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Basic Seismic Response Capability of Hospitals in Lima, Peru

Published online by Cambridge University Press:  19 July 2018

Nicola Liguori Open the ORCID record for Nicola Liguori [Opens in a new window] ,
Nicola Tarque ,
Celso Bambaren ,
Sandra Santa-Cruz ,
Juan Palomino  and
Michelangelo Laterza
Nicola Liguori
Affiliation:
Department of Civil Engineering, Pontifical Catholic University of Peru, Lima, Peru
Nicola Tarque*
Affiliation:
Department of Civil Engineering, Pontifical Catholic University of Peru, Lima, Peru
Celso Bambaren
Affiliation:
School of Public Health and Administration, Cayetano Heredia University, Lima, Peru
Sandra Santa-Cruz
Affiliation:
Department of Civil Engineering, Pontifical Catholic University of Peru, Lima, Peru
Juan Palomino
Affiliation:
Department of Civil Engineering, Pontifical Catholic University of Peru, Lima, Peru
Michelangelo Laterza
Affiliation:
Department of Architecture (DiCEM), University of Basilicata, Matera, Italy
*
Correspondence and reprint requests to Nicola Tarque, PhD, Department of Civil Engineering, Pontifical Catholic University of Peru, Av. Universitaria 1801, San Miguel, Lima 32, Perú (e-mail: sntarque@pucp.edu.pe).
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Abstract

Objective

The objective of the study was to research the basic seismic response capability (BSRC) of hospitals in Lima Metropolitana. A large number of wounded could be registered in case of an earthquake; therefore, operational hospitals are necessary to cure the injured. The study focused on the operational performance of the hospitals, autonomies of essential resources such as power, water, medical gases, and medicine, in addition to the availability of emergency communication system and ambulances.

Methods

Data by a probabilistic seismic risk analysis have been used to assess the operational level of the hospitals. Subsequently, availability of an essential resource has been combined with the immediately operational hospitals to evaluate the BSRC of the health facilities.

Results

Forty-one of Lima’s hospitals have been analyzed for a seismic event with 72-100 years of a return period. Three hospitals (7.3%) were capable to work in a self-sufficient manner for 72 hours, another three (7.3%) for 24 hours, and one (2.4%) for 12 hours.

Conclusion

Results showed a low performance of the hospitals in case of an earthquake. The issue is due to the high seismic vulnerability of the existing structures. Given the importance of Lima city in Peru, structural and nonstructural retrofitting plans should be implemented to improve the preparedness of the health system in case of an emergency. (Disaster Med Public Health Preparedness. 2019;13:138–143)

Keywords

disastersearthquakesemergency preparednesshospitalsrisk assessment
Type
Brief Report
Information
Disaster Medicine and Public Health Preparedness , Volume 13 , Issue 2 , April 2019 , pp. 138 - 143
Copyright
Copyright © Society for Disaster Medicine and Public Health, Inc. 2018 

