Professional Documents
Culture Documents
BACHELOR OF ARCHITECTURE
SUBMITTED BY
INDEX
Certificate………………………………………………………………………I
Declaration…………………………………………………………..………. II
Acknowledgement……………………………………………………...…. III
Abstract……………………………………………………………………... IV
Table of Contents……………………………………………………...…… V
List of Figures………………………………………………………..……. VI
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CERTIFICATE
This is to certify that the project entitled, “institute of virology BSL4 Lab” submitted
to Institute of Architecture, H.N.G.U Patan in partial fulfillment for Award of The Degree
of Bachelor of Architecture, is a record of bona fide work carried out by Mr Meet
Sompura, under my Supervision and Guidance.
THESIS PANEL
External Guide
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DECLARATION
I, Meet Sompura Roll No.16/AR/17 hereby declare that the thesis entitled “Institute
of virology BSL4 Lab” submitted by me in partial fulfillment for the award of Bachelor
of Architecture, in Institute of Architecture, H.N.G.University, Patan, Gujarat, is a
record of bona fide work carried out by me. The matter embodied in this thesis has
not been submitted to any other University or Institute for the award of any degree or
diploma.
Date: / /
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ACKNOWLEDGEMENT
I have learnt a lot in my journey of these five years as an architecture student, thanks
to the wide knowledge and guidance of all the teachers’ right from the first semester
and their consistence support over these five years.
I am extremely thankful to Ar. Krunal Suthar as internal guide and Ar. Zubin Barot
as external guide, without their assistance and dedicated involvement in every step
throughout thesis process this thesis would have never been accomplished. I would
like to thank you very much for your support, understanding and trust which always
encourage me to give my best.
Meet Sompura
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ABSTRACT
A number of viruses cause acute central nervous system disease. The two major
clinical presentations are aseptic meningitis and the less common
meningoencephalitis. Clinical virology laboratories are now more widely available than
a decade ago; they can be operated on a modest scale and can be tailored to the
needs of the patients they serve. Most laboratories can provide diagnostic information
on diseases caused by enteroviruses, herpesviruses, and human immunodeficiency
virus. Antiviral therapy for herpes simplex virus is now available. By providing a rapid
diagnostic test or isolation of the virus or both, the virology laboratory plays a direct
role in guiding antiviral therapy for patients with herpes simplex encephalitis. Although
there is no specific drug available for enteroviruses, attention needs to be paid to these
viruses since they are the most common cause of nonbacterial meningitis and the
most common pathogens causing hospitalization for suspected sepsis in young
infants in the india during the warm months of the year. When the virology laboratory
maximizes the speed of viral detection or isolation, it can make a significant impact on
management of these patients. Early viral diagnosis benefits patients with enteroviral
meningitis, most of whom are hospitalized and treated for bacterial sepsis or
meningitis or both; these patients have the advantage of early withdrawal of antibiotics
and intravenous therapy, early hospital discharge, and avoidance of the risks and
costs of unnecessary tests and treatment. Enteroviral infection in young infants also
is a risk factor for possible long-term sequelae. For compromised patients, the
diagnostic information helps in selecting specific immunoglobulin therapy. Good
communication between the physician and the laboratory will result in the most benefit
to patients with central nervous system viral infection.
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Contents
1. INTRODUCTION ..............................................................................................................................1
1.8 ACCESS………………………………………………………………………………………………12
1.10 PROPOSAL…………………………………………………………………………………………15
4.2 DESIGN.......................................................................................................................................53
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CHAPTER I
INTRODUCTION
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1. INTRODUCTION
1.1. introduction
A BSL-4 facility is the highest level of biosafety containment facility available today
to handle extremely dangerous pathogens that can cause severe and serious life-
threatening illness in humans that have no treatment or preventive measures.
A BSL-4 facility support study of diseases such as Nipah, H5N1 Avian influenza,
Crimean Congo Haemorrhagic fever, Ebola, and many others.
Only two so far
There are only two such laboratories in India, the National Institute of Virology,
Pune, which is a dedicated facility for the study of human pathogens, and the High
Security Animal Disease Laboratory, Bhopal, a dedicated facility that studies
animal pathogens.
Establishing a BSL-4 laboratory was not an easy task given the stringent
international standards and safety precautions that had to be met apart from the
high cost of training personnel and maintenance.
