{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T02:40:54Z","timestamp":1790563254033,"version":"4.1.0"},"reference-count":25,"publisher":"Cambridge University Press (CUP)","issue":"2","license":[{"start":{"date-parts":[[2013,4,8]],"date-time":"2013-04-08T00:00:00Z","timestamp":1365379200000},"content-version":"unspecified","delay-in-days":1042,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Disaster med. public health prep."],"published-print":{"date-parts":[[2010,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:p><jats:bold>Objective:<\/jats:bold> The objective of this study was to assess the impact of the 2010 Chilean earthquake on hospital functions and services. Hospitals functioning in a post-disaster environment must provide emergency medical care related to the event, in addition to providing standard community health services. This study focused on damage to both structural and nonstructural components, as well as to utility services.<\/jats:p><jats:p><jats:bold>Methods:<\/jats:bold> Site visits were made to every hospital in a single province (Bio-Bio). Engineers conducted damage assessments while interviews of hospital administrators were conducted. The survey was requested by the Chilean Ministry of Health (MOH) to assess the impact of the earthquake on hospital operations and facility responses to those effects. Other important regional and hospital data were gathered from hospital administrators and the MOH.<\/jats:p><jats:p><jats:bold>Results:<\/jats:bold> Seven government hospitals were surveyed. All hospitals in the region lost communications, municipal electrical power and water for several days. All reported some physical damage although only one suffered significant structural damage. All lost some functional capacity as a result of the earthquake. The loss of telephones and cellular service was identified as the most difficult problem by administrators. An average of 3 physical areas per hospital lost some degree of functional capacity following the earthquake.<\/jats:p><jats:p><jats:bold>Conclusion:<\/jats:bold> Even in an earthquake-prone and very well-prepared country such as Chile hospital functions were widely disrupted by the event. The loss of hospital functions can occur even with minimal damage to the physical structure. The loss of communications can impede or halt response efforts at all levels. Hospitals should be prepared to self-sustain following a disaster for 2-3 days regardless of the level of structural damage. Understanding the details of these impacts is essential to hospital preparedness and plans for continuing services after a disaster.<\/jats:p><jats:p>(<jats:italic>Disaster Med Public Health Preparedness<\/jats:italic>. 2010;4:122-128)<\/jats:p>","DOI":"10.1001\/dmphp.4.2.122","type":"journal-article","created":{"date-parts":[[2010,6,3]],"date-time":"2010-06-03T17:14:16Z","timestamp":1275585256000},"page":"122-128","source":"Crossref","is-referenced-by-count":73,"title":["Impact on Hospital Functions Following the 2010 Chilean Earthquake"],"prefix":"10.1017","volume":"4","author":[{"given":"Thomas D.","family":"Kirsch","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Judith","family":"Mitrani-Reiser","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard","family":"Bissell","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lauren M.","family":"Sauer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Mahoney","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William T.","family":"Holmes","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicol\u00e1s","family":"Santa Cruz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francisco","family":"de la Maza","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2013,4,8]]},"reference":[{"key":"S1935789300002585_ref005","article-title":"Area on Emergency Preparedness and Disaster Relief.","journal-title":"Annual Report 2005."},{"key":"S1935789300002585_ref007","journal-title":"Pakistan Earthquake October 2005, Consolidated Health Situation Bulletin #2."},{"key":"S1935789300002585_ref018","doi-asserted-by":"publisher","DOI":"10.3109\/08860229709109029"},{"key":"S1935789300002585_ref010","journal-title":"Largest Earthquakes in the World Since 1900."