Building Design and Engineering Approaches to Airborne Infection Control
August 3–14, 2009
Boston, Massachusetts
Apply for 2009
Scholarships Available!
100% of past Alumni rated the program as exceeding their expectations!
Lectures and laboratory workshops are designed to equip engineers and architects from around the world with the technical skills and methods used to control infections that are predominantly or partially airborne.
Program Highlights
- Hands on laboratory and problem solving workshops assure that concepts are thoroughly mastered and can be applied in practice
- Case-based group problem-solving sessions prepare participants working in resource-poor regions to improvise creatively
- Learn from an experienced faculty of leading academics and professionals
- Ready-made materials are provided to assist participants in the preparation of their own instruction courses
Educational Support Provided in Part By
Gates Foundation
Centers for Disease Control and Prevention
National Institutes of Health
Harvard Education and Research Center
The National Institute for Occupational Safety and Health
World Health Organization
Who Should Attend
- Professional engineers
- Architects
- Health and safety specialists
- International health workers
- Government agency employees
- Relief and response teams
- Academics
Program Overview
This two week, multi disciplinary continuing education course is globally unique in that it brings together a body of technical expertise common to the control of human airborne infections. These include tuberculosis (including drug resistant strains), H1N1 virus, pandemic influenza, SARS, and selected bioterrorism agents.
Control strategies will range from mechanical ventilation, filtration, and the design and use of space, to the proper application of germicidal UV air disinfection and natural ventilation. The course will include didactic lectures, laboratory sessions, and interactive workshops focusing on problem solving in both resource-rich and resource-limited settings.
The strategies covered will be applicable to preventing transmission in workplaces, including clinics, hospitals, laboratories, and congregate living settings. Experienced faculty will be drawn from Harvard, Centers for Disease Control and Prevention, National Institutes of Health, and other domestic and international sources.
Upon Completion Of This Program,
Participants Will Be Able To Plan and Assess
- Engineering interventions and outbreak preparedness, in the context of a comprehensive infection control plan for tuberculosis, H1N1 virus, pandemic influenza, SARS, and select airborne bioterrorism agents
- Optimal utilization of available indoor space, including laboratory design to reduce airborne transmission, protecting workers, and specimens
- Natural and mechanical ventilation, engineering interventions-filtration, UV, and the proper function of biological safety cabinets
- How to recommend and fit test personal respiratory protection
- Bioaerosol behavior in indoor spaces, effects of humidity, sunlight, and other factors
- Directional airflow: design and measurement of relative room pressures for isolation
- Air filtration in-duct and free-standing room air disinfection units: use, selection, limitations, and maintenance
- Ultraviolet (UV) air disinfection: theory, system design, fixtures, UV measurement, safety, limitations, and maintenance. Upper room versus UV in ducts or room air-moving devices
- Hospital design and space utilization for optimal control of airborne infections
- Local ventilation: booths and rooms for sputum collection, bronchoscopy, and other high-risk procedures
Course Co-Coordinators:
Edward A. Nardell, MD
Associate Professor, Harvard Medical School
Associate Professor, Harvard School of Public Health
Division of Social Medicine and Health Inequalities
Partners in Health, Brigham and Women’s Hospital
Paul A. Jensen, PhD, PE, CIH
Captain, U.S. Public Health Service
Engineer Director
Division of Tuberculosis Elimination (DTBE)
National Center for HIV, STD, and TB Prevention (NCHSTP)
Centers for Disease Control and Prevention (CDC)
Stephen N. Rudnick, MS, ScD, CIH
Lecturer on Industrial Hygiene Engineering
Department of Environmental Health
Harvard School of Public Health
Faculty:
Janet S. Baum, BS, Master of Architecture, AIA
Laboratory Architect
Health, Education, & Research Associates, Inc.