Diseases caused by viruses have assumed great public health significance in the
recent past and an increase in the frequency and spread of such diseases
observed globally. Several new viruses have been isolated. During the past three
decades, of the 30 new pathogens discovered, 16 are viruses (Table 1.1). These
emerging viruses have added a new paradigm to public health concepts. Not only
the health but the economic and social fabric of global communities have been
affected by viruses such as HIV, hepatitis B and C, severe acute respiratory
syndrome (SARS) and avian influenza
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The beginning of the millennium saw the appearance of Nipah virus in Malaysia
which caused the deaths of 100 people in the country as well as significant
economic losses due to the slaughter of pigs. It is estimated that the outbreak cost
was nearly USD 500 million. Subsequently, Nipah virus outbreaks were identified
in India and Bangladesh.
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In the past century, medical research has led to improved health and increased life
expectancy largely because of success in preventing and treating infectious diseases. This
success has come about through the use of antibiotics and vaccines, improved hygiene,
and increased public awareness. New threats to health continually emerge naturally,
however, as bacteria and viruses evolve, are transported to new environments, or develop
resistance to drugs and vaccines. Some familiar examples of these so-called emerging or
re-emerging infections include HIV/AIDS, West Nile virus, severe acute respiratory
syndrome (SARS), and annual outbreaks of influenza.
To control epidemics and protect the public health, medical researchers must quickly
identify naturally occurring microbes and then develop diagnostic tests, treatments, and
vaccines for them.
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2. Mode of transmission and host range of the organism. These may be influenced
by existing levels of immunity in the local population, density and movement of the
host population, presence of appropriate vectors, and standards of environmental
hygiene.
The key elements for the establishment of a virology laboratory and diagnostic
services are:
Virus isolation and a number of methods for detection of viral antigens, nucleic acids, and
antibodies (serology) are the core repertoire of techniques used in a
diagnostic virology laboratory. Virus isolation using cell culture is always performed
in designatedvirology laboratories although the other methods may be performedin
diverse laboratory settings such as clinical microbiology, serology, blood bank,
clinical chemistry, pathology or molecular biology. In future, the likelihood of viral
diagnostic testing being conducted outside the traditional virology laboratory setting
is likely to increase as rapid diagnostic techniques based on immunologic and
nucleic acid detection methods gain greater acceptance.
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facilities that are open to unrestricted staff movement within the building. It is
therefore ideal to have the virology laboratory situated at the end of a corridor in a
building where other laboratories are located. This would restrict entry of visitors,
prevent contamination and facilitate maintaining biosafety standards.
Microorganisms have been divided into four categories (Box 1) according to the risk posed
to individuals and communities
The biosafety infrastructure must be designed on the basis of risk assessment for handling
specific pathogens. An agent that is assigned to Risk Group 2 may generally require
Biosafety Level 2 facilities, equipment, practices and procedures for safe conduct of work.
The desired biosafety levels are established on the basis of professional judgement based
on risk assessment.
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The laboratory is separated from general traffic flow and accessed through an
anteroom (double door entry or basic laboratory – Biosafety Level 2) or an airlock.
An autoclave is available within the facility for decontamination of wastes prior to
disposal. A sink with hands-free operation is available. Inward directional airflow is
established and all work with infectious materials is conducted within a biological
safety cabinet.
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In principle, unless the recommended biosafety level facilities are available the
laboratory should not handle a particular virus. In situations where there is an
outbreak of a viral illness and the required biosafety levels are not available, it is
advisable to collect and refer the specimens to the nearest laboratory in the Region
that has the required BSL laboratory. If specimens are collected from patients who
are suspected to be suffering from viral infections caused by agents which need
BSL 3 facilities (e.g. avian influenza) it is advisable that they be directly forwarded
to the reference laboratory which has facilities for handling such agents.Apart from
the biosafety requirements mentioned above, the following are some of the
essential features that need to be incorporated in the design of a virology
laboratory.
2] Each laboratory room should have space for housing a BSL 2 cabinet,
one workbench, a sink, discard bins, wall cabinets to store consumables,
a centrifuge, an incubator and a refrigerator.
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8] Storage space must be adequate to hold supplies for immediate use and
thus prevent clutter on bench tops and in aisles. Additional long-term
storage space conveniently located within or outside the lab area should
also be provided.
9] All doors should have vision panels, appropriate fire ratings and
preferably be self-closing.
