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Counting Crises: US Hospital Evacuations, 1971–1999

  • Ernest Sternberg (a1), George C. Lee (a2) and Danial Huard (a3)
Abstract
Abstract<span class='bold'>Objectives:</span>

To investigate the relative distribution of hazards causing hospital evacuations, thereby to provide rudimentary risk information for hospital disaster planning.

<span class='bold'>Methods:</span>

Cases of hospital evacuations were retrieved from newspaper and publication databases and classified according to hazard type, proximate and original cause, duration, and casualties. Both partial and full evacuations were included. The total number of evacuation incidents for all hazards were compared to the total number of hospital incidents for the one hazard, fire, for which national data is available.

<span class='bold'>Results:</span>

There were 275 reported evacuation incidents from 1971–1999, with an annual average of 21 in the 1990s, the period for which databases were more reliable. The most, 33, were recorded in 1994, the year of the Northridge Earthquake. Of all incidents, 63 (23%) were attributable primarily to internal fire, followed by internal hazardous materials (HazMat) events (18%), hurricane (14%), human threat (13%), earthquake (9%), external fire (6%), flood (6%), utility failure (5%), and external HazMat (4%).

<span class='bold'>Conclusions:</span>

More than 50% of the hospital evacuations occurred because of hazards originating in the hospital facility itself or from human intruders. While natural disasters were not the preponderant causes of evacuations, they caused severe problems when multiple hospitals in the same urban area were incapacitated simultaneously. Clearly, as hospitals are vulnerable to many hazards, mitigation investments should be assessed not in terms of single-hazard risk-cost-benefit analysis, but in terms of capacity to mitigate multiple hazards. In view of the many qualifications and limitations of the dataset used here, but value of such data for disaster planning, hospitals should be asked to submit standardized incident reports to permit national data gathering on major disruptions.

Copyright
Corresponding author
Department of Urban and Regional Planning, Hayes Hall, University at Buffalo, Buffalo, New York 14214 E-mail: ezs@ap.buffalo.edu
References
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1Sternberg E: Planning for resilience in hospital internal disaster. Prehosp Disast Med 2003;18(4):291300.
2Milsten A: Hospital responses to acute-onset disasters: A review. Prehosp Disast Med 2000;15(1):3253.
3Lewis C, Phuli R, Aghababian V: Disaster planning, part I:Overview of hospital and emergency department planning for internal and external disaster. Emerg Med Clinics N Am 1996;14(2):439451.
4Pan American Health Organization. Mitigation of Disasters in Health Facilities [4 volumes]. Washington, DC: Emergency Preparedness Program, Pan American Health Organization. 1993.
5Hanna JA: Disaster Planning for Healthcare Facilities. Ottawa, Ontario: Canadian Hospital Association. 1998.
6Noji EK: Disaster Medical Services. In: Tintinalli J, Kelen GD, Stpczynski JS: Emergency Medicine: A Comprehensive Study Guide. 5th ed. New York: McGraw-Hill, 2000, pp 2231.
7Special issue: Emergency management in the new millennium. Joint Commission Pespectives 2001;21(12).
8Birnbaum ML: Indifference, apathy, and preparedness. Prehosp Disast Med 2000;15(1):56.
9Auf der Hiede E: Disaster Response: Principles of Preparation and Coordination. St. Louis, MO: CV Mosby, 1989.
10Kai T, Ukai T, Ohta M, et al. : Hospital disaster preparedness in Osaka, Japan. Prehosp Disast Med 1994;9(1):2934.
11Barbera JA, Macintyre AG, DeAtley CA: Ambulances to nowhere: America's critical shortfall in medical preparedness for catastrophic terrorism. J Homeland Security 2002. Available at www.homelandsecurity.org/journal/articles. Accessed 01 July 2003.
12United States Fire Administration. Medical facility fires. Topical Fire Research Series. 2001 October (Updated March 2002);2(8).
13Ahrens M: Selections from the United States fire problem overview report: Leading causes and other patterns and trends, facilities that care for the sick. National Fire Protection Association, June 2001.
14American Hospital Association, Hospital Statistics, 2000 ed. Chicago, IL: American Hospital Association, 2000. Table 1, pp 23.
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Prehospital and Disaster Medicine
  • ISSN: 1049-023X
  • EISSN: 1945-1938
  • URL: /core/journals/prehospital-and-disaster-medicine
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