Daniel O. Beaudoin, BS, CEM, LEED AP
Manager of Operations, Energy and Utilities
Operations, Energy and Utilities
Harvard School of Public Health
Joseph Brain
Cecil K. and Philip Drinker Professor of Environmental Physiology
Department of Environmental Health
Harvard School of Public Health
Al DeMaria, Jr., MD
Medical Director
Bureau of Infectious Disease
Prevention, Response and Services
State Epidemiologist
William A. Hinton State Laboratory Institute
Louis J. DiBerardinis, MS, CIH, CSP
Instructor on Industrial Hygiene
Department of Environmental Health
Harvard School of Public Health
Director, Environment, Health and Safety
Massachusetts Institute of Technology
Thomas S. Dumyahn, SM
Consultant
Iridium7 Group
Babak Farahpour, PE
National Institutes of Health
Peter James, MHS
Melvin W. First Fellow
NIEHS Fellow in Environmental Epidemiology
Department of Environmental Health
Department of Epidemiology
Harvard School of Public Health
Jean P. Khoshbin, RA
Program Officer
Office of Biodefense Research Affairs
National Institutes of Health
Hal Levin
Research Architect
Jack McCarthy, ScD, CIH
President
Environmental Health and Engineering, Inc.
Donald K. Milton, MD, DrPH
Adjunct Senior Lecturer
Exposure, Epidemiology, and Risk Program
Department of Environmental Health
Harvard School of Public Health
Hans Mulder
Architect in Training
Stauch and Partners Architects
Department of Health Facilitie
Michael Murphy
Architect Student
Department of Architecture
Harvard Graduate School of Design
Rose Pray
World Health Organization
John M. Price, MS, CIH, CSP, PE
Director
Office of Environmental Health and Safety
Northeastern University
Tariq Qaiser
Architect
Indus Hopsital
TAQ Associates
Richard L. Vincent, FIESNA, LEED® AP
St. Vincent's Hospital – Manhattan
Department of Community Medicine
Grigory Volchenkov, MD
Head Doctor
Vladimir Oblast TB Dispensar
Gary L Zackowitz, RA
Architect
Office of Biodefense Research Affairs
National Institutes of Health
Agenda
| Monday, August 3, 2009 | |
| 7:30 am | Check-In and Continental Breakfast |
| 8:00 | Introduction to Course and Overview of Airborne Infections — Nardell |
| 9:15 | Introduction to Bioaerosols and Their Dynamic Properties — Brain |
| 10:15 | Refreshment Break |
| 10:30 | Basics of Airborne Infection Control [New in 2009] — TBA |
| 11:00 | Influenza, Other Viral/Bacterial Illnesses, and Bioterrorism Agents
— Milton |
| 12:00 pm | Lunch |
| 1:00 | Introduction to the Design Process: Design Cycle and Design Briefs [New in 2009] — Mulder |
| 2:15 | Basic Concepts of Ventilation Design — Price |
| 3:15 | Refreshment Break |
| 3:30 | Basic Concepts of Ventilation Design (Continued) — Price |
| 4:30 | Airflow Measuring Instruments and Their Applications — Price |
| 5:30 | Sessions End |
| 5:30 | Welcome Reception for Participants and Faculty |
| Tuesday, August 4, 2009 | |
| 7:30 am | Continental Breakfast |
| 8:00 | Lab Hoods, Biosafety Cabinets, Room Pressure Differentials, and Airflow Patterns — DiBerardinis |
| 9:15 | Refreshment Break |
| 9:30 | Lab: Measure Room Pressure Differential, Airflow Direction, and Volumetric Airflow Rate — Price, Rudnick |
| 11:00 | Workshop: Implementation of Ventilation in Healthcare Settings, Case Studies [New in 2009] — Nardell, Jensen |
| 12:00 pm | Lunch |
| 12:45 | Ultraviolet Germicidal Irradiation(UVGI): History and Theory of Efficacy — Nardell |
| 1:30 | In-Duct UVGI, Whole-Room Air Disinfection Units and Upper-Room Air Disinfection Units — Jensen, Volchenkov |
| 2:30 | Upper-Room UVGI: Equipment Types and Their Emission Characteristics; Examples of Application — Vincent |
| 3:30 | Break |
| 3:45 | Workshop: Introduction and Demonstration: Computer Aided Design (CAD) Program for the Design of Complex Upper-Room UVGI Systems — Vincent |
