- [Dan] Howdy.

- [Audience] Howdy.

- I would like to welcome you to another session of Architecture for Health Spring Lecture Series.

And before we begin, I would like to introduce our speaker, Dr. Ray Pentecost, who is the Director of the Center for Health Systems and Design at Texas A & M University.

Holder of the Ronald L. Skaggs and Joseph G. Sprague Chair of Health Facilities.

With faculty appointments in architecture, medicine, and public health.

Ray is 2020/2023 Global Director of the Public Health Group of International Union of Architects in Paris.

He's a past president of International Academy for Design and Health in Stockholm, a past president of American College of Healthcare Architects; and two-time past president of the AIA Academy of Architecture for Health.

Ray was trained in architecture at Rice University with BA and BRS degrees and in public health at University of Texas School of Public, and Houston with MPH and DR PH degrees.

So I would like to welcome Dr. Ray Pentecost, up to the podium to begin our lecture series.

(all clapping) - Thank you, Dan King.

I appreciate that.

I hasten to add before I jump into content, that my co-presenter today is not with me, and I regret that he was unable to join us today.

At the last minute, he had some things that got in the way of his being here.

But Zhipeng Lu is the Associate Director for the Center for Health Systems and Design here at Texas A & M. And the work that you will hear presented today, the plans that are being made, all of that, comes jointly from Zhupeng and from me.

We have worked together on this from the very, very beginning.

And for the record, let me say that he is a remarkable person to work with, and I'm grateful for his energy and his creativity and his attention to detail.

He absolutely wants things done well and done right.

And for that, I'm very grateful.

Zhipeng, I miss you today, but I'll deliver the message and we'll pick it up together when you're back.

What I'd like to cover with you today is three areas.

The International Union of Architects is a global body that collectively represents the voice of architects around the world.

Now, before you get confused, I'll be saying the International Union of Architects, but you'll see the initials, UIA.

And that's because the organization lives in France, and the name is in French.

So the Union International (speaking in French), is the official name, and we call it the International Union of Architects.

But they represent architects.

I believe the current membership at the UIA is about 104 countries.

Certainly the U.S. is a member and many others around the world.

So when we talk about out the global voice of the design community, it's a pretty stout group.

It has a lot of perspectives rolled in together.

And the UIA is organized in work groups of various kinds.

The Public Health Group is one of those.

And you'll hear me talking about the Public Health Group today.

That's one of about 10 work programs, and there are some other commissions that have similar but slightly different missions in their work activities.

So today, I'm gonna be talking about the UIA-PHG; the Public Health Group.

And as Dan King mentioned, it's my pleasure to serve right now as the Global Director for that group.

They offer three year leadership terms, I'm right in the middle of it.

And we'll continue barring a surprise through the summer of '23.

So let me jump in; the three things that I wanna cover with you today, I wanna cover what the UIA-PHG is doing.

What brought us to this morning, the presentation today.

Secondly, I wanna talk to you about the plans that are being made for 2022.

And I want to then share with you the official launch event, which happened a matter of a couple hours ago.

We were at it early this morning, two o'clock Paris Time, to do official launch.

And so that's what I'll be sharing with you.

The Public Health Group, the plans we are making for 2022 and the official launch.

You see 2022 on the screen, 2022 is the Year of Design for Health.

Now, how did that happen?

And what does it mean?

Well, that's part one; part two are the plans that we have for 2022, and part three is the launch of those programs.

So let's jump in.

The Public Health Group, and I won't read this to you, and you may not care to read it either.

But the genesis of the Public Health Group was back in 1948, as a sub work group of the UIA in general.

Now, for most of the years of the PHG, the emphasis has been on health care architecture.

And public health care group would have been maybe a more accurate name.

Now, certainly there was concern for the general health and well-being of the public, but the real focus of the group around the world, was healthcare facilities.

But in recent years, the PHG has made the decision to change, to move away from public health care emphasis, to designing for health.

Now that's huge; because it changes the scope of what's interesting, what's relevant, what needs to be studied, what needs to be researched, what needs to be communicated to the next generation of practitioners.

