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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 necessities
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
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!