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References

REFERENCES

1. Tavera, H. Evaluación del peligro asociado a los sismos y efectos secundarios en Perú. Lima, Perú: Geophysical Institute of Perú, Ministry of the Atmosphere; 2014. https://www.indeci.gob.pe/objetos/microsite/OQ==/NzM=/fil20140926131431.pdf. Accessed April 25, 2017.Google Scholar
2. Organización Mundial de la Salud. Terremoto de Pisco - A dos años del sismo, crónica y lecciones aprendidas en el sector salud. Washington, DC: OPS/OMS; 2010; http://www.bvsde.paho.org/bvsade/fulltext/terremoto/terremoto.htm. Accessed April 10, 2017.Google Scholar
3. Ministerio de Salud. El Terremoto y Maremoto del Sur del Perú, 2001. Lecciones para el futuro. http://www.minsa.gob.pe/ogdn/cd1/pdf/ELAS_02/docelas_02.pdf. Accessed January 30, 2017.Google Scholar
4. Chapin, E, Daniels, A, Elias, R, Aspilcueta, Dl. 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
5. Daniels, A, Chapin, E, Aspilcueta, D, Doocy, S. Access to health services and care-seeking behaviors after the 2007 Ica Earthquake in Peru. Disaster Med Public Health Prep. 2009;3(2):97-103.Google Scholar
6. Centro de Estudios y Prevención de Desastres. Gestión Municipal para la Respuesta a Terremoto con énfasis en Agua, Saneamiento y Higiene. Lima, Perú: PREDES; 2012. http://www.wash.pe/wp-content/uploads/2016/11/Disen%CC%83oescenariosismicoLima2012final-rev.pdf. Accessed April 7, 2017.Google Scholar
7. Phalkey, R, Reinhardt, JD, Marks, M. Injury epidemiology after the 2001 Gujarat Earthquake in India: a retrospective analysis of injuries treated at a rural hospital in the Kutch district immediately after the disaster. Global Health Action. 2011;4(7196):1-9.Google Scholar
8. Bulut, M, Fedakar, R, Akkaose, S, et al. Medical experience of a university hospital in Turkey after the 1999 Marmara Earthquake. Emerg Med J. 2005;22:494-498.Google Scholar
9. Santa-Cruz, S, Palomino, J, Liguori, N, et al, Seismic risk assessment of hospitals in Lima City using GIS tools. In: Procedings, Part III from 17th International Conference on Computational Science and Its Applications – ICCSA 2017. 2017;10406(1):354-367.Google Scholar
10. Bambarén, C, Uyen, A, Rodriguez, M. Estimation of the demand for hospital care after a possible high-magnitude earthquake in the city of Lima, Peru. Prehosp Disaster Med. 2017;32(1):1-6.Google Scholar
11. Instituto Nacional de Defensa Civil. Proyecto SIRAD: Sistema de Información sobre Recursos para Atención de Desastres. http://sirad.indeci.gob.pe/static/SIRAD_Publicacion_ES.pdf. Accessed April 26, 2017.Google Scholar
12. Yavari, S, Chang, SE, Elwood, KJ. Modeling post-earthquake functionality of regional health care facilities. Earthquake Spectra. 2010;26(3):869-892.Google Scholar
13. Eshghi, S, Naserasadi, K. Performance of essential building in the 2003 Bam, Iran, Earthquake. Earthquake Spectra. 2005;21(1):375-393.Google Scholar
14. Kirsch, TD, Mitrani-Reiser, J, Bissell, R, et al. Impact on hospitals functions following the 2010 Chilean Earthquake. Disaster Med Public Health Prep. 2010;4(2):122-128.Google Scholar
15. Mitrani-Reiser, J, Mahoney, M, Holmes, WT, et al. A functional loss assessment of a hospital system in the Bío-Bío province. Earthquake Spectra. 2012;28(1):473-502.Google Scholar
16. Jacques, CC, McIntosh, J, Giovinazzi, S, et al. Resilience of the Canterbury hospital system to the 2011 Christchurch Earthquake. Earthquake Spectra. 2014;30(1):533-554.Google Scholar
17. Assistant Secretary for Preparedness and Response. 2017-2022 Health care preparedness and response capabilities. US: ASPR; 2016. https://www.phe.gov/preparedness/planning/hpp/reports/documents/2017-2022-healthcare-pr-capablities.pdf. Accessed November 20, 2017.Google Scholar
18. Lupoi, G, Franchin, P, Lupoi, A, et al. Probalistc Seismic Assessment for Hospitals and Complex-Social Systems. Pavia, Italy: IUSS Press; 2008.Google Scholar
19. Miniati, R, Capone, P, Hosser, D. Decision support system for rapid seismic risk mitigation of hospital systems. Comparison between models and countries. Int J Disaster Risk Reduct . 2014;9(2014):12-25.Google Scholar
20. Paul, JA, Lin, L. Impact of facility damages on hospital capacities for decision support in disaster response planning for earthquake. Prehosp Disaster Med. 2009;24(4):333-341.Google Scholar
21. Sae, O, Shigeaki, K, Kenichi, K, Kanatani, Y. Disaster vulnerability of hospitals: a nationwide surveillance in Japan. Disaster Med Public Health Prep. 2015;9:614-618. doi: 10.1017/dmp.2015.101.Google Scholar
22. Ministerio de Salud, Seguro Social de Salud. Plan de Contigencia del Sector Salud ante un sismo de gran magnitud en Lima Metropolitana y en las Regiones de Callao y Lima. Lima, Perú: MINSA y EsSalud; 2016.Google Scholar
23. Federal Emergency Management Agency (FEMA-273). NEHRP guidelines for the seismic rehabilitation of the buildings. Washington, DC: FEMA; 1997.Google Scholar
24. World Health Organization. Safe hospital initiative: comprehensive safe hospital framework. Geneva, Switzerland: WHO; 2015. http://www.who.int/hac/techguidance/comprehensive_safe_hospital_framework.pdf. Accessed February 28, 2017.Google Scholar
25. Kudo, D, Furukawa, H, Nakagawa, A, et al. Reliability of telecommunications systems following a major disaster: survey of secondary and tertiary emergency institutions in Miyagi Prefecture during the acute phase of the 2011 Great East Japan Earthquake. Prehosp Disaster Med. 2012;29(2):204-208. doi: 10.1017/S1049023X14000119.Google Scholar
26. Yamamura, H, Kaneda, K, Misobata, Y. Communication problems after the Great East Japan Earthquake of 2011. Disaster Med Public Health Prep. 2014;8(4):293-296.Google Scholar
27. Ruch, C, Stadler, H. Added value of online satellite data transmission for flood forecasting: warning systems in medium-size catchments. Water Sci Technol. 2009;59(1):23-29.Google Scholar
28. Achour, N, Miyajima, M, Kitaura, M, Price, A. Earthquake-induced structural and nonstructural damage in hospitals. Earthquake Spectra. 2011;27(3):617-634.Google Scholar