Now, we made that transition here at A & M about five years ago, to a focus on Design for Health and not so much a Design for Healthcare.

George Mann, and Kirk and Roger and Mardel, and so many other distinguished...

I should say the whole names, Kirk Hamilton, Mardel Sheley, Roger Alrich, George Mann; they made such an impact on the Design for Health program here at A & M with brilliance really, in healthcare.

And then the research agenda and the next generation of leaders started bringing to our attention, designing for health in a bigger and bigger way.

So about five years ago, we made the decision, let's transition to Design for Health.

And we've done that in three dimensions.

We have design that protects health, what can design do that protects health?

And the second dimension is what can design do that will help develop better health?

And the third area is what can we do with design that would restore health once it is impaired?

You can see that the health care piece is in that third one, restoring health, that's where you would go to a health facility or the medical system for someone to help you work through whatever has impaired your health.

But the others: protecting health, developing better health, those are important.

Protecting health would include things as simple as seismic design in seismically active areas.

It could get into indoor air quality, volatile organics.

It gets into designing for glare, things that can cause headaches, odors, pollution; lots of things that you would do to protect people from health, including natural disasters.

How can design protect people, protect their health during natural disasters?

Developing better health; what can you do in the design of schools using the research from neuroscience to develop learning environments that greatly enhance the intellectual health?

What can you do in facilities where you work out to build physical health?

What can we do to enhance that?

Some very exciting things that are being done and to develop health field.

Well design actually helps contribute to better health of the people in the facility.

And the third area, restoring health; it's any and everything that you would include in the facilities where you would go to remedy some impairment to your health.

Okay, so those are the three areas.

Well, we brought that to the attention of the UIA Public Health Group.

And really it was a recognition of the way people were already thinking.

And they said, "Yeah, that's the... we need to move in that direction."

And so the UIA made the big change.

And the big change to Design for Health was accompanied by these three areas of emphasis.

I'm happy to say.

It's a wonderful collection.

And here's what happens; this is significant.

When you say that Design for Health includes these areas; protect and develop and restore, what you have really said is that Design for Health can apply to everything.

You can't name a building that doesn't impact the health of the people that experience it.

Or a project outside, a landscape, a garden, an urban renewal, a master plan.

Any design project will impact the health of the people who experience it.

And so transitioning to protect, develop, restore suddenly, with that declaration meant that the work of the Public Health Group was relevant to every design project by every design professional in every design practice in any of the member countries of the UIA and to the other architects, wherever they are around the world.

It made our mission, it made our message, made our work relevant and useful.

And that's the same excitement we have experienced here at Texas A & M. The issue of the relevance of the message and the research and the teaching and training, to any project that our graduates undertake for the balance of their career.

It's a mindset, our design impacts people's health.

So the UIA Public Health Group made that transition just in recent years to Design for Health, less designed for healthcare, broader now designed for health; in these three areas.

Now in July, something exciting happened.

In July there was the tri-annual, but it turned out it was the fourth year because of COVID; the tri-annual meeting of the UIA.

Which meant architects from around the world either gathered virtually or in person in Rio, to celebrate architecture and to talk with colleagues and peers.

One of the things that happened in that meeting of significance, was a proposal that went to the council, the General Council of the UIA, with representatives from all of the member nations.

And the proposal was what, how would you feel about designating 2022 as the year of Design for Health?

Which was a pretty bold request.

But it went forward and it went to the General Council and that proposal passed without one dissenting vote.

Now, let that sink in for just a moment.

Can you imagine any proposal going to a world body passing without dissent?

That's amazing!

That's the level of agreement of support of enthusiasm of alignment with the notion that Design for Health is a message every practicing design professional needs to incorporate into their work.

It applies to everything we do.

That's why the global body said, yes, that's true.

So I want you to see what the pieces of this declaration were because it becomes the foundation for everything that you're going to hear about the plans that we are making.

This is the paragraph with the big bullets.

An open access digital information hub.

