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Volume: 27S2 • July 2001

Construction-related Nosocomial Infections in Patients in Health Care Facilities
Decreasing the Risk of Aspergillus, Legionella and Other Infections

Appendix: Published Standards/Codes Related to Construction

The following list is not exhaustive. It should be noted that each province or territory may incorporate the National Building Codes in a slightly different manner since these codes represent the minimum requirements. As well, each municipality or region may incorporate the provincial or territorial building codes in a slightly different manner for the same reason.

National Resources

• *Canadian Construction Documents Committee (CCDC)
• Canadian Standards Association

1. CSA Standard CAN/CSA-Z317.1-99. Special requirements for plumbing installations in health care facilities. Toronto: Canadian Standards Association, 1999.

2. CSA Standard CAN/CSA-Z317.2-01. Special requirements for heating, ventilation, and air conditioning (HVAC) systems in health care facilities. Toronto: Canadian Standards Association, 2001.

3. CSA Standard CAN/CSA-Z317.10-01. Handling of waste materials in health care facilities and veterinary health care facilities. Toronto: Canadian Standards Association, 2001.

• *Canadian Contractors Association
• Health and Welfare Canada. Interior finishes in hospital design. 1st ed. Ottawa: Ministry of Supply and Services Canada, 1988.
• Health Canada. Laboratory biosafety guidelines. 2nd ed. Ottawa: Supply and Services Canada, Catalogue Number MR21-1/1996E, 1996.
• National Building Code of Canada (NCR-BLDG CODE) (copies can be obtained from CSA on behalf of the National Research Council)
• National Plumbing Code of Canada (NCR-PLUMB CODE) (copies can be obtained from CSA on behalf of the National Research Council)
• *National Fire Protection Association Standards
• Health Canada. Fungal contamination in public buildings: a guide to recognition and management.

Provincial Resources

Readers are advised to check their province or territory for the following:

• *Provincial Building Code
• *Provincial Fire Code
• *Provincial Hydro Electrical Safety Code
• *Provincial Bid Depository Council
• *Provincial Association of Architects
• *Provincial Engineers Association
• *Provincial General Contractors Association
• *Public Health Act
• *Ministry of Health Act
• *Public Hospitals Act
• *Homes for the Aged and Rest Homes Act
• *Charitable Institutions Act
• *Nursing Homes Act
• *Elderly Persons Centres Act
• *Tobacco Control Act
• *Environmental Protection Act
• *Occupational Health and Safety Act
• *Construction Lien Act

In addition, some provinces and territories have developed a manual that provides information on the capital planning process. Health care facilities must follow this process when they embark on construction or renovation projects to ensure that 1) resources are used efficiently and effectively; 2) the approval process is streamlined; and 3) the key participants' roles and responsibilities are identified⁽¹¹¹⁾. A list of the available manuals is provided below. At the time of writing, there were no capital planning process manuals available for the Northwest Territories, British Columbia, Quebec, Prince Edward Island, or Newfoundland and Labrador. The reader is advised to contact the provincial Ministry of Health to obtain further information on the manuals or for specific information on the process that should be followed if no manual is available.

Municipal/Regional Resources

• *Local construction association
• *Local planning and zoning by-laws

Other Resources

• APIC: Infection control tool kit series: construction and renovation.1999;1-242.
• APIC: Text of infection control and epidemiology.2000; CD-ROM.
• Guidelines/Practice Parameters Committee of the American College -of Critical Care Medicine, Society of Critical Care Medicine. Guidelines for intensive care unit design. Crit Care Med 1995;23:582-88.
• American Institute of Architects Academy of Architecture for Health. Guidelines for design and construction of hospital and health care facilities. Washington: American Institute of Architects Press, 1997.
• http://www.e-architect.com
• *American Society of Heating, Refrigerating and Air Conditioning Engineers (ASHRAE) handbooks
• Lavoie J, Lazure L. Guide for the prevention of microbial growth in ventilation systems. Montreal, Quebec: Institut de recherche en santé et en sécurité du travail du Québec.
• Lelièvre M, Ouellette JM, Thibault B et al. Hôpital général de courte durée : programme type détaillé. Quebec: ministère de la Santé et des Services sociaux, 1997.
• Van Vliet J, Drerup O, Feigin J et al. Building materials for the environmentally hypersensitive. Ottawa: Canada Mortgage and Housing Corporation, 1995.
• Healthcare facility construction management: indoor air quality
  http://www.dehs.umn.edu/iaqconf.html
• Saskatchewan Research Council's air quality section
  http://www.src.sk.ca/air.html
  

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