Water safety planning for healthcare facilities for extreme events

Author:

Krause Steffen1ORCID,Joel Elena1,Schaum Christian1,Bäumer Jan2,Rücker Nadine2,Wienand Ina2,Sturm Christoph3,Jahn-Mühl Bernhard3,Geiger Manuel4,Fekete Alexander4,van der Heijden Sophie5,Heinzel Christine5,Sandholz Simone5

Affiliation:

1. a Sanitary Engineering and Waste Management, University of the Bundeswehr Munich, Neubiberg, Werner-Heisenberg-Weg 39 85577, Germany

2. b Directorate II – Risk Management, International Affairs, Division II.4 - Risk Management CI and CIP Concepts, Emergency Preparedness (Water), Federal Office of Civil Protection and Disaster Assistance, Postfach 1867, Bonn 53127, Germany

3. c AGAPLESION HYGIENE – Institute for Hygiene and Environmental Medicine, Ginnheimer Landstraße 94, Frankfurt am Main 60487, Germany

4. d TH Köln – University of Applied Sciences, Institute of Rescue Engineering and Civil Protection, Betzdorfer Straße 2, Cologne 50679, Germany

5. e United Nations University – Institute for Environment and Human Security (UNU-EHS), UN Campus, Platz der Vereinten Nationen 1, Bonn 53113, Germany

Abstract

Abstract Disasters such as the Ahr Valley flood in 2021 make us aware of the importance of functioning healthcare facilities. Their functionality depends on the availability of drinking water. Water safety planning is a long-established method to increase the safety of water utilities. Our work supports the implementation of water safety planning in healthcare facilities during normal operations and emergency situations concerning the water supply. The authors conducted a stakeholder mapping exercise and problem awareness analysis. Based on these results, it was identified what is needed to overcome barriers to water safety planning (WSP). Building on existing procedures, the WSP concept, and latest scientific findings, an event-specific risk assessment method for healthcare facilities was developed and applied in a case study. Based on an analysis of water demand, water-related processes, and infrastructure, potentially necessary components for establishing an emergency supply were identified. For these, based on technical and legal requirements, planning principles were developed, and prototypes of components for emergency water supply were built. They were tested in pilot trials, particularly regarding hygienic safety. For the management of crises in hospitals, a survey was carried out on the command structures used in practice. Finally, recommendations were drawn based on the German Hospital Incident Command System.

Publisher

IWA Publishing

Subject

Infectious Diseases,Microbiology (medical),Public Health, Environmental and Occupational Health,Waste Management and Disposal,Water Science and Technology

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