Okay, I think probably we understand information hubs.

We get online.

We know that this is gonna be about digital information for Designing for Health.

But before you get too caught up in the simplicity of that, I want you to think about the complexity of that.

Which information do you include?

How often do you find a collection of scholarship of any kind that's complete?

So much of the time, it says, well, we don't have that, but we know where to find that.

And so a big piece of this is going to be a collection of links to other collections that we think are meaningful and relevant and helpful.

But just imagine the challenge and frankly, the fun, of working on launching an information hub for the world to use looking at Design for Health.

This happens to be the project that Zhipeng and I are attached to.

So he and I are pulling that together.

And if you're interested and want to be a part of that, let us know.

The second thing, establish an international research agenda around the goals for Design for Health.

Now, again, the words are pretty easy to write, they're easy to read, easy to say, easy to agree, are important.

Think for just a moment, international research agenda, as determined by what or by whom?

I mean, think about the issues that a thoroughly developed industrialized nation cares about in Design for Health.

Probably it's something around high tech in a healthcare facility, maybe something to do with Headwall functionality, maybe something about same handed rooms, maybe about locations of alcohol gel dispensers, or sinks or bedside computering or something high tech.

What's the research agenda for a developing nation that still has ridiculous numbers; thousands, tens, hundreds of thousands of children dying every year from water that wasn't as clear as it could have been.

What's their Design for Health research agenda?

How do we find clean water?

How do we capture rain water in a way that keeps it pure and usable?

How do we educate people who never had the privilege of going to school, what it means to have a healthy behavior?

Think about the wide variety of research agenda priorities that would surface if you put 104 country representatives in the room and said what matters to you?

And while there would be some overlap, there would be a huge range of topics.

So that's one of the things that is developing in one of our task forces as well.

Watch for that to unfold.

Support the creation of resources to help architects do research.

Well, that's interesting, isn't it?

I won't ask for a show of hands because there's no point trying to make anyone uncomfortable.

But I suspect if you sampled architects in practice today, how many of them would be able to raise their hand, if asked, did you study research when you were in school?

Did you study how to conduct research?

Did you study how to use research?

Did you study how to evaluate the work of others, the research of others, to see if it's worth paying any attention to, or was it poorly done?

What was the level of rigor?

Did you study where to find research of certain kinds that you might need for a certain project; in particular, research in unrelated fields to architecture?

Like nursing, like public health, like geosciences for climate change.

And so here we are asked to create resources to help architects conduct research for a cohort of professionals, which generally speaking, didn't spend a lot of time if any, studying research because architecture in itself is such a dense curriculum.

There's just not a lot of room to keep adding things.

So very quickly look at the power of what this document requested.

How do we get information out to the world?

What's the agenda we should be thinking about?

And how do we get tools in people's hands so they can use it?

Wonderful marching orders.

An acknowledgement of COVID having an impact, I think everybody was sensitized to the importance of this issue.

Now look at the last sentence; now this is A & M. Evidence-based design is part of what we eat, sleep and breathe in our program, right?

Evidence-based design.

Even this acknowledged the importance of research in design.

This was a very powerful document.

And I offer this only to say that, it was my pleasure to represent the Public Health Group in shaping this document.

There were a lot of voices that contributed, and I want to acknowledge Tom Vonier.

Some of you know Tom, as a previous AIA president here.

And he moved from that leadership role to the international leadership role with the UIA.

But Tom was an absolutely marvelous partner in making this declaration take shape; and no doubt his participation helped people hear it differently when it was introduced to the General Council.

So that's how we got to this.

And just as an extension of the sort of first part of this set of remarks, GUPHA, George Mann, I believe is listening in, George with a colleague from Japan created GUPHA years ago.

And it stands for Global University Programs in Healthcare Architecture, and it represented academics all over the world that cared about this.

And last summer at the Rio meeting, the vote was taken.

Let's change our name from Programs in Healthcare Architecture to Health Architecture.

And so we now have the UIA Public Health Group focused on Design for Health that protects, develops and restores health.

