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When designing a new hospital, it's crucial to prioritize cleanliness from the outset. Key strategies include avoiding clutter by integrating convenient storage areas near work zones, utilizing upper cabinets, and keeping floors clear for easier cleaning. Equally important is selecting sanitary finishes, such as epoxy grout for tile, to facilitate maintenance. A significant concern is the joint between the floor and wall, which should be designed for easy cleaning, possibly by coveing it up the wall for a sanitary connection. Poor maintenance can lead to biofilm buildup on surfaces, which is particularly problematic in environments like animal shelters, where increased disease rates are observed over time.