Produced by Tarina García Concheso, based on Guidelines For Vulnerability Reduction in the Design of New Health Facilities by R. A mitigation investment that increases the structural integrity of a hospital will increase total construction costs by no more than 1 or 2 percent. Technical knowledge and experience have taught us that it is possible to reduce to a minimum the risks and damage caused by disasters if preventive measures are incorporated early in the design, construction and maintenance of new health facilities. The vulnerability of the health infrastructure hospitals and clinics is of particular concern. J Public Health 2006 14: 317. This reticence by governments and the private sector alike is aggravated when financial resources are scarce or expensive, forcing mitigation projects down the list of priorities when it should be just the opposite: protecting significant investments requires high safety and performance standards. The main challenge consists in awakening the interest of countries in incorporating prevention and mitigation measures when allocating resources for investments in infrastructure.
It emphasizes the substantial social and economic benefits of applying disaster mitigation measures to the design, planning and construction of health facilities. Natural Phenomena and Health Infrastructure 3. This is the premise of the Guidelines for Vulnerability Reduction in the Design of New Health Facilities for those responsible for management, design, construction and inspection of new health facilities projects. Vincent and the Grenadines; and the Comfort Bay Nursing Home in St. In addition, interventions will be carried out at 12 health centres in Saint Lucia to improve disaster resilience, and to save energy and water. What this complex issue needs now is greater visibility in political and development agendas in Latin America and the Caribbean.
For permission to reproduce figures, charts or a complete publication, please to fill out the application form or you can also send your request by e-mail:. It is not enough for them to remain structurally sound long enough for non-ambulatory inpatients to survive; instead, these patients must continue to receive appropriate care even as new patients are coming in as a result of the injuries sustained during the event. On the other hand, a good architectural-structural design can actually reduce the costs entailed in protecting nonstructural elements. Investment in Mitigation Measures 5. When it comes to disaster resiliency standards, the bar is inevitably raised in the case of health facilities, particularly hospitals. Clearly, a vulnerability assessment will indicate the advisability of such a small marginal investment, if only as an alternative to expensive insurance premiums or replacement costs - all this without taking into account the human and social losses that are likely to occur if mitigation measures are not taken into account.
This rights catalog presents those titles, with the aim of offering them for reprinting and translation to interested organizations in the international publishing community. For all these services to be maintained without interruption, the buildings and their contents must remain operational and formal disaster response plans must be in effect. Vincent and the Grenadines and Pogson in Saint Kitts and Nevis. Damage to assets and services may contribute significantly to the impoverishment of the population, since they lead to loss of jobs and livelihoods. Even when the damage is less costly, it can still be critical enough to force the hospital to stop operating.
Vincent and the Grenadines and Pogson in St. You need to have installed to read these files. When a natural disasters affects some of the services, the performance of the entire hospital is affected. The cost of such damage, often hard to quantify, tends to build up throughout the rehabilitation and reconstruction period until operational capacity is fully restored. Health facilities affected by natural disasters in selected countries of the Americas, 1985-2001.
Any disaster will inevitably increase the number of potential patients and amplify their level of risk. Equally important, it describes how to apply these measures to achieve protection levels that not only ensure human safety but also the security of infrastructure and the continuity of services. However, it was noted that the selection of facilities that will be part of the project in Jamaica, Guyana and Belize is still in process. In Latin America and the Caribbean, seven out of 10 hospitals are located in areas at high risk of disasters, which can leave them out of service in the event of a hurricane, earthquake or flood. These benefits also affect the decision of the people to go to health centers.
First, information was collected from various international databases. Major recent titles include our bestsellers on lifestyles and health promotion, women and youth, diseases and the means to prevent them, emergency preparedness and disaster relief, and the importance of investing in health. However, this increased awareness has yet to materialize in a sufficient number of concrete measures, due to budgetary, bureaucratic, and political constraints. It can be obtained free of charge from the Adobe Website. The selection of facilities that will be part of the project in Jamaica, Guyana and Belize is still in process. Potential users of the Guidelines include, but are not limited to: 1 initiators of health facility construction projects; 2 executors and supervisors of health facility construction projects; and 3 financing bodies in charge of funding health facility construction projects. These developments highlight the need for improved preparedness and response in the health sector, inter alia, and the important role of public health in disaster management.
Hospital authorities, cognizant of the facts outlined above, frequently produce emergency response plans - but such plans often fail to incorporate prevention and mitigation measures, or to strengthen the role of hospital disaster committees in risk management. Finally, PubMed abstracts were searched with key words and phrases. Disaster Hospitals and health centers affected Hospital beds out of service Earthquake, Chile, March 1985 79 3,271 Earthquake, Mexico, September 1985 13 4,387 Earthquake, El Salvador, October 1986 7 1,860 Earthquakes, El Salvador, January and February 2001a 113 2,021 Hurricane Gilbert, Jamaica, September 1988 24 5,085 Hurricane Joan, Costa Rica and Nicaragua, October 1988 4 --- Hurricane Georges, Dominican Republic, September 1998 87 Hurricane Georges, Saint Kitts and Nevis, September 1998b 1 170 El Niño, Peru, 1997-1998 437 --- Hurricane Mitch, Honduras, November 1998 78 --- Hurricane Mitch, Nicaragua, November 1998 108 --- Source: Proceedings, International Conference on Disaster Mitigation of Health Facilities, Mexico, 1996. A key problem with mitigation projects is the belief that they will significantly increase the initial investment, affecting eventual profits or health care budgets. These benefits also affect the decision of the people to go to health centres. It should be noted that if protection measures are taken into account as early as the design stage, their cost will be much lower than if such measures are implemented during the construction stage or after the building has been completed. It is important to note that in the countries of Latin America and the Caribbean many hospitals damaged by natural disasters were designed in accordance with seismic-, wind-, and flood-resistant building standards.
The initiative builds on the Smart Project, which began as a pilot in 2012 and improved structural safety and reduced energy and water use in hospitals in Georgetown in St. This publication summarizes the more comprehensive guidelines, emphasizing who should use them, when and why. Lucia to improve disaster resilience, and to save energy and water. The project is currently ready to commence refurbishment work at selected facilities. Equally important, it describes how to apply these measures to achieve protection levels that not only ensure human safety but also the security of infrastructure and the continuity of services. Sometimes the death of a specialist can entail major technical costs for the country affected by the disaster.