MITIGATION OF DISASTERS IN HEALTH FACILITIES
PAN AMERICAN HEALTH ORGANIZATION
Regional Office of the
WORLD HEALTH ORGANIZATION
INTERNATIONAL DECADE FOR NATURAL DISASTER REDUCTION
Titles in this series:
Disaster Mitigation Guidelines for Hospitals and Other Health Care Facilities in the Caribbean
Mitigation of Disasters in Health Facilities: Evaluation and Reduction of Physical and Functional Vulnerability (four volumes):
Volume I. General Issues
Volume II. Administrative Issues
Volume III. Architectural Issues
Volume IV. Engineering Issues
To order books from this series please write to:
Emergency Preparedness Program
525 Twenty-third Street, N.W.
Washington, D.C. 20037
ISBN 92 75 12099 4
The Pan American Health Organization welcomes requests for permission to reproduce or translate, in part or in full, this publication. Applications and enquiries should be addressed to the Emergency Preparedness Program, Pan American Health Organization, 525 23rd St. NW, Washington, D.C., U.S.A.
©Pan American Health Organization, 1993.
Publications of the Pan American Health Organization enjoy copyright protection in accordance with the provisions of Protocol 2 of the Universal Copyright Convention. All rights are reserved.
The designations employed and the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the part of the Secretariat of the Pan American Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries.
The mention of specific companies or of certain manufacturers' products does not imply that they are endorsed or recommended by the Pan American Health Organization in preference to others of a similar nature that are not mentioned. Errors and omissions excepted, the names of proprietary products are distinguished by initial capital letters.
This publication was made possible with the financial support of the Canadian International Development Agency (CIDA), the Office of U.S. Foreign Disaster Assistance of the U.S. Agency for International Development (OFDA/AID), and the Overseas Development Administration of the United Kingdom (ODA).
On the cover: The earthquake that ravaged Mexico City on September 19, 1985, was the strongest one recorded in Latin America in the last hundred years. It killed or injured thousands of people and caused severe structural damage. The institutions of the health sector were also very badly hit, including the General Hospital of the National Medical Center of the Mexican Social Security Institute, shown in the photo.
Photography: Julio Vizcarra/PAHO.