| 5:15 | Sessions End |
| Wednesday, August 5, 2009 | |
| 7:30 am | Continental Breakfast |
| 8:00 | UVGI Equipment Maintenance — Dumyahn |
| 8:45 | Radiometers and UVGI Measurements — Rudnick |
| 9:30 | Refreshment Break |
| 9:45 | UVGI Measurement Laboratory — Rudnick, Dumyahn |
| 11:15 | Filtration Theory — Rudnick |
| 12:30 pm | Lunch |
| 1:30 | Free-standing Air-recirculating Room Units That Use Filters, UVGI, ESP, etc. Applications and Effectiveness — Rudnick |
| 3:00 | Break |
| 3:15 | Exhaust Ventilation: Simple to Complex and “Where goes that air?” [New in 2009] — Jensen |
| 4:45 | Current International Airborne IC Guidelines — Pray, Jensen |
| 5:30 |
Sessions End |
| Thursday, August 6, 2009 | |
| 7:30 am | Continental Breakfast |
| 8:00 | Commissioning the Facility: Validating Adherence to Design Specifications and Function — McCarthy |
| 9:15 | Refreshment Break |
| 9:30 | Examples of Application and Execution of Airborne Infection Control Measures [New in 2009] — Nardell, Jensen |
| 11:15 | Preparation for Pandemic Influenza [New in 2009] — DeMaria |
| 12:30 pm | Lunch |
| 1:30 | Discussion on Influenza [New in 2009] — Nardell, Jensen |
| 2:30 | Break |
| 2:45 | Lab: Measuring ACH with CO2 — James |
| 5:30 | Sessions End |
| Friday, August 7, 2009 | |
| 7:30 am | Continental Breakfast |
| 8:00 | Tuberculosis: A Model Airborne Infection and Current TB Infection Control Guidelines — Nardell |
| 9:15 | Natural Ventilation: Theory — Levin |
| 10:15 | Refreshment Break |
| 10:30 | Natural Ventilation: Simple, Moderate, Complex, and Mixed Mode — Jensen, Mulder, Levin |
| 12:30 pm | Lunch |
| 1:15 | Introduction to Ventilation Lab — Price, Rudnick |
| 1:30 | Ventilation Laboratory at Northeastern University — Price, Rudnick |
| 5:30 | Sessions End |
| Weekend off to enjoy Boston and environs | |
| Monday, August 10, 2009 | |
| 7:30 am | Continental Breakfast |
| 8:00 | Seminar: Applications of Natural Ventilation at Health-Care Facilities [New in 2009] — Jensen, Mulder, Murphy, Qaiser |
| 9:30 | Refreshment Break |
| 9:45 | Seminar: Special Aspects of Hot, Moderate, and Cold Climates on Ventilation Systems; Facilities and Designs — Jensen, Volchenkov |
| 12:00 pm | Lunch |
| 1:00 | Class Exercise: Selected Case Studies from Participants [New in 2009] — Jensen, Nardell, Murphy, Qaiser |
| 2:30 | Face Masks and Respirators: Protection Factors, Selection, Fit Testing, Comfort, Speech Recognition — Jensen |
| 3:30 | Refreshment Break |
| 3:45 | Face Masks Respirator (Continued): Respirator Demonstrations and Fit-Testing Exercise — Volchenkov |
| 5:00 | Sessions End |
| Tuesday, August 11, 2009 | |
| 7:30 am | Continental Breakfast |
| 8:00 | Design and Maintenance of Hospitals and Other Health Care Facilities to Minimize Airborne Disease Transmission — Jensen, Volchenkov |
| 10:00 | Refreshment Break |
| 10:15 | Hospital Design (Continued): Facilities for Sputum Collection and Similar Critical Services — Volchenkov |
| 12:00 pm | Lunch |
| 1:00 | Hospital Design (Continued): International Norms, Codes, and Standards — Mulder |
| 2:00 | Workshop: Design a Health Care Facility Under Conditions of Limited Recourses — Jensen, Mulder, Murphy, Qaiser |
| 3:00 | Break |
| 3:15 | Workshop: Design a Health Care Facility Under Conditions of Limited Recourses (Continued) — Jensen, Mulder, Murphy, Qaiser |
| 4:15 | Hospital Visits: Inspect Facilities, Including Isolation Rooms and UVGI Installations — Nardell, Faculty |
| 5:30 | Sessions End |
| Wednesday, August 12, 2009 | |
| 7:30 am | Continental Breakfast |
| 8:00 | Basics of Laboratory Biosafety [New in 2009] — Jensen |
| 8:30 | Laboratory Design: Health and Safety Considerations — Baum |
| 10:00 | Refreshment Break |
| 10:15 | Laboratory Design (Continued) — Baum |
