Hospitals Safe from Disasters:

Hospitals Safe from Disasters:

Elisaveta Stikova, Ronald LaPorte, Faina Linkov, Margaret Potter, David Piposzar, Sam Stebbins

Reduce Risk, Protect Health Facilities, Save Lives

Learning Objectives To introduce student with UN/WHO

joint campaign for disaster reduction and safe hospitals

To enlighten the Hyogo Framework of Action and the 2008-2009 disaster reduction campaign

To explain the role of WHO in joint activities to promote disaster reduction campaign

To clarify the 10 goals of World Health Day 2009 enlighten in WHO tool kit

SEE Public Health Preparedness Supercourse Network

Elisaveta-Jasna Stikova Present position

1991-Present, Professor, University “Ss. Cyril and Methodius”, Medical faculty, Skopje, Macedonia (courses taught: Occupational Health, Public Health, Medical Ecology, Hygiene

1994 – Present, Director and Advisor, National Public Health Institute, Skopje, Macedonia

2009 – Fulbright Visiting Scholar, Pittsburg University, Graduate School of Public Health – New Educational Pathway for Global Public Heath Security

SEE Public Health Preparedness Supercourse Network

Co-Authors and collaborators: Ronald E. LaPorte, PhD, UPGSPH, Director,

Disease Monitoring and Telecommunication, WHO Collaborating Center

Faina Linkov, PhD, Assistant Professor, Cancer Institute

Margaret Potter, JD, MS, Associate Dean and Director, UPGSPH, Center for Public Health Practice

David Piposzar, MPH, UPGSPH, PPLI Co-director Sam Stebbins, MD, MPH, UPCPHP Principal

Investigator/Director, Center for Public Health Preparedness

Hospitals Safe of Disasters

The most costly hospital

is the one that fails!!!

Hospital Safe from Disasters Disaster means that basic needs of

people exceed the available recourses of community

During disasters health facilities usually can’t serve to the needs of the population because of: Increasing of demands Decreasing of delivery capacities

World Health Day 2009

Hospitals Safe from Disasters: Reduce Risk Protect Health Facilities Save Lives

Safety of facilities

Readiness of health workers to respond to the needs


Hyogo Framework for Action to reduce our collective vulnerability to

natural hazards Disaster risk reduction is important

action aims to achieve MDG Disaster risk reduction is everybody's

business Only tangible measures can reduce

vulnerability and protect development Ban Ki-Moon,

UN Secretary-

General

What is Hospitals Safe from Disaster Means?

Safe hospitals is more than physical and functional integrity of the health facility

Safe hospitals means to be prepared for functioning in full capacity, appropriate for the needs of the affected people, immediately after a hazard strike!!!

What is Hospitals Safe from Disaster Means?

A safe hospital means that: It will not collapse in disasters It can continue to function and

provide its services as a critical community facility when it is most needed

It is organized, with contingency plans in place and health workforce trained to keep the network operational

What Are the Objectives of Hospitals Safe for Disaster

Campaign?

Three main objectives of campaign: Protect the lives of patients and health

workers Make sure health facilities and health

services are able to function Improve the risk reduction capacity

including emergency management.

Why Focus on Hospitals Safe of Disasters?

Algerian earthquake, 2003 – 50% destroyed health facilities

Pakistan earthquake, 2005 - 49% destroyed health facilities

Peru, Pasco earthquake, 2007 - within two minutes, the city lost 97% of its hospital beds to an 8.0 magnitude earthquake.

China’s Wenchuan earthquake, 2008 – 11 000 health facilities (52%) were destroyed

Viet Nam flood, 2008 – 61 hospitals were damaged provinces

Fuji rains 2009 – flooded health facilities and devastate infrastructure

Hospitals Safe for Disaster10 basic facts to know - 1

Many factors put hospitals and health facilities at risk:

Buildings Patients Hospital beds Health workforce Equipment Services


Components of a safe hospitals or health facility: Structural elements Non-structural elements Functional elements


Hospitals would be put out of services during disaster because of: Structural damages Functional collapse


Hospitals and health facilities can be built to different levels of protection: Life safety Protect of infrastructure and

equipment Operation protection

Hospitals Safe for Disaster10 basic facts to know – 5, 6, 7

Making new hospitals and health facilities safe from disasters is not costly

Field hospitals are not the best solution for damaged and destroyed hospitals

Seeking the right expertise: a check consultant


Building codes are of utmost importance One of the earliest mentions of the

importance of building codes is found in Hammurabi’s Code 2:

“… [if the builder] did not construct properly this house which he built and it fell, he shall re-erect the house from his own means.”


Creating safe hospitals means shearing responsibilities Governments Health institutions and health workforce UN, international and local agencies and

NGOs Donor community Financial institutions University, schools and professional

institutions


The most costly hospital is the one that fails!

Hospital Safety Index

Applicable tool for ranking of level of safety for each health facility/hospital Structural components Non-structural components Organizational/functional

components

Cost effectiveness of prevention

Building disaster safe hospitals is much cheaper in comparison of the consequences of destruction during disaster

Almost 50% of health facilities were destroyed during the recent disasters

Indirect cost of damaged health infrastructure can be higher than direct cost of replacement and rebuilding

The cost of the disaster safe hospital is only 4% added to the cost of the new facilities


The role of Universities, Schools and Professional institutions Develop professional curricula, modules or

courses that contribute to hospital safety Act as repositories of specialized expertise Publish articles for scientific and technical

publications and journals Contribute to the development and periodic

review of national building standards

Hospital Safe of Disasters

Safe Hospital Strategy: Strategic partnership Risk reduction in health sector Training and education Develop tools and guidelines Advocacy and awareness

Hospital safe of Disasters

Target Audience Policy and decision makers, including in

financial and planning sectors Professional associations/unions

(engineers, architects, administrators) Hospital associations The public, directly and through the

mass media Private and public managers of health

systems Health professionals worldwide

Hospitals Safe from Disasters:

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