Global catastrophe of hospital disasters: a retrospective analysis (1976–2023)

Hospitals are critical infrastructures that must remain operational during disasters, yet they often become disaster targets themselves. This study offers a global retrospective analysis of hospital disasters from 1976 to 2023, drawing on data from the Emergency Events Database (EM-DAT). Our methodology combines a historical data review with an evaluation of the impact of technological advancements, community awareness, governmental policies, and psychological support mechanisms on disaster mitigation. By categorizing disasters into collapses, explosions, and fires, we specifically examine incidents leading to significant human casualties and property damage. This retrospective study employs quantitative analysis to identify trends and patterns in hospital disasters, utilizing statistical methods to assess data categorization by EM-DAT and to evaluate the frequency, severity and geographical disparities of these incidents. A notable increase in hospital fires highlights an urgent need for improved safety standards and preparedness. Our analysis also reveals significant regional differences in hospital safety protocols, advocating for tailored preparedness strategies. Enhanced safety standards and disaster preparedness within healthcare facilities are imperative. We propose the development of comprehensive, region-specific preparedness strategies, informed by our findings, to mitigate the impact of future hospital disasters. Addressing these challenges necessitates a global, collaborative approach, emphasizing the role of international cooperation in fostering safer healthcare environments.

Hospital disasters; Safety standards; Emergency preparedness; Fire safety; Healthcare facilities; Disaster management; Global health; Resilience planning

[1] Comfort LK, Kapucu N, Ko K, Menoni S, Siciliano M. Crisis decision-making on a global scale: transition from cognition to collective action under threat of COVID-19. Public Administration Review. 2020; 80: 616–622.

[2] WHO. The Global Health Observatory. 2023. Available at: https://www.who.int/data/gho (Accessed: 12 May 2024).

[3] Monsef N, Suliman E, Ashkar E, Hussain HY. Healthcare services gap analysis: a supply capture and demand forecast modelling, Dubai 2018–2030. BMC Health Services Research. 2023; 23: 468.

[4] Khan MM, Kamal AM, Mazumder N. In Nasreen M, Hossain KM, Khan MM (eds.) Role of community clinic in reducing climate change and disaster-induced health risks. Coastal Disaster Risk Management in Bangladesh (pp. 255–276). 1st edn. Routledge: London. 2023.

[5] Al-Wathinani AM, Barten DG, Borowska-Stefańska M, Gołda P, AlDulijan NA, Alhallaf MA, et al. Driving sustainable disaster risk reduction: a rapid review of the policies and strategies in Saudi Arabia. Sustainability. 2023; 15: 10976.

[6] Guihenneuc J, Ayraud-Thevenot S, Roschnik S, Dupuis A, Migeot V. Climate change and health care facilities: a risk analysis framework through a mapping review. Environmental Research. 2023; 216: 114709.

[7] Emergency Event Database (EM-DAT). 2023. Available at: https://www.emdat.be/staff/ (Accessed: 17 August 2023).

[8] Panwar V, Sen S. Disaster damage records of EM-DAT and DesInventar: a systematic comparison. Economics of Disasters and Climate Change. 2020; 4: 295–317.

[9] Goniewicz K, Goniewicz M. Disaster preparedness and professional competence among healthcare providers: pilot study results. Sustainability. 2020; 12: 4931.

[10] Ong WC, Suleiman Z. Fire safety management problems in fire accidents in hospital building. Advances in Environmental Biology. 2015; 1: 43–47.

[11] Kumar KA, Walia A, Chaturvedi S. India disaster report. National Institute of Disaster Management, June 2012. Available at: https://nidm.gov.in/PDF/Pubs/India%20Disaster%20Report%202011.Pdf (Accessed: date).

[12] Barillo DJ, Wolf S. Planning for burn disasters: lessons learned from one hundred years of history. Journal of Burn Care & Research. 2006; 27: 622–634.

[13] Zaroushani V, Khajehnasiri F. Challenges on hospital fire safety during COVID-19 crisis. Journal of Health and Safety at Work. 2022; 12: 237–243.

