 90-6228-183-4
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A Sick Building
forms an environment that does not
answer to the human need for:
- Absence of Pathogens
- Absence of other biotic, chemical or physical Pollutants
- Thermal, Lighting, Acoustic and Aesthetic Comfort
- Sufficient Space, Privacy, Peace and Quiet
- Contact with outdoors (view, sound, smell, air quality)
- Open (virtual) communication channels with the outside
world
Sources: - PA Vroon 1991. Ziekmakende Gebouwen en de evolutie van de mens. Bouwfysica
2(2):18-25
- E Eyskens, L Feenstra, AE Meinders (eds) 1991. Codex Medicus. Elsevier, Amsterdam.
ISBN 90-6228-183-4
- 6th Framework R&D Program of the European Union, 2002
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Sick Buildings & Bad Dwellings
User Control:
1. Actual Use
2. Maintenance
3. Finishing and Furnishing
4. Renovation / Expansion
5. Move out / Change job
Owner > Tenant > Employee
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A Healthy Building
forms an environment that
- Has a Low Risk for negative health effects
- Makes Healthy Behaviour self-evident
- Compensates for disease or infirmity present
- Stimulates users to realise their aspirations
- Leaves Users Master of the situation
- Stimulates virtual and physical Communication
- Supports Health Care
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3 Barriers against Disease
1. Building, Building Services, Urban
Planning
2. Furnishing and Maintenance
3. Hereditary Factors, Physical and Mental
Fitness, Vaccinations, Healthy Nutrition
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Ambient Intelligence
1. Learning Environments, reacting on persons
and environmental changes
2. A revolution in Building Services
3. Combining Comfort, Safety and Security, with
Assistance and Health Care
Towards Health Supportive Built
Environments
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