And we have the collection of academics interested in this field; changing their name in support of that broader mission; Global University Programs in Health Architecture.

Are you getting the sense?

Forget the words on the slide, forget my voice for just a moment, are you picking up?

This is a huge transformation in our industry.

This is worldwide agreement that designing for health deliberately, purposefully, for beneficial effect, is something we should all know how to get right.

That's dynamite gang!

That's a huge, huge movement on a global scale.

Don't miss that for all of the details we just covered.

This is a big deal.

Okay, so, and let me shift now, how do we plan for those things that you saw on the list?

The online, the agenda, the research, the tools?

UIA is organized into regions.

There are five and I've located those for you.

Sort of Western Europe, and then there's Eastern Europe and Northern Asia, three is the Americas, four is Southern Asia and Australia, and five is Africa.

To put together a planning group for the year 2022, we staffed it with one person from each of those five regions, plus a representative from GUPHA, that's six people.

And we added the secretary general, and the current president of UIA, that made eight.

And we added Zhipeng and myself, representing the Public Health Group.

And in particular, the secretariat, the Secretariat for the Public Health Group; lives here at Texas A & M in the Center for Health Systems and Design.

And so we had the practitioners, the academics, all of the regions, leadership at UIA, leadership from the secretariat, we had 10 people identified that became the planning group for the activities for the coming year.

Now, nobody has asked questions yet because we're not at that point, but let me jump in right now, before we go any further and point to the image on the left of the slide, the heart within a shape.

In the fall, right after this was all approved and passed, and the celebrating had slowed down, we launched an international design competition for a logo for the year of Design for Health.

And I won't bother you with lots of specifics, but with hundreds of entries, it was very well participated in.

And from those entries, this emerged from the three-person jury as the winner.

And I have to just as a side note, a personal note, if you ever have a chance to work on something internationally, grab it.

Don't think, just grab it.

Because the exposure to other perspectives and other views, and priorities and agendas, it's just a remarkable experience that's very, very stimulating, extraordinarily rewarding.

And just watching, I got to be a part of the jury as an observer, and just watching these international voices come to agreement about what something ought to be, and whether it was a logo or an agenda item or a publication, whatever; just watching the international voices play.

It's remarkable!

If you ever have a chance to do that, I'm gonna tell you to grab it.

But to talk a little bit more about the online hub, the portal, this is a screenshot from the UIA Public Health Group website, one page from among many that are already on that site.

But you'll notice all of the flags from different countries.

We launched this location on the UIA-PHG website during COVID.

And this is where various countries contributed information related to COVID or COVID retrofit projects, or facilities that were designed from the beginning to accommodate communicable disease issues, that sort of thing.

Anyway, this is just one page.

It probably serves us as a springboard for the newer, bigger, multifaceted hub that's coming.

But let me just tease you with what a new online hub makes possible, that is not possible in the journal that you take home and read with a cup of tea in your favorite chair.

You post something online at this information hub, there are no length restrictions.

Think about that.

You can embed real video.

Imagine reading an article, and they're talking about something that really interests you and you say, "Yeah, let's hit play."

So we're excited.

We're gonna be blending multi media, different formats.

Some of it are gonna be research, some of it will be case studies.

We are hoping to be able to introduce juried reviews of actual projects; what works, what doesn't, how effectively?

It was designed for health, is health better because people worked there, studied there, lived there?

We're excited, there are a lot of horizons that we will explore with an online design hub that would be challenging by other media.

The design competition, these are picks from previous competitions.

The design competition is half of the story.

The design competition is for students in schools.

Can you just imagine, and I was part of this jury as you can see if you look closely.

I was part of the jury and we saw entries from all over the world.

That's fun!

I mean, it's work, it's a jury, you have to work through a lot of material.

But it's fun being exposed to that and tremendous education.

But the design competition is coming together.

We expect that the schools will participate beginning this summer into the fall semester, that the jury will happen early in '23.

And that the winners will be announced and presented in Copenhagen at the annual meeting in Denmark later in the summer of 2023.