| 12:00 pm | Lunch |
| National Institutes of Health Sessions: Design and Construction of High Containment | |
| 1:00 | Laboratories: Risk Assessment, Design, Construction, Materials, and Commissioning — Meeting International Funding Requirements — Khoshbin, Farahpour, Zackowitz |
| 3:00 | Refreshment Break |
| 3:15 | Workshop: Design a Minimum Biosafety Lab for a Resource Limited Country [New in 2009] — Baum, Khoshbin, Farahpour, Zackowitz |
| 5:15 | Harvard School of Public Health Laboratory Visits — Beaudoin |
| 6:30 | Sessions End |
| Thursday, August 13, 2009 | |
| 7:30 am | Continental Breakfast |
| 8:00 | How to Be an Effective (and Professional) Consultant [New in 2009] — Jensen |
| 8:45 | Applying for Grants: From Whom and How [New in 2009] — TBA |
| 9:45 | Refreshment Break |
| 10:00 | Seminar: Solving Problems Associated with Health Care Facilities and Airborne Transmission Problems in Prisons, Jails, Shelters, Refugee Camps, and Other Challenging Settings — Jensen, Faculty |
| 12:00 pm | Lunch |
| 1:00 | Interactive Seminar: Semi-structured discussion between faculty and attendees. Current issues associated with airborne disease transmission and the ability of architects and engineers to help meet the challenges of effective interventions. Session ends when all questions are vented and topics exhausted. |
| Friday, August 14, 2009 | |
| 7:30 am | Continental Breakfast |
| 8:00 | All day field trip to the Baker Company (Biological Safety Cabinets) – Stanford, Maine. Topics include: Theory, Selection, and Maintenance and Certification of Biological Safety Cabinets (sponsored by the Eagleston Institute) |
| 5:00 pm | Farewell Banquet (how to deconstruct a Maine lobster) and Award of Certificates (the bus will return to Boston at approximately 9:00pm) |
| Agenda subject to change | |
| Special thanks is due to The Baker Company and the Eagleston Institute for their generous support of this program. | |
Continuing Education Credit
The Harvard School of Public Health is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The Harvard School of Public Health designates this educational activity for a maximum of 72 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.
- 7.2 CEUs, Harvard School of Public Health
- 32 CECs, American Academy of Health Physics
- 10.0 Industrial Hygiene CM Points, American Board of Industrial Hygiene
- American Academy of Health Physics (AAHP) credits (amount pending)
- The Center for Continuing Professional Education is a registered provider of the American Institute of Architects. This program has been designated for AIA/HSW learning units (amount pending).
The Harvard School of Public Health has an Education and Research Center (ERC) that is funded by the National Institute for Occupational Safety and Health (NIOSH).
Program Check-In
On the first day, please check in at:
Harvard School of Public Health
FXB Building
651 Huntington Avenue
Boston, Massachusetts 02115
617-384-8692
The program takes place at the Harvard School of Public Health, located in the heart of the Harvard Longwood Campus in Boston. Public transportation is also readily available to the city's many shopping districts, museums and restaurants. For directions, please click here.
Accommodations
Dorm space is available at Emmanual College
$730/14 nights ($50/night plus $30 for 2 linen changes)
Click here for more details and information.
Click here for a map from the dorms to the Harvard School of Public Health.
What Participants Say
“Solutions were backed up by research and practical lab tests. I will share my knowledge with the architects and engineers in my staff and will try to influence the staff of the hospital we are currently building. The exchange of opinions by various participants opened a new dimension for me.”
