Flood-sustainable Medical Center

Nicole Bitler Racquel Enad

Peter Geoghehan Jamie Querubin

Presentation Overview Introduction - All

Problem & our solution - Jamie Current solutions - Peter Design alternatives - Racquel Why our solution is the best - Nicole

External framework and structure - Racquel Medical care - Nicole External logistics - Peter Cost - Racquel Conclusion - Jamie

Introduction Hurricane Katrina

1,836 deaths Tsunami in Thailand

5,395 deaths What makes these similar?

Unnecessary deaths due to the inaccessibility of medical attention and relief

The Problem Floods are the most frequent and costly of natural disasters Major Problems:

Location and timeliness Lack of project proposals

How are victims affected? No shelter Water-borne diseases Injuries

Flood-Sustainable Medical Center Location Flood-sustainable

structure Clinic Plan:

Personnel Resources Organization

Pilot location: Bangladesh

Why? Weather

Monsoon Season Location

Bay of Bengal Brahmaputra River

In need of relief Funding

Existing Solutions

Mobile clinics Emergency aid from the government and NPO’s Mainly provide shelter, food, and water

Design Alternatives Medical “building”

OR/ER in a box or pop-up clinic Use an existing structure Large tent

Patients Disaster victims Age groups Specific genders

Why We Chose Our Design Sustainability Populations served Accessibility Meeting station for mobile clinics and

traveling physicians Location

Framework and Structure

Most Important Aspects

Flood-sustainable

Water-resistant Able to withstand

high winds

Main building materials

Water-resistant concrete Marine-grade plywood 0.40 CCA pressure-treated plywood

The structure Size and dimensions Parts

Stilts Porch Ramp/gangway Floatable docks Perimeter (outside) and

inside walls Angled roof with overhang Windows with storm

shutters Doors Flooring

Medical Care

Layout and Interior of the Medical Center (First Design)

Layout and Interior of the Center (Revised Design)

Clinic Logistics Size: Approximately 2000 square feet Medical Responsibilities of the Clinic Hours of Operation: 8:00AM to 8:00PM Thirty patients served at any one time Approximately 100 patients served per

day Non-flood season

Rooms General ward Isolation room Examining room Delivery room Supply room Laboratory Staff room Kitchen Inside/outside

waiting rooms

Medical necessitiesMedicines & Vaccines: One-month Supply of

Medications Refrigeration Re-supplying the

Medications World Health Organization

List of Essential Medications

Medical records: Digital - computer Manual - index cards,

whiteboard, and notebook

Clean Water: Problems with Lack of Clean

Water 700 Gallons of Clean Water

per week (1 gallon/person/day)

Boiling Water Iodine Tablets

Triage Trained community health

workers Transportation to hospitals

or other medical centers

Personnel Personnel needed to run medical center

1-2 Doctors 2-3 Nurses 3 Community Health Workers

Stipend/Off-Season Work Schedule of personnel needed at any given

time

External logistics

Communication Important to connect

the medical canter with local hospitals and other medical centers

Cell phones/cell phone tower Visual and audio

use Computers/facebook

Transportation Medical center will have motor boats and/or row

boats Power

Central power line Generator

Water Tank Iodine and boiling

Personnel Maintenance

Other logistics

Cost Estimate

Why donate? Necessary project Organized project Other contributing organizations

They have the funding, we have the plan. The time is now

Thank you!