Hospitals Safe from Disasters: A Glimpse into The Mexican Coastal Zones

Hospitals Safe from Disasters: A Glimpse into The Mexican Coastal Zones

Milton Montejano-Castillo Mildred Moreno-Villanueva 

Escuela Superior de Ingeniería y Arquitectura Unidad Tecamachalco del Instituto Politécnico Nacional, México

Page: 
329-341
|
DOI: 
https://doi.org/10.2495/SAFE-V8-N2-329-341
Received: 
N/A
| |
Accepted: 
N/A
| | Citation

OPEN ACCESS

Abstract: 

Flood risks and damages due to natural phenomena are becoming more frequent in Mexican coastal zones. Given this condition, the critical infrastructure of cities must be prepared and protected for such disasters, particularly in the health sector. To face this challenge, during the World Conference on Disasters Risk Reduction in 2005, the United Nations launched the global campaign ‘Hospitals Safe from Disasters’. This campaign was based on the commitment that hospitals must be safe in order to mitigate disasters damages and hospitals must continue functioning after a disaster. Mexico together with other 168 countries became part of the compromise. In 2015, said goals and objectives were ratified in the Sendai Framework for Disaster Risk Reduction 2015–2030. Under the leadership of the National System for Civil Defense Mexico´s, the ‘Safe Hospital Program’ has been a mechanism to evaluate and certify the safety of hospitals located on disaster risk areas. Such a program broadly speaking comprises a Hospital Safety Index, an Evaluation Process, and the corresponding Evaluators Committee. Against this background, the main goal of this paper is to show the results of a long-term project that has been documenting the limits, challenges and strategies that some hospitals pose in Mexican coastal zones in order to reach the goals of the said Program. This analysis bases on semi-structured interviews with key informants in hospitals exposed to hydrometeorological hazards as hurricanes and heavy rains. Results show that in spite of a very precise developed Safety Index and detailed evaluation tools, hospitals lack in many cases of the financial resources and a ‘risk reduction culture’, or have serious technical constraints imposed by the age of the buildings. Nevertheless, they have developed strategies that could be useful for other health care facilities in the same situation.

Keywords: 

coastal zones, disasters, hospitals, Mexico, risk reduction

  References

[1] Véliz-Pintos, R.A., Reflexiones de un pediatra ante la explosión de gas en un Hospital Materno Infantil de la Ciudad de México. Revista Mexicana de Pediatría, 82(1), pp. 3–4, available at www.medigraphic.com/pdfs/pediat/sp-2015/sp151a.pdf, 2015 (accessed 16 December 2016).

[2] Organización Panamericana de la Salud, Conferencia Internacional sobre Mitigación de Desastres en Instalaciones de Salud, available at www.paho.org/disasters/index.php?option=com_content&view=article&id=664:international-conferenceon-disaster-mitigation-in-heath-facilities&Itemid=924&lang=es (accessed 08 January 2015).

[3] ONU/CEPAL, Impacto Económico de los Desastres Naturales en la Infraestructura de Salud; ONU/CEPAL: México, 1996.

[4] International Strategy for Disaster Reduction/World Health Organization/World Bank, Hospitals Safe from Disasters, Reduce Risk, Protect Health Facilities, Save Lives, 2008–2009 World Disaster Reduction Campaign, ISRD/WHO/World Bank, available at www.unisdr.org/files/1347_wdrc20082009informationkit.pdf (accessed 16 December 2016).

[5] World Health Organization/Pan American Health Organization. Hospital Safety Index: Guide for Evaluators – 2nd ed., WHO: Geneva, available at www.who.int/hac/techguidance/hospital_safety_index_evaluators.pdf?ua=1, 2015 (accessed 07 September 2016).

[6] Rautela, P., Girish C.J. & Bhupendra, B., Seismic vulnerability of the health infrastructure in the Himalayan township of Mussoorie, Uttarakhand, India. International Journal of Disaster Resilience in the Built Environment, 2(3), pp. 200–209, 2011. https://doi.org/10.1108/17595901111167088

[7] Morán-Rodríguez, S. & Novelo-Casanova, D.A., Seismic vulnerability assessment of Health facilities in Mexico City, Mexico. WIT Transactions on The Built Environment, vol 150, WIT Press, available at www.witpress.com/elibrary/wit-transactions-on-thebuilt-environment/150/33931, 2015 (accessed 05 September 2016).

