Flood-sustainable Medical Center

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Flood-sustainable Medical Center

• Nicole Bitler Racquel Enad
• Peter Geoghehan Jamie Querubin

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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

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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

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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

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Flood-Sustainable Medical Center

• Location
• Flood-sustainable structure
• Clinic Plan
• Personnel
• Resources
• Organization

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Pilot location Bangladesh

• Why?
• Weather
• Monsoon Season
• Location
• Bay of Bengal
• Brahmaputra River
• In need of relief
• Funding

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Existing Solutions

• Mobile clinics
• Emergency aid from the government and NPOs
• Mainly provide shelter, food, and water

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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

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Why We Chose Our Design

• Sustainability
• Populations served
• Accessibility
• Meeting station for mobile clinics and traveling
  physicians
• Location

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Framework and Structure
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Most Important Aspects

• Flood-sustainable

Able to withstand high winds
Water-resistant
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Main building materials

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

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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

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Medical Care
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Layout and Interior of the Medical Center (First
Design)
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Layout and Interior of the Center (Revised Design)
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Clinic Logistics

• Size Approximately 2000 square feet
• Medical Responsibilities of the Clinic
• Hours of Operation 800AM to 800PM
• Thirty patients served at any one time
• Approximately 100 patients served per day
• Non-flood season

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Rooms

• General ward
• Isolation room
• Examining room
• Delivery room
• Supply room
• Laboratory
• Staff room
• Kitchen
• Inside/outside waiting rooms

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Medical necessities

• 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

• Medicines 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

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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

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External logistics
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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

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Other logistics

• Transportation
• Medical center will have motor boats and/or row
  boats
• Power
• Central power line
• Generator
• Water
• Tank
• Iodine and boiling
• Personnel
• Maintenance

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Cost Estimate
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Why donate?

• Necessary project
• Organized project
• Other contributing organizations
• They have the funding, we have the plan.
• The time is now

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Thank you!