Disaster risk reduction initiatives Safe HospitalsSafe Hospitals New wind hazard map for the Caribbean basinNew wind hazard map for the Caribbean basin.

Disaster risk reduction initiatives•Safe HospitalsSafe Hospitals•New wind hazard map for the Caribbean basinNew wind hazard map for the Caribbean basin

Dana van Alphen, MD

Safe HospitalsSafe Hospitals

Since 1976:Since 1976:

1,961 health facilities damaged (nearly 1 in 8 out 1,961 health facilities damaged (nearly 1 in 8 out of approx. 16,000)of approx. 16,000)

US$3.12 billion in direct lossesUS$3.12 billion in direct losses(From CD47/INF/4 “Progress Report” 2006 and Resolution CD45.R8 (From CD47/INF/4 “Progress Report” 2006 and Resolution CD45.R8

Disaster Preparedness and Response” 2004)Disaster Preparedness and Response” 2004)

New Hospitals are still being build without New Hospitals are still being build without attention to mitigation measures for natural attention to mitigation measures for natural hazardshazards

Safety evaluation checklist for Safety evaluation checklist for Hospitals developedHospitals developed

Looks atLooks at

1.1. LocationLocation

2.2. Structural safetyStructural safety

3. Non-structural safety 3. Non-structural safety

4. Organisation and management of the 4. Organisation and management of the institution institution

Safety index formSafety index form

4.3.7 Security and Safety Plan

Implementation Degree

LOW

MEDIUM

HIGH

Check

Staff identification (including for emergency teams) procedures are in place.     YES

Building’s surveillance and security systems.       No Answer

Procedures for public and press communications.     YES

Specific action plan in case of a fire.     YES

Hospital evacuation routes are marked, lighted and unobstructed.     YES

Assembly area is safe and previously identified.     YES

TOTAL FUNCTIONAL 16

OVERALL TOTAL 78

Safety indexSafety indexSafety/Unsafety Indexes

0.500

2.500

0

1

2

3

4

1

Ra

ng

e Unsafety index

Safety index

Safe Hospitals InitiativeSafe Hospitals InitiativeSafety

indexCat.

TypeWhat should be done?

0 – 0.35 Cat. C

Urgent measures are required immediately, as the health facility’s current safety levels are not sufficient to protect patients and staff during and after a disaster event.

0.36 –0.65 Cat. B

Necessary measures are required at some point, as the health facility’s current safety levels can potentially put at risk patients and staff during and after a disaster event.

0.66 – 1 Cat. A

Preventative measures are suggested at some point, as the health facility’s current safety levels can cause acceptable damages, which nevertheless reduce the overall safety level of the installation.

ApplicationApplication

• Used in over 500 HospitalsUsed in over 500 Hospitals• Used to certify hospitals in MexicoUsed to certify hospitals in Mexico

• Helps to set priorities but does not replace Helps to set priorities but does not replace an in depth vulnerability survey done by an in depth vulnerability survey done by engineersengineers

• Use outside the region in Iran, IndonesiaUse outside the region in Iran, Indonesia

New Wind Hazard Maps for the Caribbean New Wind Hazard Maps for the Caribbean BasinBasin

(3-second mph at 33ft)(3-second mph at 33ft)

Principal researcher – Applied Research Associates (Peter Vickery)Principal researcher – Applied Research Associates (Peter Vickery)Regional coordinator – Tony Gibbs (CEP International Ltd)Regional coordinator – Tony Gibbs (CEP International Ltd)

Why do we need a new Caribbean Wind Hazard Map?Why do we need a new Caribbean Wind Hazard Map?

11 The only pan-Caribbean wind hazard maps ever The only pan-Caribbean wind hazard maps ever produced for application in the design of structures produced for application in the design of structures were were from 1984. New reliable data available.from 1984. New reliable data available.

22 The present project the includes the Caribbean The present project the includes the Caribbean coastlines of South and Central American countries. coastlines of South and Central American countries.

 In several of these cases there is no presently available  In several of these cases there is no presently available wind hazard guidance for structural design purposeswind hazard guidance for structural design purposes

Design purpose:Design purpose:Basic Wind Speed Basic Wind Speed adjusted for:adjusted for:

11 topographytopography22 ground roughnessground roughness33 height above groundheight above ground44 size of structuresize of structure55 desired level of safetydesired level of safety

Wind hazard mapWind hazard map

• The further we go South the less frequent the The further we go South the less frequent the events but higher in intensityevents but higher in intensity

• Hospitals should be built for 1700 years Hospitals should be built for 1700 years return period for hurricanes return period for hurricanes

• http://www.paho.org/english/dd/ped/http://www.paho.org/english/dd/ped/caribbeanwindhazardmaps.htmcaribbeanwindhazardmaps.htm

Camion de 50t

CUBA Gustav 340 km/h