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chapter 4 - DRK

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Strictly under embargo until Wednesday 22 September at 00:01 GMT (02:01 Geneva time)which was the 1961 flood that involved a major dam failure. Anticipating an increasedfrequency of floods due to climate change, a number of programmes have been putin place to build capacity, assess hazards and vulnerability, construct dams, dykes andseawalls, establish early warning systems, as well as projects concerning land-use planning,environmental protection and community education and resilience.A systematic city-wide plan of practical action to reduce flooding was implemented. Afirst step was to assess the flood risks by analysing hourly rainfall intensity and examiningthe likely changes in impacts in low-lying areas and places where natural drainage wasblocked by the construction of houses or by roads without adequate bridges. A detailedcity drainage map was developed. The plan introduced structural and planning measuresfor restoring natural drainage, widening streams, extending bridges and applying naturalsoil infiltration methodologies. Watershed conservation techniques, such as afforestationand building small earthen check dams, were undertaken in the hill zone. Property taxincentives were provided to encourage households to recycle wastewater or use rainwaterharvesting by storing run-off from their roofs for domestic use. These efforts were complementedby improvements in flood monitoring and warning systems and social protectionfor affected families. The initiative was driven jointly by the elected municipalgovernment, the municipal commissioner and Alert (active citizen groups), and involvesmany different city departments. It demonstrates that local governments can prepare forclimate change by reducing and managing the local factors that lead to disasters.Essential 5Making all healthcare facilities saferCayman Islands(From UNISDR, 2008–2009 World Disaster Reduction Campaign – Hospitals Safe fromDisasters, Geneva, January 2008.)The Cayman Islands, which is made up of three islands, has experienced the largestnumber of hurricane strikes in the Atlantic basin. In September 2004, the biggestisland, Grand Cayman, was hit by Hurricane Ivan, the islands’ worst hurricanein 86 years. Ivan destroyed or damaged 90 per cent of buildings. Power, water andcommunications were disrupted for months in some areas. But the island began amajor rebuilding process, including in the health sector.The Cayman Islands adopted a National Strategic Framework for Disaster Risk Reduction.Within this framework, the Health Services Authority, as the islands’ primaryprovider of healthcare, implemented several activities to make all its facilities safer.These activities address structural, non-structural, functional and workforce issues.For instance, at the structural level, the 124-bed Cayman Islands Hospital (the territory’sprincipal healthcare facility) was built to Category 5 hurricane standards. Olderfacilities were upgraded to new local and international building codes and protocolsfor healthcare facilities, and seismic risk reduction elements were introduced in theWorld Disasters Report 2010 – Disaster data195

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