So the design competition, but going along with that, is the design awards.

That's for practitioners.

And this will be a chance to celebrate work that looks at Design for Health, and a chance to reward those who have been not just creative and aesthetically attentive to detail, but who manage to create something beneficial to the health of those who experience it.

That's a remarkable mission to assign any design team.

And I can't wait to see the design awards that recognize excellence in that field.

The webinars and training; just to illustrate what can happen when you mobilize in this domain.

For the annual meeting in Rio, the Public Health Group had 43 presentations; peer reviewed, high quality scholarship, 43 presentations.

And I believe the number was 41 posters.

Think of that, 84 different bundles of insight.

And that was for one meeting!

So there's just no telling how powerful that series can be.

We are imagining though, for these training seminars on research tools and research methods, we're looking at a series of four or five that will unfold during the year.

And what's really wonderful about the plans being made, it changes in scale.

It starts, how could we use research tools to evaluate things that are being done at an urban planning scale?

And it brings it down to the building and the planning and the interiors, and then the occupancies and the activities within.

So a variety of tools at a variety of scales for a great variety of project types.

Those are going to be of great value and we are excited to see that happen.

The annual meeting will happen in Toronto this year in the fall, September 16 and 17, that's a Friday, Saturday.

And more details on that will be forthcoming, but this is just a sneak preview.

We do try to have an annual meeting every year.

And every three years, we try to have the big gathering where we all get together as a part of the UIA tri-annual experience.

But these are pictures from past annual events, and I'm looking forward to seeing everybody, hopefully in person, not on a screen by September 16 and 17.

Third part of my remarks today, the launch.

The launch officially, I mean, I suppose you could say it happened January 1st, 'cause it became 2022.

But officially, ceremonially, the launch happened this morning.

And for those looking at this in replay, today is February 4th.

The official launch of the 2022 Year of Design for Health Festivities happened today.

And it was a joint event by the UIA and the WHO, the World Health Organization.

Luminaries from both sides participated.

There were keynotes, there were comments; just terribly exciting time.

I wanna point out a little bit about who was there, and I don't know all of these people well, but I suppose I can move my cursor.

This is Pei Ing Tan.

Pei Ing Tan is the Secretary General of the UIA Public Health.

Oh, I went forward, I didn't mean to do that, sorry.

This is Pei Ing, she's the Secretary General.

Is my cursor moving on the screen?

Can people see that?

Or is it only on my screen?

You can't?

Okay, well, I'm gonna take my notes then and (indistinct) over here and point some people out to you.

Can you follow me on the camera?

Can we do this and me not completely mess you up?

This is Pei Ing Tan from Malaysia, she's the secretary general for the UIA, worldwide.

She's a remarkable administrator.

She does an incredible job of organizing programs and keeping things going.

This is the current President of the UIA, Jose Cortes, Jose Luis Cortes; he's from Mexico.

You don't get to be president of an international body without a pretty stout list of accomplishments.

And he's no different remarkable individual.

We heard from Maria Neira, and I'm looking for her picture, there she is.

Maria Neira, she spoke, she's the Director of Public Health and the Environment Department at the World Health Organization.

You imagine having that responsibility at a time when communicable disease was at pandemic proportions?

What an amazing individual!

And she's wonderful.

You may have heard, well... let me point out to you Dick Jackson too.

Dick was one of our keynotes.

Richard Jackson from UCLA.

Dick is the one I've mentioned before, who challenges his architecture audience who do architects realize that they're health professionals.

They should because they are.

He loves to throw that to design audiences.

I heard it first from him.

And he's the only physician by the way, who was ever asked to serve as a general full member of the AIA Board of Directors.

That's the high regard that he's held in the design communities.

But Dick talked about things this morning as a keynote, wonderful set of comments.

And Thiago Herick de Sa; Thiago Herick de Sa.

He is the Transport and Health Department of the Environment Climate and Change for World Health Organization.

We had two keynotes Dick Jackson and Thiago.

Dick asks if we are health professionals, but Maria spoke first.

And she said, "The architects, you are ministers of health."

