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AIRBORNE INFECTIOUS DISEASE MANAGEMENT References Appendix 37 20 Surge capacity • PREPARED BY THE MINNESOTA DEPARTMENT OF HEALTH Portable anteroom TNPI Temporary Negative Pressure Isolation Environmental controls Principles of airborne infectious disease management Introduction 13 5 3 2 1 18 Engineered System Engineered System Ducted to the Outside If the suite or wing is exclusively served by a single air handling unit, the facility engineer may be able to provide 100% exhaust from the area. (FIGURE 21) In this method, the infectious disease zone (IDZ) is depressurized using an exhaust diversion system taking air from the IDZ and exhausting it to the outside 25 feet away from public access and air intakes. Damper Manipulation and Changes to the Ventilation System This method will require damper manipulation and changes to the ventilation system that must be preformed by the facility’s management. The exact steps required will vary from hospital to hospital. For example, some hospitals will need to change the settings on their Building Automation System (BAS). Others may be designed with pre-existing controls in the area that allow for this scenario. PPE should be worn inside the IDZ. The doors to the IDZ must be kept closed except when entering or exiting. FIGURE 21 Engineered System