10] Facilities for storing outer garments, personal items as well as having tea
and lunch and restrooms should be provided outside the laboratory
working area.
11] Hand-washing basins with running tap water should be provided in each
laboratory room, preferably near the exit door. A dependable supply of
good quality water is essential. There should be no cross-connections
between sources of laboratory water supply and drinking water supplies.
12] There should be reliable and adequate electricity supply and emergency
lighting for safe exits. A stand-by generator is essential at least for some equipment
such as incubators, biosafety cabinets, freezers etc.
1.8. Access
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6. No animals should be admitted other than those involved in the work of the
laboratory
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1. Ample space must be provided for the safe conduct of laboratory work and for
cleaning and maintenance.
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6. Storage space must be adequate to hold supplies for immediate use and thus
prevent clutter on bench tops and in aisles. Additional long-term storage space,
conveniently located outside the laboratory working areas, should also be provided
7. Space and facilities should be provided for the safe handling and storage of
solvents, radioactive materials, and compressed and liquefied gases.
8. Facilities for storing outer garments and personal items should be provided
outside the laboratory working areas.
9. Facilities for eating and drinking and for rest should be provided outside the
laboratory working areas.
11. Doors should have vision panels, appropriate fire ratings, and preferably be
selfclosing.
13. Safety systems should cover fire, electrical emergencies, emergency shower
and eyewash facilities.
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1.10. Proposal
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CHAPTER II
CASE STUDIES
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1. CASE STUDY
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PROJECT OBJECTIVE
▪ In 1959, Jonas Salk, the man who had discovered the vaccine for polio, approached
Louis I. Kahn with a project. The city of San Diego, California had gifted him with a
picturesque site in La Jolla along the Pacific coast, where Salk intended to found and
build a biological research center. Salk, whose vaccine had already had a profound
impact on the prevention of the disease, was adamant that the design for this new
facility should explore the implications of the sciences for humanity. He also had a
broader, if no less profound, directive for his chosen architect: to “create a facility
worthy of a visit by Picasso.” The result was the Salk Institute, a facility lauded for both
its functionality and its striking aesthetics – and the manner in which each supports the
other.
▪ He built all the exterior walls out of large, double-strength glass panels to create an
open, airy work setting on the laboratory levels. Local zoning codes restricted the
buildings’ height so that the first two stories had to be underground. However, this did
not prevent the architect from bringing in daylight: he designed a series of light wells
40 feet long and 25 feet wide on both sides of each building to bring daylight into the
lowest level.
▪ Salk and Kahn’s collaboration resulted in a blueprint uniquely suited to a scientific
research center. The next challenge was to realize it through the use of materials that
could last for generations with only minimal maintenance. Chosen to meet these
criteria were concrete, teak, lead, glass, and steel. The poured-in- place concrete walls
deliver the first bold impression for visitors. Kahn actually went back to Roman times
to rediscover the waterproof qualities and the warm, pinkish glow of “pozzolanic”
concrete. Once the concrete was set, he allowed no further processing of the finish—
no grinding, no filling, and above all, no painting. The architect also chose an
unfinished look for the teak surrounding the study towers and west office windows, and
he instructed that no sealer or stain be applied to the teak. The building’s exterior, with
only minor required maintenance; today looks much as it did in the 1960s.
DESIGN ANECDOTE
▪ After two years of design work, and after the design had been approved and meetings
with building contractors had begun, Kahn and the Salk Institute abruptly decided to
reduce the number of laboratory buildings from four narrow ones to two wider ones
and to increase the number of floors per building from two to three.
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▪ The construction started with Kahn still intending to put a garden court between the
two blocks. However, as work continued, Kahn realized that he did not know what form
it should take. Kahn had seen Barragán’s work in an exhibition at the Museum of
Modern Art, and subsequently, Kahn met Barragán in Mexico City in 1965 and invited
him to review the design of the court.
▪ To Kahn’s surprise, Barragán told Kahn that he should “. . . not add one leaf, nor plant,
not one flower, nor dirt. Instead, make it a plaza with a single water feature. If you make
a plaza, you will have another facade to the sky.’ Kahn was so jealous of this idea that
he could not help adding to it, saying ‘then we would get all those mosaics for nothing,’
pointing to the Pacific Ocean.