I loved it.

I thought, "Yep, she's got it.

She's got it figured out."

And a number of other people who were speakers or panelists, it was just a really exciting collection of individuals this morning.

Her comment, Maria's comment about... Dr. Maria Neira comments about ministers of health.

I thought, well, that's a great term for it.

And then we had sampling content from the other UIA work groups.

I'm associated with the Public Health Group, but there are nine other work groups.

And several of them contributed content today, and I've put them on the screen for you to see.

And what is really just amazing about this, the other nine work groups in addition to the Public Health Group, the other nine work groups are all just stepping forward enthusiastically and saying, "Hey, wait, wait, wait, wait, wait.

We've got something to contribute to this Design for Health thing.

It's not in our title, but," for example, let me just very quickly hit some of these things.

Developing buildings for active living.

Urban sprawl, if we're too broad, if we're too low density, you can't get anywhere easily.

If we're too dense, it doesn't contribute to health because there's not enough open space and nature.

Sports and leisure, talked about designing for active living.

Some of you know we've got one of the strongest active living design teams anywhere with Zhipeng, and with Shama and with (indistinct) on our faculty.

They're amazing just doing terrific research in active living.

We had the architecture for all; talk about stress as a contributor.

And without using those words, I know it was about stress because I know the literature they were citing.

They were talking about the sense of coherence and manageability and comprehensibility.

It was a wonderful essay from them on how design contributes to how people feel when they're in a building.

Education and culture; design guidelines posing the question, do we need 'em for education and cultural facilities?

Do we need some design guidelines on how to get that right for our health?

Architecture and children; talking about how the school cannot just be a place for intellectual learning, but what if we took the school system and made it a touch point for health, physical?

They're already addressing intellectual health for these young minds, what if we made it a touch point for physical health?

What could you do?

How would you approach recess?

How would you approach the use of stairs?

If you knew that it was a place that was impacting physical health as well?

What if you could have the computer design school programming so that you never had successive classes on the same floor?

You forced kids to climb a stair between classes.

What would that do to the health of our young people?

We had social habitat, talking about the deplorable conditions where houses happen in some countries.

Where the water is penetrating the shelters and mold is growing attracting insects and rodents.

And how can we have housing that is adequate?

If we're putting them in an environment where they can never keep up with the environmental forces?

What's it gonna take to design for simple health?

If we can't keep the water out, we are condemning the residents to live where there's mold and insects; the risk of asthma, respiratory disease, rodents, and rodent carried disease.

It's not just about hospitals, gang!

Designing for health penetrates every aspect of what we do as design professionals.

Here's one I didn't see coming, the... (laughs) I keep changing the slides and don't mean to.

I'm sorry, I've got a lot of material up here.

Heritage and cultural identity, are you ready?

They talked about visiting cultural sites.

Think about that.

Visiting places that matter to you or your family or your people or your culture; visiting those boosts cortisol and serotonin levels.

It improves your sense of well-being, your spiritual and emotional health.

I'm telling you, the entirety of the UIA work programs, all of these different dimensions that you wouldn't necessarily think of in the curriculum of architecture, pure architecture; but they're all touching this subject.

They're all getting involved in designing for health.

This is a sea change gang.

I know that's an overused cliche, but really we are seeing the design community turn upside down from the things that have mattered in the past to realizing... now think about this for just a second, realizing our accountability.

If research is telling us, this is how it ought to be done, these are benefits that can accrue.

These are risks that can be avoided.

If research is telling us that's the case, what's our accountability to our clients, to our peers, to our colleagues to get it right?

How can you possibly, ethically, morally practice in this field if you're not equipped to bring Design for Health to everything you touch.

And for all of that responsibility, don't miss the privilege of impacting someone's health for good!

Simple message, this is where I live and it's what I'm bringing to the center, it's what I'm bringing to the Public Health Group.

Quite simply, we are trying to change the way architecture happens.

We want every single architecture project to be about designing for health.

How can it impact the users of that facility better?

And part two to that, if we have any measure of success in doing that, will it change the health of a planet?

