1. Disaster risk reduction initiatives
Safe Hospitals
New 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. Implementation Degree
Safety 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.
Specific action plan in case of a fire.
Hospital evacuation routes are marked, lighted and unobstructed.
Assembly area is safe and previously identified.
TOTAL FUNCTIONAL 16
OVERALL TOTAL 78

5. Safety index

6. Safe Hospitals Initiative
Safety index
Cat. Type
What 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.

7. Application Used in over 500 Hospitals
Used to certify hospitals in Mexico
Helps to set priorities but does not replace an in depth vulnerability survey done by engineers
Use outside the region in Iran, Indonesia

8. 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. 1
Why do we need a new Caribbean Wind Hazard Map? 1 The only pan-Caribbean wind hazard maps ever produced for application in the design of structures were from 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: 1. topography 2
Design purpose: Basic Wind Speed adjusted for: 1 topography 2 ground roughness 3 height above ground 4 size of structure 5 desired level of safety

13. Wind hazard map
The further we go South the less frequent the events but higher in intensity
Hospitals should be built for 1700 years return period for hurricanes
caribbeanwindhazardmaps.htm

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