1. 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

2. Safe Hospitals Since 1976: 1,961 health facilities damaged (nearly 1 in 8 out of approx. 16,000) US$3.12 billion in direct losses (From CD47/INF/4 Progress Report 2006 and Resolution CD45.R8 Disaster Preparedness and Response 2004) New Hospitals are still being build without attention to mitigation measures for natural hazards

3. Safety evaluation checklist for Hospitals developed Looks at 1. Location 2. Structural safety 3. Non-structural safety 4. Organisation and management of the institution

4. Safety index form 4.3.7 Security and Safety Plan Implementation Degree LOWLOW MED IUM HI G H Check Staff identification (including for emergency teams) procedures are in place. YES Buildings 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 FUNCTIONAL16 OVERALL TOTAL 78

5. Safety index

6. Safe Hospitals Initiative Safety index Cat. Type What should be done? 0 – 0.35Cat. C Urgent measures are required immediately, as the health facilitys current safety levels are not sufficient to protect patients and staff during and after a disaster event. 0.36 –0.65Cat. B Necessary measures are required at some point, as the health facilitys current safety levels can potentially put at risk patients and staff during and after a disaster event. 0.66 – 1Cat. A Preventative measures are suggested at some point, as the health facilitys current safety levels can cause acceptable damages, which nevertheless reduce the overall safety level of the installation.

7. Application 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 an in depth vulnerability survey done by engineersHelps to set priorities but does not replace an in depth vulnerability survey done by engineers Use outside the region in Iran, IndonesiaUse outside the region in Iran, Indonesia

8. New Wind Hazard Maps for the Caribbean Basin (3-second mph at 33ft) New Wind Hazard Maps for the Caribbean Basin (3-second mph at 33ft) Principal researcher – Applied Research Associates (Peter Vickery) Regional coordinator – Tony Gibbs (CEP International Ltd)

9. Why do we need a new Caribbean Wind Hazard Map? 1The only pan-Caribbean wind hazard maps ever produced for application in the design of structures were from 1984. New reliable data available. 2 The present project the includes the Caribbean coastlines of South and Central American countries. In several of these cases there is no presently available wind hazard guidance for structural design purposes

12. Design purpose: Basic Wind Speed adjusted for: 1topography 2ground roughness 3height above ground 4size of structure 5desired level of safety

13. Wind hazard map The further we go South the less frequent the events but higher in intensityThe further we go South the less frequent the events but higher in intensity Hospitals should be built for 1700 years return period for hurricanesHospitals should be built for 1700 years return period for hurricanes http://www.paho.org/english/dd/ped/ caribbeanwindhazardmaps.htmhttp://www.paho.org/english/dd/ped/ caribbeanwindhazardmaps.htm

14. Camion de 50t CUBA Gustav 340 km/h