▪ Along with these lofty instructions, Salk laid down a series of more practical
requirements. Laboratory spaces in the new facility would have to be open, spacious,
and easily updated as new discoveries and technologies advanced the course of
scientific research. The entire structure was to be simple and durable, requiring
minimal maintenance. At the same time, it was to be bright and welcoming – an
inspiring environment for the researchers who would work there.
▪ Kahn’s scheme for the Institute is spatially orchestrated in a similar way to a
monastery: a secluded intellectual community. Three zones were to stand apart, all
facing the ocean to the west: The Meeting House, the Village, and the laboratories.
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The Meeting House was to be a large community and conference venue, while the
Village was to have provided living quarters; each part of the complex would then have
been separated from its parallel neighbors by a water garden. Ultimately, the Meeting
House and Village were cut from the project, and only the laboratories were built.
▪ Laboratory units grouped
to form two garden courts between
them at the lower level. Study and
confer enact rooms are attached
to the upper level over the garden
courts 1. Reception 2. Director's
office conference and
administration areas, technical
library 3. Garden (et lower level) 4.
Study room 5. Conference room at
upper level 6. Animals for
laboratory, service and
mechanical equipment areas (at
lower level) 7. 7laboratories 8. Box
girder ducts for air and gases 9.
Exhaust stack.
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▪ The ground floor has the registration, O.P.D, part diagnostic department, canteen,
pharmacy, emergency and I.P.D entrance.
▪ The 1 st floor also has some O.P.D and diagnostic department, kitchen, sterilization
and one in patient department.
▪ Basement has the administration, parking, central store and other services.
DEPARTMENTS
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DEPARTMENTS
• General Medicine • General Surgery • Obstetrics & Gynecologist • Endoscopy/laparoscopic
Surgery • Pediatrics • Orthopedic Surgery (including Joint replacement) • Dental • Cardiology
& Cardiothoracic Surgery • G.I. Surgery • Urology • Nephrology (including Dialysis) •
Neurology • Neurosurgery • ENT • Eye • Medical and Surgical Oncology & Diagnostics.
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MAIN ENTRANCE
▪ General traffic goes only to the main entrance; for hygiene reasons (e.g. risk of
infection), special entrances are separate. The entrance hall, on the basis of the open-
door principle, is designed as a waiting room for visitors and reception. Circulation
routes for visitors, patients and staff are separated from the hall onwards. However, it
prevents public access from reception to inner areas and main staff circulation routes.
CIRCULATION
▪ Entrance and circulation within the building has considered wheelchair users, parents
with small children and people with disabilities.
CORRIDORS
BASEMENT CORRIDORS
▪ Extensive use of artificial light in the basement because of unavailability of natural light
in the basement.
STAIRS
▪ For safety reasons stairs are designed in such a way that if necessary they can
accommodate all of the vertical circulation.
▪ The effective width of the stairs and landings in essential staircases are a minimum
of 1.50 m and do not exceed 2.50 m.
▪ Doors do not constrict the useful width of the landings and, in accordance with
hospital regulations, doors to the staircases must open in the direction of escape.
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▪ Step heights of 170 mm are permissible at places and the minimum tread depth is
280 mm.
▪ Rise/Tread ratio of 150:300 mm.
DOORS
▪ Smoke doors are installed in ward corridors in accordance with local regulations. The
surface coating withstands the long-term action of cleaning agents and disinfectants,
and they are designed to prevent the transmission of sound, odours and draughts.
▪ A double-skinned door leaf construction meets a recommended minimum sound
reduction requirement of 25dB.
▪ The clear height of doors depends on their type and function: Normal doors 2.10-
2.20m; Oversized doors 2.50m; Transport entrances; 2.70-2.80m; Minimum height on
approach roads 3.50m.
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DIMENSIONAL CO-ORDINATION
▪ Modules: Modular dimensional co-ordination is the best starting point for meeting
strategic design requirements. For hospital construction the preferred module
dimensions 12m are recommended, or 6M or 3M if the increments are too numerous.
In this system all the building components are coordinated with each other. The
supporting structure can be drawn in by producing a horizontal and vertical basic grid.
Here a horizontal grid approx. of 3mx6m is used.
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Programme
1) Two underground floors housing parking lots, clinical and non-clinical services;
2) Two floors in the half-buried plinth, housing the heart of the hospital, that is emergency
room, radiology unit, critical patients and pavilions; and
3) Two upper floors for in-patient stay rooms, arranged into a technical gallery in the
intermediate floor.
