Cover Image
close this bookMitigation - Disaster Mitigation Guidelines for Hospitals and other Health Care Facilities in the Caribbean (Pan American Health Organization (PAHO) / OrganizaciĆ³n Panamericana de la Salud (OPS), 1992, 76 p.)
close this folderChapter 6: Retrofitting of health care facilities for multiple hazards
View the documentIntroduction
View the documentEvaluation of vulnerability
View the documentImplementation strategies


In the Commonwealth Caribbean, there already exists much of the complement of health care facilities required to meet foreseeable needs. The use of most of these facilities is envisaged for some time to come.

It is likely that several of the existing facilities are vulnerable in varying degrees to damage from seismic forces or hurricane force winds. However, the opportunity exists to effect improvements to them. The implementation of relatively inexpensive measures has already realized significant improvements in the security of structures. For greatest benefit, the retrofitting of existing facilities should be undertaken in a systematic way.

Many existing buildings do not meet the current technical requirements. This means that their vulnerability to natural hazards may be so high that their associated risk largely exceeds currently accepted levels. Remedial actions based on scientific knowledge must therefore be taken in order to reduce risk and assure adequate performance. This retrofitting must be consistent with existing engineering requirements and in the case of the Commonwealth Caribbean countries, CUBIC requirements should be adopted.