Case Studies
Nepal: Non-structural vulnerability assessment of hospitals (SEARO)

The report outlines the possible extent of non-structural damage to nine hospitals in Nepal in case of moderate to large-scale earthquakes. It also outlines very practical and easy to implement mitigation measures, many of which the maintenance sections of the hospitals can carry out and at low cost.


Sri Lanka: A Tsunami Preparedness case study

The Medical Superintendent of Ampara General Hospital, Ampara District, Sri Lanka, attended the course “Public Health and Emergency Management in Asia and the Pacific” (PHEMAP) in the fall of 2004, and had followed the PHEMAP – III course in Asian Disaster Preparedness Centre (ADPC), Bangkok, Thailand in August and September 2003. This case study shows the impact of this capacity building when the Indian Ocean Tsunami of 24 December 2004 struck Sri Lanka.

Download case study [ pdf 64kb ]

Ecuador: A practical scheme for hospitals to deal with disasters

For a hospital, a disaster is any situation, whether internal or external, which disrupts its usual routine.  Every situation is unique and demands an adequate response. In disasters the usual routine no longer applies, and the treatment of various illnesses, priorities and the whole focus of the hospital may  change radically.  This case study proposes a practical scheme for dealing with disasters.

Download case study [ pdf 460kb ]
Available in Spanish only

More case studies

The Regional Disaster Information Center (CRID), an organization that gathers and disseminates disaster-related information in Latin America and the Caribbean, has compiled a list of over 30 case studies. The case studies cover disasters from different regions around the world and discuss healthcare-related issues.  The list also includes several vulnerability assessments done on hospitals.

Case studies are written in Spanish and English.

WHO-WPRO good practice brochure on Bicol teaching hospital

Typhoon 'Reming' hit the Bicol region of the Philippines on November 30 2006.  Health facilities were not spared damage, and the Bicol Regional Teaching and Training Hospital (BRTTH) was hardest hit.  Rebuilding the hospital to rigorous hazard-safety standards took less time than usual, due to strong networks and coordination.

Download case study [pdf 348 kb]

Japan: Medical response to Mount Fugendake eruption

Since ancient times, volcanic events have been considered to be  one of the most destructive natural phenomena. In June 1991, Mount Unzen-Fugendake erupted causing a series of disasters involving pyroclastic flows, an avalanche of earth and rocks, and falling ash. The pyroclastic flows left 43 people dead and 53 injured. This case study looks at how the  emergency health/medical care system responded to the eruption.

Download case study [ pdf 325kb ]

India: A Safe Hospitals initiative after the Gujurat Earthquake

This report explores and narrates the nature of the steps taken and the sequence of responses that followed the massive earthquake which shook the lifeline and health system of about two-thirds of the population of India’s Gujarat state in 2001.

Download case study [ pdf 260kb ]