南方建筑 ›› 2020, Vol. 0 ›› Issue (4): 6-13.DOI: 10.3969/j.issn.1000-0232.2020.04.006

• 疫情背景下的人居环境规划与设计 • 上一篇    下一篇

面对突发疫情的城市防控空间单元体系构建 ——突发公共卫生事件下对健康城市的思考

马向明1,陈 洋2,陈 艳3,李苑溪4   

  • 出版日期:2020-08-24 发布日期:2020-08-24
  • 作者简介:1教授级高级工程师,电子邮箱:gdxmma@qq.com;2高级规划师;3规划师;4助理规划师;1&2&3&4广东省城乡规划设计研究院

Construction of a City Prevention Spatial Unit System for Epidemic Emergencies: A Reflection on a Healthy City Environment During Public Health Emergencies

MA Xiang-ming, CHEN Yang, CHEN Yan, LI Yuan-xi   

  • Online:2020-08-24 Published:2020-08-24

摘要: 从传染性疾病发生依赖的传染源、传播途径、易感人群三个环节来看,早期的城市公共卫生运动致力于通过改 善城市物理环境来消除传染源,近年的健康城市运动侧重于通过促进居民体力活动来提高易感人群的体质,而对于传 染病发生的中间环节——传播途径的切断,城市的应对却缺乏有效的训练。梳理了中国此次战“疫”的过程,总结城 市防疫管控中“隔离- 治疗- 恢复”的应对措施,以及“市- 区- 社区”各级行政和空间单元发挥的作用,从中探 讨其对丰富健康城市建设实践的启示,认为完善健康城市建设需要树立三个思维:一是针对突发疫情采取快速隔离与 治疗的有效性思维;二是在疫情影响长期化背景下关注生命支持与生活质量的人本性思维;三是加强健康城市指标体 系的空间属性思维。在此基础上,提出构建健康城市防疫空间单元体系的设想:在城市层面,建立“市- 区- 社区” 多级联动的防疫体系,以加强面对应急隔离的防疫制动能力,建立资源的联动分配和共享机制;在社区层面,在满足 基本隔离防疫管理的空间尺度上,从人本性出发建立一套能满足人基本生命需求的支持系统,以保障人在防疫期间依 然能够获得身心的健康。

关键词: 健康城市, 防疫空间单元, 应急隔离, 生命支持系统, 社区

Abstract: There are three key elements in the emergence of infectious diseases, namely, sources of infection, transmission routes, and susceptible populations. Early urban public health campaigns were committed to eliminating the source of infection by improving the urban physical environment. In recent years, the healthy city movement has focused on promoting the physical activity of residents to strengthen the health and wellbeing of susceptible people. Nevertheless, there is often a lack of effective training in cutting off the route of infectious diseases. In the present study, the current 'epidemic war' in China was analysed, and the 'isolation-treatmentrecovery' response measures in Chinese cities for epidemic prevention and control were summarised. In addition, the role of administrative and spatial units at the 'city-district-community' levels, as well as lessons learned to improve the healthy city movement, were discussed. It concludes that a better healthy city requires three perspectives of thinking: The first is how to effectively control the epidemic in a sudden outbreak. The second is adopting humanistic thinking in focusing on life support and the quality of life of residents in the context of the longterm impacts of the outbreak. The third is to strengthen spatial attribute thinking as part of the healthy city indicator system. Therefore, the idea of creating a healthy city epidemic prevention spatial unit system was proposed. At the city level, a 'city-district-community' multi-level linkage is needed to strengthen epidemic prevention capacity and establish a resources distribution mechanism. At the community level, on a spatial scale that satisfies basic isolation and epidemic prevention management requirements, it is necessary to establish a support system that serves basic human life to assure the health and wellbeing of residents during epidemic control.

Key words: healthy city, epidemic prevention spatial unit, emergency isolation, life support system; community