— Pablo Antonio
Architect
PRADCI
Makati City, Philippines
“An extremely important course in a high demand area. Excellent lectures and presentations opened fruitful discussions of infection control in limited resource settings.”
— Grigory Volchenkov
Head Doctor
Vladimir Oblast TB Dispensary
Vladimir, Russia
“The course was unique and an excellent opportunity to learn and share in experiences from around the world.”
— Ibrahim Khan
Public Health Physician
Health Canada
Regina, Saskatchewan
Canada
“A excellent program that brings the international community together allowing an exchange of ideas and experiences from different parts of the world. The group included architects, engineers, health planners, nurses and physicians. The cross perception of problems helped in understanding each other.”
— Dr. Zafar Zaidi
Director of Medical Services
The Indus Hospital
Karachi, Pakistan
“Please do not miss this opportunity. It will be the best decision of your professional life.”
— William Duke
Physician Epidemiologist
USAID
Santo Domingo, Dominican Republic
“This is a wonderful opportunity to learn the latest methods for controlling airborne infections and to share experiences from around the world. I highly recommend this program!”
— Robert Makombe
TB/HIV Advisor
BOTUSA/CDC
Gaborone, Botswana
“The diverse range of faculty and participants provided a forum where theory informed practice and practice informed theory. This program has provided me with knowledge and information I need to inform the practice of airborne infection control and help to affect changes in practice and policy in Ghana.”
— Nii Nortey Hanson-Nortey
TB/HIV Focal person
Ghana and Deputy Program Manager
National TB Control Programme
Accra, Ghana
Program Fee (Dates and fees subject to change)
$4,500 if payment received by July 27, 2009
$4,600 if payment received after July 27, 2009
Program fee includes:
- Comprehensive take-home reference manual
- Continental breakfasts, lunches, and refreshment breaks
- CME and CEU credits
- Harvard School of Public Health certificate of attendance
- Field trip to Maine with group photo and farewell reception
Scholarships
A limited number of partial and full scholarships may be available for this program. If you wish to request a scholarship, please apply online by clicking below or send a letter (click here for mailing address) with all of the following information:
(You can also fill out this information in the online form):
1. Job title, organization, and duties
2. How you expect the information provided in this program will benefit your organization
3. Amount of the program fee your employer can support
There is a non-refundable $50 co-pay for all recipients of full scholarships. Please note we do not supply funding for travel and/or accommodations. Please make sure you are able to fund your own travel and accommodations prior to applying for scholarship funding.
Please note: This program has both limited scholarships and limited space. Requesting a scholarship will put you on a wait list. Should the program fill before your scholarship is reviewed, your application will be moved to the 2010 program.
Please be aware: that while we expect the program to go forward, we are still waiting on some additional necessary funding. Therefore, please do not purchase any non-refundable airline tickets or make other non-refundable travel accommodations, until you receive further information from us.
Payment Policy
Payment must be made in U.S. funds and received in order to process your registration. Payment by credit card is strongly preferred (Visa, MasterCard, AmEx). If paying by check, please make check payable to Harvard School of Public Health-CCPE. Space is limited. Note: Please do not make non-refundable flight arrangements until you have received confirmation from us.
Given the high demand and limited capacity of the program, any admission is contingent upon participation for the full 2-week time period. Consequently, you should plan to free yourself from all professional and family responsibilities in order to ensure your full participation during the entire period of the program.
Cancellation Policy
All requests for cancellations must be made in writing. Cancellations on or before June 12, 2009 will be issued a refund less $150 administrative fee per person. Cancellations received between June 13, 2009 and July 10, 2009 will be issued a refund of 50%. After July 10, 2009, no refund will be issued. There will be no exceptions to this policy.
Ways to Apply
- To apply online simply check off the item below and click 'Apply Now'
Please be aware: that while we expect the program to go forward, we are still waiting on some additional necessary funding. Therefore, please do not purchase any non-refundable airline tickets or make other non-refundable travel accommodations, until you receive further information from us.

