Perkins and Will, Schmidt Hammer Lassen Architects, and Arup Group develop scalable solutions for increased testing capacity within high-density and under-served neighborhoods.
n response to the urgent need for more widespread and rapid COVID-19 testing, Perkins and Will's New York studio â along with its Denmark studio Schmidt Hammer Lassen Architects, and in partnership with multi-disciplinary design group Arup â has designed a plan to retrofit out-of-use school buses into mobile testing labs. The plan is scalable, quick, inexpensive, and easily replicated for worldwide adoption.
As the world battles one of the worst global health crises of recent memory, public health experts agree that insufficient testing and significant lag times for test results are limiting the ability to treat and track the spread of the virus. Additionally, around the world, under-served, lower-income and homeless populations are being disproportionately impacted, both economically and medically, by COVID-19 and face greater challenges in accessing testing and treatment. Mobile testing labs would help address these existing inequities, reduce the risk of contamination en route to or at a larger medical facility, and put to good public use a fleet of currently idle school buses nationwide.
"While no one is immune to the COVID-19 virus, testing and treatment is not a level playing field. It is the under-served communities, including lower-income and homeless populations, that need our urgent help at this time," says Mariana Giraldo, architect and strategic planning specialist in Perkins and Willâs New York studio. "We wanted to harness the expertise of our interdisciplinary team to help those in need during the crisis. We believe the mobile testing lab is a scalable and accessible solution to close the gap on testing in our home, New York City, and across the world."
HARNESSING A MULTITUDE OF DISCIPLINES FOR A SINGULAR SOLUTION
The concept of the COVID-19 mobile testing lab was informed by Perkins and Willâs expertise in science and technology, healthcare, urban planning, planning and strategy, and IT. The firmâs Denmark studio, Schmidt Hammer Lassen Architects, lent expertise specifically in industrial design. And the firmâs Innovation Incubator program, which awards research grants to staff seeking design solutions to real-world problems, allows the team to continue enhancing the plan, even today.
The team identified seven key parameters to guide their design process: equitability, mobility, accessibility, speed, flexibility, ease of implementation, and scalability. Retrofitting under-utilized school buses into testing centers met the team's criteria, offering a solution that could be adopted on a national and potentially even global scale.
"As we've been closely watching the evolving circumstances surrounding the COVID-19 pandemic, we've had the opportunity to look at the international response and learn from other countries," says Giraldo, who conceived of the idea with Enlai Hooi, an industrial designer with Schmidt Hammer Lassen Architects.
âWhile the concept of widespread testing is at the forefront of many countriesâ efforts to curb COVID-19, there remain substantial inequities of access to testing that we are attempting to address in this approach,â says Hooi.
AN OPEN-SOURCE DESIGN AND EQUITABLE PROCESS
Perkins and Will based the layout of the mobile testing lab concept around the newly-approved Abbott ID NOW COVID-19 test, enabling vulnerable populations and isolated groups to be tested and receive their results within minutes. Ideally, individuals would be referred to the mobile testing lab through doctors and appointments would be made through a mobile app, so that crowds could be controlled and social distancing rules adhered to. Of course, given the testing solutionâs emphasis on equitability, smartphone access or a referral from a doctor is not a pre-requisite and everyone is welcome to sign-up.
Upon arrival, individuals are greeted by technicians behind a plexiglass shield underneath a canopy. Following a brief check-in process, the technician would take a sample using a swab from the individual's nose and/or throat. Their samples would then be labeled or barcoded and brought into a lab environment on the bus via a pass-through box.
The labs would host two technicians who would run the samples collected through the ID NOW rapid testing instrument. Once results are received, they would be recorded and uploaded to the federal government's official database. Tested samples and the