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Flood-sustainable Medical Center. Nicole BitlerRacquel 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

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Flood-sustainable Medical Center

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Flood-sustainable Medical Center

Nicole BitlerRacquel 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

Able to withstand high winds

Water-resistant


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


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


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


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


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!


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