在2010年海地地震后的几个月里，霍乱–一种以前在海地不存在的可治愈、可预防的疾病，袭击了太子港的帐篷城市和周围的山坡。当这种疾病爆发时，太子港唯一的废物过滤厂在地震后仍然关闭，而获得清洁水和废物处理方案的机会有限。公共卫生基础设施的这一空白，加上公共场所的普遍拥挤和不卫生的条件，加速了疾病的迅速蔓延。Les Centres GHESKIO，一个海地医疗研究、治疗和培训组织，是第一批应对霍乱爆发的团体之一。

In the months following the 2010 earthquake in Haiti, cholera—a curable, preventable disease that had not previously existed in Haiti—struck the tent cities of Port-au-Prince and surrounding hillsides. When the disease broke, Port-au-Prince’s only waste-filtration plant remained closed following the earthquake, while access to clean water and waste treatment programs was limited. This gap in public health infrastructure, paired with general overcrowding and unsanitary conditions in public spaces only hastened the disease’s rapid spread. Les Centres GHESKIO, a Haitian healthcare research, treatment, and training organization, was among the first groups to respond to this outbreak of cholera.

与全国各地的数百家医疗机构一起，GHESKIO迅速部署了霍乱治疗帐篷，以作为短期应对措施。这些帐篷很难保持卫生；在海地的气候下，它们很热，不能防止广泛的感染，也不能提供有尊严的医疗保健的人权。GHESKIO的创始人之一Jean William Pape博士要求MASS帮助建立一个永久性的霍乱中心。他的要求很简单，也很有革命性。该中心能否在解决海地的系统性基础设施缺陷的同时，有尊严地治疗病人？

Along with hundreds of healthcare facilities across the country, GHESKIO quickly deployed cholera treatment tents, intended as a short-term response. The tents were difficult to keep sanitary; they were hot in the Haitian climate, deficient at preventing widespread infection, and incapable of providing the human right to dignified healthcare. Dr. Jean William Pape, co-founder of GHESKIO, asked MASS to help create a permanent cholera center. His request was simple and revolutionary: Could the center treat patients with dignity while addressing Haiti’s systemic infrastructural shortcomings?

为了减少废物管理不当的风险，霍乱治疗中心被设计为现场处理废物。夹层屋顶接纳了自然光，并将雨水分流，储存在地下蓄水池中，经处理后用于淋浴和水槽。这些水还被处理后用于口服补液疗法，这是用于从霍乱中恢复的病人补液的主要治疗方法。该设施使用浸出场结合厌氧折流反应器技术对废物进行净化。该中心有能力每年处理超过25万加仑的污水，帮助减少该地区的水位污染。

To reduce the risk of improper waste management, the Cholera Treatment Center was designed to treat waste on-site. The clerestory roof admits natural daylight and diverts rainwater that is stored in underground cisterns, treated, and then used in showers and sinks. The water is also processed for use in Oral Re-hydration Therapy, the primary treatment used to re-hydrate patients recovering from cholera. The facility decontaminates waste using a leaching field combined with anaerobic baffled reactor technology. The center has the capacity to treat more than 250,000 gallons of sewage a year, helping reduce the area’s water-table contamination.

该建筑的设计是为了同时容纳一百名病人。大风扇、高天花板和穿孔的外墙有助于空气在设施中流动。八千个孔是手工弯曲的，但经过数字设计和评估，对日光、通风和隐私进行了优化。由于需要进行常规消毒，所有材料都是根据其耐用性和抗感染特性选择的。

The building was designed to accommodate one hundred patients at a time. Large fans, high ceilings, and a perforated facade help to move air through the facility. The eight thousand apertures were bent by hand, but digitally designed and evaluated to be optimized for daylight, ventilation, and privacy. Because of the need for routine sterilization, all materials were chosen for their durability and infection-resistant properties.

MASS与GHESKIO的职业培训车间合作，雇用并培训受虐待的受害者为CTC制作定制家具。这些特制的椅子和小床取代了被重新用于应急帐篷的军用小床。在清洁过程中，CTC家具的床上用品面料可以被移除，使它们可以安全地重新使用。虽然今天海地的霍乱仍然存在，但已经取得了进展。由于大多数设施的临时性质和资金问题，GHESKIO的霍乱治疗中心是仅存的活跃设施之一，现在为太子港的大部分地区提供服务。

MASS worked with GHESKIO’s vocational training workshops, hiring and training victims of abuse to fabricate custom furniture for the CTC. These purpose-built chairs and cots replaced the army cots that had been repurposed for use in the emergency tents. The bedding fabric of the CTC furniture can be removed during cleaning, allowing them to be safely re-used. While cholera persists in Haiti today, there has been progress. Due to the temporary nature of and funding for the majority of facilities, GHESKIO’s Cholera Treatment Center is one of the only remaining active facilities, now servicing the majority of the city of Port-au-Prince.

Architects: MASS Design Group
Area: 693 m²
Year: 2015
Photographs: Iwan Baan
Manufacturers: Phifer, ACRA Industries, Atelier 83 – GHESKIO, Atlantic Door & Windows, Big Ass Solutions, CIP concrete, HAFCO, MFM Peel & Seal, Majic, ProGroup, YCF Group
Architect of Record: MASS Design Group
Civil Engineering: Fall Creek Engineering
Facade Construction: Mackenzy Vil
Landscape Architecture: MASS Design Group
MEP: Mazzetti
General Contractor: Tecina s.a.
Structural: YCF Group s.a.
Lighting: Lam Partners Inc
Clients:Les Centres GHESKIO
Partners:Les Centres GHESKIO, William Penn Foundation, Henry Kimelman Family, Foundation, Deutsche Bank Americas Foundation, Barbara Hostetter, Amos Hostetter
Design Research:Virginia Tech Center for Design Research
Facade System Strategy:Center for Design Research, Virginia Tech School of Architecture + Design, Nathan King of MASS Design Group
Facade Optimization:Computational design workflow by Jonathan Grinham of SOAS
Furniture Design:MASS Design Group
City:Port-au-Prince
Country:Haiti