Main Access
1) Main access to Hospital or CRS
2) Emergency access
3) Supply and Personnel Access
4) Access to Auditorium and Cafeteria
Highest level (park) access
3) Access to Multicanchas
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BUILDING MATERIALS
▪ Exposed concrete: It is the main material of the plinth, more opaque on the sides (with
small vertical rips to control the eastern and western sun)
▪ Steel: Used as a mesh of transparent and dark deployed metal that serves as a
permeable enclosure for technical premises on the 3rd floor, while creating a shadow
that highlights the condition of suspended volume.
▪ Wood type asbestos cement: We take advantage of the warmth of this material to
represent the image of hospitalization volumes.
▪ Aluzinc: Vertical blinds formed by horizontal louvers that confer optimum sun
protection, both to the north and the west side providing users with controlled privacy
▪ Glass: It is a key material given the importance of light in this project. It is the key item
at courtyards.
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Sequence of care
3) Outpatient Care: Complementary Explorations, OlA, Pavilions of major and minor surgery.
GENERAL DESCRIPTION
1) 375 beds
2) 14 ER rooms
3) 41 consultation units
4) 17 procedure rooms
5) 11 pavilions
6) 6 labor rooms
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CHAPTER III
SITE
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3.SITE
Latitude:- 30°47'25.33"N
Longitude:- 76°45'59.69"E
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CLIMATE
Chandigarh enjoys an extreme climate with hot summers (March to June) and chilly winters
(November to February). The monsoon season, though pleasant in the evenings, is humid
during the daytime. The best season to visit Chandigarh is autumn (August to November),
when the weather is pleasant, nether too hot, nor too cold.
The hot season lasts for 2.5 months, from April 22 to July 8, with an average daily high
temperature above 98°F. The hottest month of the year in Chandigarh is June, with an
average high of 103°F and low of 81°F.
The cool season lasts for 2.6 months, from December 3 to February 21, with an average daily
high temperature below 75°F. The coldest month of the year in Chandigarh is January, with
an average low of 49°F and high of 69°F.
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Precipitation
The drier season lasts 9.0 months, from September 16 to June 15. The month with the fewest
wet days in Chandigarh is November, with an average of 0.8 days with at least 0.04 inches of
precipitation.
Among wet days, we distinguish between those that experience rain alone, snow alone, or a
mixture of the two. The month with the most days of rain alone in Chandigarh is July, with an
average of 17.3 days. Based on this categorization, the most common form of precipitation
throughout the year is rain alone, with a peak probability of 60% on July 26.
Humidity
We base the humidity comfort level on the dew point, as it determines whether perspiration
will evaporate from the skin, thereby cooling the body. Lower dew points feel drier and higher
dew points feel more humid. Unlike temperature, which typically varies significantly between
night and day, dew point tends to change more slowly, so while the temperature may drop at
night, a muggy day is typically followed by a muggy night.
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The muggier period of the year lasts for 3.6 months, from June 15 to October 3, during which
time the comfort level is muggy, oppressive, or miserable at least 24% of the time. The month
with the most muggy days in Chandigarh is August, with 29.0 days that are muggy or worse.
The least muggy day of the year is February 2, when muggy conditions are essentially
unheard of.
Wind
This section discusses the wide-area hourly average wind vector (speed and direction) at 10
meters above the ground. The wind experienced at any given location is highly dependent on
local topography and other factors, and instantaneous wind speed and direction vary more
widely than hourly averages.
The average hourly wind speed in Chandigarh experiences significant seasonal variation over
the course of the year.
The windier part of the year lasts for 5.1 months, from January 20 to June 24, with average
wind speeds of more than 6.4 miles per hour. The windiest month of the year in Chandigarh
is April, with an average hourly wind speed of 7.9 miles per hour.
The calmer time of year lasts for 6.9 months, from June 24 to January 20. The calmest month
of the year in Chandigarh is August, with an average hourly wind speed of 5.0 miles per hour.
