In Paraguay, several national health institutions participated in two popular disaster courses—Evaluation of Damage and Needs (EDAN) and Hospital Disaster Planning (PHD). The EDAN course used a case study of a damage and needs assessment following floods in 2003 in Santa Fe, Argentina. Participants emphasized the importance of creating an operational situation room for quick decision making. Using the Previsión Social Hospital in Paraguay, site of the PHD course, as a model, participants helped to identify factors that put this facility at risk. They also prepared a hospital survey and a hospital disaster plan.