Pan American Health Organization
Regional Office of the World Health Organization
A CONTRIBUTION TO THE INTERNATIONAL DECADE FOR NATURAL DISASTER REDUCTION
On the cover:
Hurricane Gilbert in September 1988 was classified as one of the most severe hurricanes of this century. Hardest hit was Jamaica, where nine of the island's 26 hospitals were severely damaged and three health centers totally destroyed. Shown here, the Princess Margaret Hospital sustained extensive damage, and patients were evacuated.
Photo: Carlos Gaggero/PAHO/WHO
EMERGENCY PREPAREDNESS AND DISASTER RELIEF
PAN AMERICAN HEALTH ORGANIZATION
This document represents a collaborative effort of engineers and health sector administrators. PAHO wishes to acknowledge the following persons, whose technical input resulted in the valuable publication: Mr. Tony Gibbs, Director of Consulting Engineers Partnership, Ltd. in Barbados; Mr. José Grases, Director of Coral '83, an engineering consulting firm in Caracas, Venezuela; and Mr. James Williams, retired Director of the Queen Elizabeth Hospital in Barbados. Dr. Jean Luc Poncelet, the Pan American Health Organization's Subregional Disaster Adviser for the Caribbean coordinated the preparation of this publication.
This publication has been made possible thanks to the generous financial support of the Overseas Development Administration of the U.K., the Canadian International Development Agency, and the Office of U.S. Foreign Disaster Assistance of USAID.