[8] Abbas, H.B. & Routray, J.K., A semi-quantitative risk assessment model of primary health care service interruption during flood: case study of Aroma locality, Kassala State of Sudan. International Journal of Disaster Risk Reduction, 6, pp. 118–128, 2013. http://dx.doi.org/10.1016/j.ijdrr.2013.10.002

[9] Bajow, N.A. & Alkhalil, S.M., Evaluation and analysis of hospital disaster preparedness in Jeddah. Health, 6, pp. 2668–2687, 2014. http://dx.doi.org/10.4236/health.2014.619306

[10] Mulyasari, F., Satomi, I., S., Prashar, S., Isayama, K., Basu, M., Srivastava, N. & Shaw, R., Disaster preparedness: looking through the lens of hospitals in Japan. International Journal of Disaster Risk Science, 4(2), pp. 89–100, 2013. Available at: https://link.springer.com/article/10.1007/s13753-013-0010-1 (accessed 28 October 2014). https://doi.org/10.1007/s13753-013-0010-1

[11] Loosemore, M., Carthey, J., Chandra, V. & Chand, A.M., Climate change risks and opportunities in hospital adaptation. International Journal of Disaster Resilience in the Built Environment, 2(3), pp. 210–221, 2011. http://dx.doi.org/10.1108/17595901111167097

[12] Geroy, L.S.A. & Pesigan, A.M., Disaster risk reduction for health facilities in the Western Pacific Region. International Journal of Disaster Resilience in the Built Environment, 2(3), pp. 268–277, 2011. https://doi.org/10.1108/17595901111167132

[13] Cruz-Vega, F., Loría-Castellanos, J., Hernández-Olivas, I.P., Franco-Bey, R., OchoaÁvila, C. & Sánchez-Badillo, V., Experiencia en capacitación en emergencias de la División de Proyectos Especiales en Salud, Instituto Mexicano del Seguro Social. Cirugía y Cirujanos, 84(2), pp. 127–134, 2016. Available at: http://www.sciencedirect. com/science/article/pii/S0009741115002881 (accessed 13 September 2016). https://doi.org/10.1016/j.circir.2015.12.001

[14] Yarmohammadian, M.H., Atighechian, G., Shams, L. & Haghshenas, A., Are hospitals ready to response to disasters? Challenges, opportunities and strategies of Hospital Emergency Incident Command System (HEICS). Journal of Research in Medical Sciences, 16(8), 1070–1077, 2011. Available at: www.ncbi.nlm.nih.gov/pmc/articles/PMC3263085/. (accessed 16 June 2014).

[15] Achour, N. & Price, A.D.F., Resilience strategies of healthcare facilities: present and future. International Journal of Disaster Resilience in the Built Environment, 1(3), pp. 264–276, 2010. https://doi.org/10.1108/17595901011080869

[16] Organización Panamericana de la Salud/Organización Mundial de la Salud, Comunidades Resilientes a través de Redes de Salud Seguras frente a Desastres en América del Sur, OPS/OMS, available at www.cridlac.org/digitalizacion/pdf/spa/doc19246/doc19246-contenido.pdf, 2012 (accessed 13 September 2016).

[17] UNISDR (United Nations International Strategy for Disaster Reduction). Sendai Framework for Disaster Risk Reduction 2015–2030, available at: www.preventionweb.net/files/43291_sendaiframeworkfordrren.pdf, 2015 (accessed 13 September 2016).

[18] Cruz, Felipe, Mexico: Applying the “Hospital Safety Index”, available at http://safehospitals.info/index.php?option=com_content&task=view&id=119&Itemid=188, 2009 (accessed 28 January 2014).

[19] SEGOB/Banco Mundial, FONDEN: Mexico’s Natural Disaster Fund – A Review. The International Bank for Reconstruction and Development/The World Bank, p. 3, available at: www.proteccioncivil.gob.mx/work/models/ProteccionCivil/Almacen/fonden_resumen_ejecutivo.pdf, 2012 (accessed 12 June 2013).

[20] Centro Virtual de Operaciones en Emergencias y Desastres (CVOED). División de Proyectos Especiales en Salud. Dirección de Prestaciones Médicas, Instituto Mexicano del Seguro Social (IMSS), available at http://cvoed.imss.gob.mx/COED/home/normativos/DPM/capacitacion/curso_taller_evacuacion/3.%20HOSPITAL%20SEGURO.pdf (accessed 18 January 2015).

[21] Coordinación de Protección Civil, Universo de hospitales clasificados como de alta complejidad y alto nivel resolutivo (rojos). Programa Hospital Seguro, México, available at www.proteccioncivil.gob.mx/work/models/ProteccionCivil/Resource/59/2/images/lhcr.pdf (accessed 18 January 2015).

[22] Gobierno de México. Ley General de Protección Civil. Cámara de Diputados.

[23] Gobierno de México. Secretaría de Salud. Ley Norma Oficial Mexicana NOM-016-SSA3-2012, Que establece las características mínimas de infraestructura y equipamiento de hospitales y consultorios de atención médica especializada.