Posts Tagged ‘Bazalgette’
The Royal Institute of British Architects (RIBA) has published A Guide For Assisted Living. It is a ‘how-to’ for designers, healthcare workers, architects and anyone else “who may have to take decisions on the appropriate design, specification, construction and adaptation of ‘assisted living enabled’ buildings.“
As we are all aware, we are an aging population. The Western world has coaxed life-expectancy out to new extremes and so rates of chronic disease have increased. This week’s edition of The Lancet has given over its pages (actually its website, I cannot say I have seen a copy but presumably one mirrors t’other) to the staggering burden of diabetes across the globe. The well-worth-a-read editorial cites a 2011 study that shows the worldwide burden of the disease is 347 million cases, as of 2008.
The RIBA guide recognises that the growing chronic disease burden threatens to overwhelm the ever-more scant healthcare resources:
The changing demographic means that traditional arrangements for supporting those with long term conditions will not be sustainable even in the medium term.
A watershed moment in our perception of disease came with the discovery of penicillin. All of a sudden we had the power to beat infections which would have killed the strongest.
The wonder drugs that are antibiotics beat back the deadly microorganisms. With such a weapon in our arsenal it was assumed that at last we would rid our world of pestilential microbes.
William Stewart the Surgeon General of the USA in 1967 said:
“The time has come to close the book on infectious diseases. We have basically wiped out infection in the United States.”
This could be seen as emblematic of how our attitudes to science and nature have changed. In the 1960s we assumed the automobile economy was the wave of the future; we saw nature as something to master; we thought we could wipe out all infections.
As we moved from the twentieth to the twenty-first century however we have developed a more conservationist approach. Biodiversity, sustainable development and halting climate change are the recurring themes of current popular discourse. Read the rest of this entry »