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Impact on Hospital Functions Following the 2010 Chilean Earthquake

Published online by Cambridge University Press:  08 April 2013

Thomas D. Kirsch ,
Judith Mitrani-Reiser ,
Richard Bissell ,
Lauren M. Sauer ,
Michael Mahoney ,
William T. Holmes ,
Nicolás Santa Cruz  and
Francisco de la Maza
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Abstract

Objective: The objective of this study was to assess the impact of the 2010 Chilean earthquake on hospital functions and services. Hospitals functioning in a post-disaster environment must provide emergency medical care related to the event, in addition to providing standard community health services. This study focused on damage to both structural and nonstructural components, as well as to utility services.

Methods: Site visits were made to every hospital in a single province (Bio-Bio). Engineers conducted damage assessments while interviews of hospital administrators were conducted. The survey was requested by the Chilean Ministry of Health (MOH) to assess the impact of the earthquake on hospital operations and facility responses to those effects. Other important regional and hospital data were gathered from hospital administrators and the MOH.

Results: Seven government hospitals were surveyed. All hospitals in the region lost communications, municipal electrical power and water for several days. All reported some physical damage although only one suffered significant structural damage. All lost some functional capacity as a result of the earthquake. The loss of telephones and cellular service was identified as the most difficult problem by administrators. An average of 3 physical areas per hospital lost some degree of functional capacity following the earthquake.

Conclusion: Even in an earthquake-prone and very well-prepared country such as Chile hospital functions were widely disrupted by the event. The loss of hospital functions can occur even with minimal damage to the physical structure. The loss of communications can impede or halt response efforts at all levels. Hospitals should be prepared to self-sustain following a disaster for 2-3 days regardless of the level of structural damage. Understanding the details of these impacts is essential to hospital preparedness and plans for continuing services after a disaster.

(Disaster Med Public Health Preparedness. 2010;4:122-128)

Keywords

Chiledisastershospitalsfunctional capacityearthquakesemergency services, hospitalcommunicationfacility design and constructionpublic healthdisaster preparedness
Type
Original Articles
Information
Disaster Medicine and Public Health Preparedness , Volume 4 , Issue 2 , June 2010 , pp. 122 - 128
Copyright
Copyright © Society for Disaster Medicine and Public Health, Inc. 2010