Demographics
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Population
Males constitute 55% of the population and females 45%. The sex ratio is 818 females for
every 1,000 males.[6] The child sex ratio is 880 females per thousand males. Chandigarh has
an effective literacy rate of 86.77% (based on population 7 years and above), higher than the
national average; with male literacy of 90.81% and female literacy of 81.88%.[6] 10.8% of the
population is under 6 years of age.[6] The population of Chandigarh forms 0.09 per cent of
India in 2011.[4]
There has been a substantial decline in the population growth rate in Chandigarh, with just
17.10% growth between 2001 and 2011. Since, 1951–to 1961 the rate has decreased from
394.13% to 17.10%. This is probably because of rapid urbanisation and development in
neighbouring cities.[53] The urban population constitutes as high as 97.25% of the total and
the rural population makes up 2.75% as there are only a few villages within Chandigarh on its
Western and South-Eastern border and the majority of people live in the heart of Chandigarh
Hindi (73.6%) Punjabi (22.03%) Urdu (1.00%) Nepali (0.62%) Bengali (0.59%) Tamil (0.53%)
Others (1.63%) English is the sole official language of Chandigarh.[7] The majority of the
population speaks Hindi (73.6%) while Punjabi is spoken by 22.03%.[55] Government schools
use English, Hindi, and Punjabi textbooks.[56] The percentage of Punjabi speakers has come
down from 36.2% in 1981 to 22.03% in 2011, while that of Hindi speakers has increased from
51.5% to 73.6%
Religion
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Many institutions serve minorities in the city. One such is the Roman Catholic Diocese of
Simla and Chandigarh, serving the Catholics, which even has a co-cathedral in the city, Christ
the King Co-Cathedral, although it never was a separate bishopric. Most of the convent
schools of Chandigarh are governed by this institution.
Chandigarh hosts many religious places, including Chandimandir, the temple after which it
was named. The ISKCON temple in Sector 36 is one of the worship places for Hindus. Nada
Sahib Gurudwara, a famous place for Sikh worship lies in its vicinity.[59] Apart from this, there
are a couple of historical mosques in Manimajra and Burail.
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CHAPTER IV
CONCEPT
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CONCEPT
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Architectural Control
The Edict of Chandigarh states that certain areas of Chandigarh are of special architectural
interest where harmonized and unified composition of buildings is aimed at. In these areas,
absolute architectural and zoning controls should remain operative.
The planners of the city employed large scale aesthetic controls ranging from urban design
measures to extensive architectural controls that prescribe volumes, outlines and skyline,
forms, spatial setting, facades, materials, textures, colours, fenestrations and even boundary
wall and
gates. These architectural controls depict the architect's interpretation of available technology,
olmate, social order of the democratic nature placed in the context of modernism
However, the competition brief asks the designer to take a stand and respond to Le
Corbusier's legacy.
The controls whether commercial or institutional can be classified either as brick structures or
RCC structures or composite built forms
The institutional buildings of plotted development which are composed of multiple blocks of
varying heights placed at angle to the avenues in order to facilitate north lights.
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ramp
The clear width of the ramp leading to the basement shall be 4.00m with an adequate slope
not less than 1:10.
Separate entry/exit of ramps in the basement should be provided and the ramp for basement
parking shot be allowed outside the zoned area subject to fire tender movement. The ramp
shall be on non-slippery surface.
Courtyard
Where the minimum size of courtyard for providing light and ventilation to the basement is
provided
Lift:
Staircase:
a Design of Staircase-As per new fire safety norms, minimum of two staircases are to be
provided in buildings above 15m, height Fire staircases shall be open to sky and hence, shall
not be counted towards FAR While providing the extra staircase, the uniformity shall be
maintained
b. Location of Staircase - The staircase in any building shall be so located that the travel
distance on the floor shall not exceed 30 m). Access to Terrace: The terrace of all buildings
in Chandigarhs shall be allowed to be accessed by staircase except maria houses Service
zone on terrace: Mumty to be located within the service zone to create refuge area in case of
fire
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A2
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3D render image
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5. BIBLIOGRAPHY
https://www.niaid.nih.gov/research/biodefense-biosafety-labs
https://www.who.int/publications/i/item/9789240011311
https://ncdc.gov.in/WriteReadData/l892s/File608.pdf
https://animal.kmu.edu.tw/images/International_Guide/WHO/WHO_LBM_4edition_draft.pdf
http://www.nihsad.nic.in/bio-cont-lab.html
https://main.icmr.nic.in/sites/default/files/upload_documents/Revised_ICMR_Guidelines_2_
December.pdf
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