},{"key":"S1935789300002585_ref020","doi-asserted-by":"publisher","DOI":"10.1017\/S1049023X00003678"},{"key":"S1935789300002585_ref014","first-page":"121","article-title":"Disaster-readiness of medical facilities in Aichi Prefecture.","volume":"59","author":"Yamauchi","year":"1996","journal-title":"Nagoya J Med Sci."},{"key":"S1935789300002585_ref001","article-title":"FEMA 577: Design Guide for Improving Hospital Safety in Earthquakes, Floods, and High Winds. Federal Emergency Management Agency, Risk Management Series.","journal-title":"Washington, DC: FEMA; 2007"},{"key":"S1935789300002585_ref002","article-title":"Safe Hospitals: A Regional Initiative on Disaster-Resilient Health Facilities.","journal-title":"27th Pan American Sanitary Conference, Washington, DC, October 1\u20135, 2007."},{"key":"S1935789300002585_ref013","doi-asserted-by":"publisher","DOI":"10.1097\/DMP.0b013e31819f1ae2"},{"key":"S1935789300002585_ref003","doi-asserted-by":"publisher","DOI":"10.1017\/S1049023X00006105"},{"key":"S1935789300002585_ref017","doi-asserted-by":"publisher","DOI":"10.1016\/S0196-0644(05)81751-2"},{"key":"S1935789300002585_ref024","author":"Mitrani-Reiser","journal-title":"Incorporating Losses Due to Repair Costs, Downtime and Fatalities in Probabilistic-Based Earthquake Engineering."},{"key":"S1935789300002585_ref004","article-title":"International Strategy for Disaster Reduction: Hyogo Framework for Action: 2005-2015: Building the Resilience of Nations and Communities for Disasters.","journal-title":"World Conference on Disaster Reduction. 2005. Hyogo, Kobe, Japan."},{"key":"S1935789300002585_ref006","journal-title":"Haiti Earthquake PDNA: Assessment of Damage, Losses, General and Sectoral Needs (Annex to the Action Plan for National Recovery and Development of Haiti)."},{"key":"S1935789300002585_ref008","journal-title":"Crisis Appeal. Earthquake in Bam, Iran."},{"key":"S1935789300002585_ref009","doi-asserted-by":"publisher","DOI":"10.1017\/S1049023X00007056"},{"key":"S1935789300002585_ref011","author":"Fuentes","journal-title":"Elaboran primer mapa de v\u00edctimas del terremoto y tsunami por localidades."},{"key":"S1935789300002585_ref025","doi-asserted-by":"publisher","DOI":"10.1097\/01974520-200607000-00003"},{"key":"S1935789300002585_ref012","journal-title":"Chile Country Health Profile."},{"key":"S1935789300002585_ref015","journal-title":"Terremoto en Chile, Situacion de la Infraestructura Habitacional y Hospitalaria."},{"key":"S1935789300002585_ref019","doi-asserted-by":"publisher","DOI":"10.1016\/S0736-4679(98)00014-6"},{"key":"S1935789300002585_ref021","doi-asserted-by":"crossref","first-page":"15","DOI":"10.5055\/ajdm.2009.0003","article-title":"Inppares-JHSPH-CUNY Study Team. Mortality and injury following the 2007 Ica earthquake in Peru","volume":"4","author":"Doocy","year":"2009","journal-title":"Am J Disaster Med."},{"key":"S1935789300002585_ref022","doi-asserted-by":"publisher","DOI":"10.1017\/S1049023X00002818"},{"key":"S1935789300002585_ref023","doi-asserted-by":"publisher","DOI":"10.1017\/S1049023X00007068"},{"key":"S1935789300002585_ref016","first-page":"2143","article-title":"Injuries and emergency medical response in the Loma Prieta earthquake.","volume":"81","author":"Durkin","year":"1991","journal-title":"Bull Seism Soc Am."}],"container-title":["Disaster Medicine and Public Health Preparedness"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1935789300002585","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,4,28]],"date-time":"2019-04-28T19:43:30Z","timestamp":1556480610000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1935789300002585\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2010,6]]},"references-count":25,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2010,6]]}},"alternative-id":["S1935789300002585"],"URL":"https:\/\/doi.org\/10.1001\/dmphp.4.2.122","relation":{},"ISSN":["1935-7893","1938-744X"],"issn-type":[{"value":"1935-7893","type":"print"},{"value":"1938-744X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2010,6]]}}}