Medical Communities

From: J Birch Sent: Monday, May 4, 2020 11:06:56 PM To: justin.trudeau@parl.gc.ca <justin.trudeau@parl.gc.ca>; Chrystia.Freeland@parl.gc.ca <Chrystia.Freeland@parl.gc.ca>; dujarric@un.org <dujarric@un.org>; news@skynews.com <news@skynews.com>; GlobalOttawa@globalnews.ca <GlobalOttawa@globalnews.ca>; tips@GlobalTVBC.com <tips@GlobalTVBC.com>; contact.nbcnews@nbcuni.com <contact.nbcnews@nbcuni.com>; media@gatesfoundation.org <media@gatesfoundation.org>; Secretary@HHS.gov <Secretary@HHS.gov>; Sky.Today <Sky.Today@sky.uk>; nytnews@nytimes.com <nytnews@nytimes.com>; dan@jpost.com <dan@jpost.com>; david.penberthy@news.com.au <david.penberthy@news.com.au>; jedmiston@nationalpost.com <jedmiston@nationalpost.com>; governor@governor.ca.gov <governor@governor.ca.gov>; media@sputniknews.com <media@sputniknews.com>; dir_enq@cso.gov.hk <dir_enq@cso.gov.hk>; letters@jpost.com <letters@jpost.com>; Info@hc-sc.gc.ca <Info@hc-sc.gc.ca> Subject: Medical Communities (Opinion)

Hey Everyone, I was thinking about our medical personnel, hospitals and supply networks and how to create a more efficient system to help our first responders and workforce. Hospitals are in short supply of protective equipment at this time and its been difficult in places to secure supply lines locally. It got me thinking of ways that we can help improve our medical response system in cities and surrounding areas. I propose that we create a centralized medical response around hospitals for housing medical staff in between shifts or their families. Perhaps warehouses can be setup around hospitals to create medical gear directly on site for that area to essentially coordinate local supply and manufacturing for hospitals. Perhaps companies can get onsite production as well in specific harder hit locations to act as a centralized hubs of medical infrastructure. This will allow you to also limit city wide exposure by centralizing some operations and to provide a steady stream to hospitals that need it the most. These can run via shifts to coordinate healthcare 24/7 and also allow a city more options to respond to a crisis. In future you can build medical communities around hospitals to centralize medical supply and manufacturing with Immediate care. This has an added benefit of centralizing your active part of the city with your active members of your city including fire and police and specific quarantine measures. The surrounding neighborhoods can be used for doctors and nurses with the more immediate located housing accommodating overflow in the hospital when needed with quarantine measures on the grounds itself. Similar to a university campus but one tailored to medical infrastructure. This way if a doctor or nurse needs time between shifts they can use one of the sterilized rooms to rest and use the room until disinfected to prevent contamination. The commercial spaces can have local emergency manufacturing that supplies the local hospital on site with resources. Personnel would be house in residences in the surrounding blocks so that in case of contamination the active members are able to live and work on site or in the surrounding neighborhood. This will allow for a centralized network of hospitals and supply chains that will allow the city to centralize activity and proximity in case of crisis. This also allows you dedicated roads and supply lines to and from hospitals zones. This should help to reduce contamination by medical personnel in outbreak occurrences and provide them with more access to what they need personally and professionally to make their jobs easier. This way hospitals become integrated communities that provide care to the residents, health care providers and first responders. Eventually when building hospitals you would want to design them as fully sufficient medical industries to allow for better preparedness and care for everyone. We should also build these new hospitals with pandemic infrastructure to better prepare, supply and quarantine potential infections. In addition it will allow for families and first responders more time together. They know disinfection protocols and can integrate local decontamination measures for after their shifts as they do in labs to protect them and their families. You can also have some reserve homes for visits between family members for patients that need to stay near the hospital but want to visit with their family members during times of ill health. The homes can be disinfected with appropriate measures and be more medical hotel rooms with attendants and nurses living with critically ill patients. This will also allow you to quarantine families if needed to reduce infection and allow for overflow in times of crisis. We also need to ensure that our local hospitals have their own network in emergencies to act immediately in times of need and to also supplement stockpiles locally and nationally. This also ensures that travel is not a concern for our hard working medical professionals and first responders, especially in a crisis. Stay Safe, Stay Sanitized and Stay Supportive, John Ames Birch @ johneames2