1. LESSONS LEARNED HURRICANE “MICHELLE” STORY THE CAYMAN ISLANDS HEALTH SERVICE AUTHORITY

2. THE CAYMAN ISLANDS Consists of three (3) Islands namely: Grand Cayman, Cayman Brac &Grand Cayman, Cayman Brac & Little Cayman. Little Cayman. Population: 49,000 Main Industry: Tourism &Banking

3. Vulnerability Hurricanes and FloodingHurricanes and Flooding FiresFires Transportation accidentsTransportation accidents - Airplane - Airplane - Cruise Ships - Cruise Ships - Bus (etc) - Bus (etc)

5. The Fallacies It will not happen to us It will not happen to us

6. LOCATION

7. Damage Assessment of the Islands (PDA $8 -14 million) Damage to housing (2 districts) Damage to housing (2 districts) Damage to government facilitiesDamage to government facilities - Turtle farm - Turtle farm - Houses - Houses - G.T.Port and Terminals - G.T.Port and Terminals Hotels and Condominiums Hotels and Condominiums Fuel Storage TanksFuel Storage Tanks

8. Damage to Homes

9. SEVERE DAMAGE TO CONDOMIUM COMPLEX

10. MAIN BUSINESS CENTER (CAPITAL)

11. George Town Dock

12. George Town Port Facilities

13. Turtle Farm

14. Damage to Businesses

15. REMAINS OF A DIVE ESTABLISHMENT

16. BEACH EROSION

17. NO DAMAGE - Airport - Airport - Telecommunications - Telecommunications - Utilities - Utilities - Schools - Schools - Supermarkets and other merchants - Supermarkets and other merchants

18. Hospital or Clinics No Damage

19. Accident and Emergency Care Treatment of 30 persons

20. Challenges for the service - Communication - Staffing - Institutional capability- proactive collaboration - Facility - Recovery

21. Lessons Learned communication equipment will fail at the time you need it most - self sufficiency communication equipment will fail at the time you need it most - self sufficiency success of disaster plan depends on staff knowledge of plan & their roles success of disaster plan depends on staff knowledge of plan & their roles house staff living in flood prone areas in hospital house staff living in flood prone areas in hospital humans do foolish things when unusual events occur humans do foolish things when unusual events occur

22. Response To Issues - Fully implemented upgraded communication system. communication system. - Mandatory Training & Exercises. - Partnership with Local &Overseas Health Care Facility. Health Care Facility. - Correction of Facility deficiency. - Update Disaster Plan –mitigate inefficiencies. inefficiencies.

23. LEADERS COURSE SEEKING SOLUTIONS TO MITIGATE DISASTER THANK YOU