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References

REFERENCES

1.Federal Emergency Management Agency. FEMA 577: Design Guide for Improving Hospital Safety in Earthquakes, Floods, and High Winds. Federal Emergency Management Agency, Risk Management Series. Washington, DC: FEMA; 2007.Google Scholar
2.Pan American Health Organization, World Health Organization. Safe Hospitals: A Regional Initiative on Disaster-Resilient Health Facilities. 27th Pan American Sanitary Conference, Washington, DC, October 1–5, 2007. http://new.paho.org/disasters/index.php?option=com_docman&task=doc_download&gid=371&Itemid=. Accessed May 12, 2010.Google Scholar
3.Albanese, J, Birnbaum, M, Cannon, C.Fostering disaster resilient communities across the globe through the incorporation of safe and resilient hospitals for community-integrated disaster responses. Prehosp Disaster Med. 2008;23 (5):385–390.CrossRefGoogle ScholarPubMed
4.International Strategy for Disaster Reduction: Hyogo Framework for Action: 2005-2015: Building the Resilience of Nations and Communities for Disasters. World Conference on Disaster Reduction. 2005. Hyogo, Kobe, Japan. http://www.unisdr.org/eng/hfa/hfa.htm. Accessed May 12, 2010.Google Scholar
5.Pan American Health Organization, Regional Office of the World Health Organization. Area on Emergency Preparedness and Disaster Relief. Annual Report 2005. http://www.disaster-info.net/AnnualReport05/index.htm. Accessed May 19, 2010.Google Scholar
6.Government of Haiti. Haiti Earthquake PDNA: Assessment of Damage, Losses, General and Sectoral Needs (Annex to the Action Plan for National Recovery and Development of Haiti). http://www2.reliefweb.int/rw/RWFiles2010.nsf/FilesByRWDocUnidFilename/SMAR-84H3RA-full_report.pdf/$File/full_report.pdf. Accessed April 23, 2010.Google Scholar
7.WHO Inter-Agency Standing Committee (IASC) Humanitarian Health Cluster. Pakistan Earthquake October 2005, Consolidated Health Situation Bulletin #2. http://www.who.int/hac/crises/international/pakistan_earthquake/HealthClusterBulletinSouthAsiaEarthquake5.pdf. Published October 27, 2005. Accessed May 12, 2010.Google Scholar
8.United Nations Children's Fund. Crisis Appeal. Earthquake in Bam, Iran. http://www.unicef.org/emerg/files/Emergencies_Iran_Flash_Appeal_130104.pdf. Published January 13, 2004. Accessed April 16, 2010.Google Scholar
9.Chapin, E, Daniels, A, Elias, R, Aspilcueta, D, Doocy, S.Impact of the 2007 Ica earthquake on health facilities and health service provision in southern Peru. Prehosp Disaster Med. 2009;24 (4):326–332.Google Scholar
10.United States Geological Survey. Largest Earthquakes in the World Since 1900. http://earthquake.usgs.gov/earthquakes/world/10_largest_world.php. Accessed April 22, 2010.Google Scholar
11.Fuentes, FElaboran primer mapa de víctimas del terremoto y tsunami por localidades. La Tercera. April 17, 2010:33-34.Google Scholar
12.Pan American Health Organization, World Health Organization. Chile Country Health Profile. http://www.paho.org/english/sha/prflchi.htm. Accessed April 26, 2010.Google Scholar
13.Hick, JL, Barbera, JA, Kelen, GD.Refining surge capacity: conventional, contingency, and crisis capacity. Disaster Med Public Health Prep. 2009;3 2(Suppl)S59–S67.CrossRefGoogle ScholarPubMed
14.Yamauchi, K, Mizuno, S, Xu, Z.Disaster-readiness of medical facilities in Aichi Prefecture. Nagoya J Med Sci. 1996;59 (3-4):121–128.Google Scholar
15.Biblioteca del Congreso Nacional de Chile. Terremoto en Chile, Situacion de la Infraestructura Habitacional y Hospitalaria. http://siit2.bcn.cl/actualidad-territorial/terremoto_chile-infraestructura_hospitalaria. Accessed April 22, 2010.Google Scholar
16.Durkin, ME, Thiel, CC, Schnieder, JE, De Vriend, T.Injuries and emergency medical response in the Loma Prieta earthquake. Bull Seism Soc Am. 1991;81:2143–2166.Google Scholar
17.Pointer, JE, Michaelis, J, Saunders, C.. The 1989 Loma Prieta earthquake: impact on hospital patient care. Ann Emerg Med. 1992;21 (10):1228–1233.Google Scholar
18.Ukai, T.The Great Hanshin-Awaji earthquake and the problems with emergency medical care. Ren Fail. 1997;19 (5):633–645.CrossRefGoogle ScholarPubMed
19.Tanaka, H, Iwai, A, Oda, J.Overview of evacuation and transport of patients following the 1995 Hanshin-Awaji earthquake. J Emerg Med. 1998;16 (3):439–444.CrossRefGoogle ScholarPubMed
20.Chan, YF, Alagappan, K, Gandhi, A, Donovan, C, Tewari, M, Zaets, SB. Disaster management following the Chi-Chi earthquake in Taiwan. Prehosp Disaster Med. 2006;21(3):196–202.Google Scholar
21.Doocy, S, Daniels, A, Aspilcueta, D; Inppares-JHSPH-CUNY Study Team. Mortality and injury following the 2007 Ica earthquake in Peru. Am J Disaster Med. 2009;4(1):15–22.CrossRefGoogle Scholar
22.Klein, KR, Rosenthal, MS, Klausner, HA.Blackout 2003: preparedness and lessons learned from the perspectives of four hospitals. Prehosp Disaster Med. 2005;20 (5):343–349.Google Scholar
23.Paul, JA, Lin, LImpact of facility damages on hospital capacities for decision support in disaster response planning for an earthquake. Prehosp Disaster Med. 2009;24 (4):333–341.CrossRefGoogle ScholarPubMed
24.Mitrani-Reiser, J, Beck, JLIncorporating Losses Due to Repair Costs, Downtime and Fatalities in Probabilistic-Based Earthquake Engineering.Proceedings of Computational Methods in Structural Dynamics and Earthquake Engineering, Crete, Greece, June 13-15, 2007.Google Scholar
25.Rodriguez, H, Aguirre, BE.Hurricane Katrina and the healthcare infrastructure: a focus on disaster preparedness, response, and resiliency. Front Health Serv Manage. 2005;23:13–23.Google Scholar