1. Flood-sustainable Medical Center Nicole BitlerRacquel 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 Water-resistant Able to withstand high winds

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. 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

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. 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

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!