A disaster, above all, relates to people as it affects their state of physical, mental and social wellbeing. Destruction, even if it is sudden and massive, is not a disaster unless there are repercussions for the population. In this context, health services are essential 24/7, for all women and men, anywhere in the world.

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The vulnerability of health facilities in Latin America and the Caribbean to adverse events is well documented. Geographically, the region is at risk for natural hazards, but increasingly anthropogenic activity has created other concerns, including the potentiating effects of climate change on adverse weather events and increased risk from exposure to hazardous chemicals and ionizing radiation, some of which are routinely used in health facilities.

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Ensuring logistical support for adequate supplies has proven to be a strategic aspect in handling emergencies, for without the necessary supplies, even with the best response systems and medical facilities to tend to the victims, the response will be neither adequate nor effective. In light of this, since 1992 PAHO/WHO’s Emergency Program promoted LSS/SUMA as a tool for managing supplies and humanitarian assistance.

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The Technical Commission of Risk Management in Central America and the Dominican Republic (CTGERS) was created in August 2012 with the objective of achieving an adequate and permanent monitoring of the process of preparedness, response and mutual cooperation among countries of the region. The Commission was established as an advisory body of the Council of Ministers of Health of Central America and the Dominican Republic (COMISCA) and to provide assistance to the The Center for the Prevention of Natural Disasters in Central America (CEPREDENAC), a member agency of the Central American Integration System (SICA).

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As a result of the earthquake that struck Haiti on 12 January 2010, more than 50 health facilities were destroyed or damaged and 200,000 individuals required medical attention and emergency care. Beyond the seismic risk, every year hurricanes continue to cause many casualties in Haiti, while health facilities located in affected areas become inaccessible or unusable due to floods.

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CRID, within the framework of the DIPECHO South America’s Plan of Action, has launched a website—in Spanish—that puts together useful tools for disaster risk management (Sistematización de Herramientas de Gestión de Desastreshttp://herramientas.cridlac.org). It was created with the support from the United Nations Office for Disaster Risk Reduction (UNISDR) and the European Commission through its Humanitarian Aid and Civil Protection Unit (DIPECHO).

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The Emergency Operations Center (EOC) is where the activities of the Pan American Health Organization (PAHO) are coordinated to support the countries of the Region of the Americas in times of disaster.

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The XXXIII Meeting of Ministers of Health of the Andean Area (REMSAA), held on 21 November in Colombia, saw approval of the Andean Strategic Plan for Health Sector Disaster Risk Management 2013-2017. An update of the Strategic Plan 2005-2010, this plan was mandated by the XXXII REMSAA, held in Chile in April 2011.

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The Caribbean’s 7th Conference on Comprehensive Disaster Management (CDM) was held from 3-7 December 2012 in Montego Bay, Jamaica. The annual region’s premier event on disaster risk management is organized by the Caribbean Disaster Emergency Management Agency (CDEMA), in collaboration with partner agencies. This year’s conference was convened under the theme CDM: Building Disaster Resilience – A Shared Responsibility”.

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The Hospital Safety Index, developed by PAHO/WHO in 2008, is a tool that determines the probability that a hospital will continue to function during and after a disaster. It has already been used in 32 countries and territories in the Americas. The results given by the tool allow for the establishment of priorities for interventions to improve the safety of health facilities in cases of disasters.

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The heavy rains at the beginning of 2012 in Peru forced the government to declare a state of national emergency in 18 regions of the country. One of the most affected was the Loreto region, in the country’s northeast. The population’s vulnerability increased as a result of the collapse of the sanitation systems. In addition, the extending area of dispersion of pathogen agents increased the probability of transmission of diseases from river waters.

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