Think about that!

Or changing our profession not just because it's an interesting intellectual exercise, but if we're successful changing the practice, we'll change the health of our globe.

What an extraordinary privilege, what a remarkable profession to choose.

What a great privilege is ours.

That's all that I have to say.

And we've got a few minutes for questions.

Who would like to start that?

(audience member faintly speaking) Please.

- [Audience Member] Thank you for giving this amazing lecture.

I wanted to ask as regard awareness.

And how this health that's being created is going to reach other design professionals.

So I'm thinking product designers that actually design the children.

All of those people need to know that this is available (faintly speaking) as well.

- It's a great question.

And she asked, how are we gonna make sure people in the design community find out about this online hub, this portal for information?

And certainly a great set of tools that nobody knows about or how to use has little impact.

So you make a very good point.

What we're hoping, is that the membership in the UIA, those 104 countries, the real member of UIA is the architecture association in that country.

So the representative member to the UIA from the United States is the AIA.

So the hope is that as we build these resources around the Year of Design for Health, the message goes out from UIA to all of the member countries' associations of architects, and that they will pass the information out to their membership.

At some point, there has to be at least a measure of personal accountability to take those notices and become involved, become informed, become active; to inform your practice of what those things are revealing.

But on top of that, and I'm counting on this, maybe just as much; if you're a client, if you are a developer, a building owner, an investor, if you are in the business of creating those spaces either for tenants or for yourself, and you get wind that there's a body of knowledge and a body of practitioners who know how to do your project in a way that favorably impacts the physical and intellectual health of the people in those buildings; either for your organization or for the organizations that rent space in your project, that's an extraordinary competitive advantage.

We're seeing intellectual productivity enhanced by design changes.

So as this movement gets traction around the world, I suspect there will be as much pressure from the client side, as from the design profession side.

Because clients can be very demanding when they decide, I want the best.

I don't want second tier, I want something competitive.

I want something leading edge.

And I don't want my multiyear building project to get to the ribbon cutting, only to find out that something was available that could have been included in my project to make it even better; that my design team chose not to use.

There's gonna be pressure from the profession, we need to get it right.

There's gonna be pressure from the consumer, the client, to say, "I only want it if it's right."

Sometimes change takes a while, but I think the forces are in place for it to happen.

Great question though, thanks; others?

(audience member faintly speaking) Please.

- [Audience Member] There's a thing that I don't understand in (faintly speaking), as you said, that designing for health involve every architects.

So even in my studio where I'm in healthcare design studio, and the friends who I have who are outside of that studio, they think that health related design is only for those people, not for them.

So you said that this year is going to be healthcare for all.

How can we make them aware that they're also designing something related to health and this should be also included in our group.

- So if I understood the question; there are some studios where health is explicit in what you're working on.

And there are other studios with different building types, but which ought to be, according to the message of this presentation, which ought to be concerned about designing those projects for health.

May your tribe increase.

(laughs) We need more people that understand that.

That is the point.

It is every project.

And I think it's a matter of little by little, one studio at a time, one year in the curriculum of architecture at a time, introducing this as a concept and appropriate information, appropriate skill levels, appropriate expectations for the different years in school.

My hope would be that we can soon announce that there is Design for Health programming throughout the College of Architecture.

Your question is spot on.

But it touches a vision that has been talked about and embraced philosophically to a large degree.

Pulling the trigger, I hope we can get to that soon.

That's a great question, thanks.

I think we're just about out of time.

I know that we've come to the end of the official time.

So let me thank you for being here.

Those of you online, great having you; hope you enjoyed hearing about it.

Look for things coming from the AIA or from other organizations about the Year of Design for Health 2022.

It's a year that one of these days we'll look back on and we'll think, "glad we started things right then when we did, I'm glad we talked about, exposed, imagined, launched things that matter for people's health."

So thank you for joining.

And if there are no more questions, we are adjourned.

I'll look for you next Friday for this class same time, same place.

Thanks so much.

(audience clapping) (upbeat music)