El documento es un estudio realizado por la CEPAL sobre el impacto economico de los desastres naturales en la infraestructura hospitalaria en America latina y El Caribe durante los ultimos quince anos. Revisa la metodologia utilizada para la evaluacion de dichos efectos en el sector salud, e incluye un analisis de las consecuencias economicas, directas e indirectas, asi como una descripcion de los procesos de reconstruccion en algunos hospitales seleccionados que contemplaron las medidas necesarias para mitigar el dano de futuros desastres naturales.

As human population has continued to concentrate in urban areas, the number of people and the value of property affected by disasters, both natural and human-generated, have grown as well. Earthquakes, floods, hurricanes, cyclones, tornadoes, and forest fires have all taken their toll so have such anthropogenic disasters as pipeline failures, industrial spills, and terrorist attacks. The contents of this volume consist of papers presented at the fourth in a series of conferences convened to assess the potential risk from various disasters and discuss ways to prevent or mitigate damage. The papers have been contributed by experts on public health, security, and disaster management from academia, industry, and government. Topics covered include Disaster Analysis; Disaster Monitoring and Mitigation; Emergency Preparedness; Risk Mitigation; Risk and Security; Safety and Resilience; Socio-economic Issues; Health Risk; Human Factors; Multi-hazard Risk Assessment; Case Studies.

Comprising a selection of articles dedicated to disaster management this volume focuses on the challenges arising from extreme natural phenomena and descriptions of methods for assessing their occurrence probability and of measures for mitigating their intensity and detrimental effects. The first group of articles describes general strategies for risk assessment and mitigation, providing examples in the context of various kinds of natural disasters. The economic impact of mitigation measures, communities’ differing coping capabilities, human attitudes towards relocation and possible links to climate change are among the topics considered. Natural strategies are outlined in the contexts of Turkey, Brazil and United Arab Emirates. The second part of the book is concerned with disasters from specific natural causes starting with a group of ten articles on floods. The corresponding contributions address flood frequency, vulnerability and resilience of communities, response of small and medium enterprises, risk in terms of financial losses, private investment participation to mitigation measures, assessment of design solutions against flood hazard, sleeper dykes as a means of reducing risk, preparedness of hospitals, causes of highway flooding and their relative importance, and impact of floods on poor communities. The third set of articles are related to earthquake-related hazards describing, in particular, an analysis tool providing integrated risk, coping capacity and management output, a method for assessing vulnerability considering key contributing factors, a technique for urban aftershock management and damage assessment, and neural network modelling to estimate tsunami damage. Finally, a group of three articles address issues related to landslides, namely, slope management as a means of reducing risk and losses, early warning based on rainfall data, and hazard prediction using favourability function modelling and spatial target mapping software. Providing a unique global perspective this volume focuses on recent developments over a wide range of topics that cannot be found in similar, currently available, publications in this field. This is a valuable addition to the relevant literature available to researchers and engineers working on risk assessment and mitigation of natural disaster intensity and consequences. It will appeal of those working in academic and research environments as well as governmental, professional, national and international organisations.