Flood-sustainable Medical Center

1. Flood-sustainable Medical Center Nicole Bitler Racquel Enad Peter Geoghehan Jamie Querubin

2. 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

3. 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

4. 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

5. Flood-Sustainable Medical Center • Location • Flood-sustainable structure • Clinic Plan: • Personnel • Resources • Organization

6. Pilot location: Bangladesh • Why? • Weather • Monsoon Season • Location • Bay of Bengal • Brahmaputra River • In need of relief • Funding

7. Existing Solutions • Mobile clinics • Emergency aid from the government and NPO’s • Mainly provide shelter, food, and water

8. 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

9. Why We Chose Our Design • Sustainability • Populations served • Accessibility • Meeting station for mobile clinics and traveling physicians • Location

10. Framework and Structure

11. Most Important Aspects Flood-sustainable Able to withstand high winds Water-resistant

12. Main building materials • Water-resistant concrete • Marine-grade plywood • 0.40 CCA pressure-treated plywood

13. 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

14. Medical Care

16. Layout and Interior of the Medical Center (First Design)

17. Layout and Interior of the Center (Revised Design)

18. 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

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

20. 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 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 Medical necessities

21. 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

22. External logistics

23. 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

24. 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

25. Cost Estimate

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

28. Thank you!