[14] Al Thubaiti W, Hamouda G, El Seesy N. Healthcare providers’ perception of disaster management preparedness at governmental hospital in Jeddah city. IOSR Journal of Nursing and Health Science. 2019; 8: 36–42.

[15] Blanchette RA, van Bree EM, Bierens JJ. Hospital disaster preparedness in the Netherlands. International Journal of Disaster Risk Reduction. 2023; 93: 103778.

[16] Mohtady Ali H, Ranse J, Roiko A, Desha C. Enabling transformational leadership to foster disaster-resilient hospitals. International Journal of Environmental Research and Public Health. 2023; 20: 2022.

[17] Mahmoud H, Kirsch T, O'Neil D, Anderson S. The resilience of health care systems following major disruptive events: current practice and a path forward. Reliability Engineering & System Safety. 2023; 235: 109264.

[18] Mosadeghrad AM, Isfahani P, Eslambolchi L, Zahmatkesh M, Afshari M. Strategies to strengthen a climate-resilient health system: a scoping review. Globalization and Health. 2023; 19: 62.

[19] Mani ZA, Goniewicz K. Adapting disaster preparedness strategies to changing climate patterns in Saudi Arabia: a rapid review. Sustainability. 2023; 15: 14279.

[20] Amalberti R, Auroy Y, Berwick D, Barach P. Five system barriers to achieving ultrasafe health care. Annals of Internal Medicine. 2005; 142: 756–764.

[21] Gostin LO, Friedman EA, Wetter SA. Responding to Covid-19: how to navigate a public health emergency legally and ethically. Hastings Center Report. 2020; 50: 8–12.

[22] Willging CE, Waitzkin H, Nicdao E. Medicaid managed care for mental health services: the survival of safety net institutions in rural settings. Qualitative Health Research. 2008; 18: 1231–1246.

[23] Khorram-Manesh A, Phattharapornjaroen P, Mortelmans LJ, Goniewicz K, Verheul M, Sörensen JL, et al. Current perspectives and concerns facing hospital evacuation: the results of a pilot study and literature review. Disaster Medicine and Public Health Preparedness. 2022; 16: 650–658.

[24] Diaz LB, He X, Hu Z, Restuccia F, Marinescu M, Barreras JV, et al. Meta-review of fire safety of lithium-ion batteries: industry challenges and research contributions. Journal of The Electrochemical Society. 2020; 167: 090559.

[25] Ibrahim S, Shukla VK, Gupta S, Sharma P. Addressing smart fire detection management through the internet of things and Arduino. In Shukla VK, Maheshwari P, Sharma P, Vyas S (eds.) Computational Intelligence in Urban Infrastructure (pp. 171–179). 1st edn. CRC Press: Florida. 2023.

[26] Kahn SA, Woods J, Rae L. Line of duty firefighter fatalities. Journal of Burn Care & Research. 2015; 36: 218–224.

[27] Shartova N, Tikunov V, Chereshnya O. Health disparities in Russia at the regional and global scales. International Journal for Equity in Health. 2021; 20: 163.

[28] Wagner SM, Ramkumar M, Kumar G, Schoenherr T. Supporting disaster relief operations through RFID: enabling visibility and coordination. To be published in The International Journal of Logistics Management. 2024. [Preprint].

[29] Madrigano J, Chandra A, Costigan T, Acosta JD. Beyond disaster preparedness: building a resilience-oriented workforce for the future. International Journal of Environmental Research and Public Health. 2017; 14: 1563.

[30] Akbari K, Yari A, Ostadtaghizadeh A. Nurses’ experiences of providing medical services during the Kermanshah earthquake in Iran: a qualitative study. BMC Emergency Medicine. 2024; 24: 4.

[31] Patel SK, Nanda A, Singh G, Patel S. A review of disasters in Jammu and Kashmir, and Ladakh region in India. International Journal of Population Studies. 2020; 6: 69–81.

[32] AlDulijand NA, Al-Wathinani AM, Abahussain MA, Alhallaf MA, Farhat H, Goniewicz K. Sustainable healthcare resilience: disaster preparedness in Saudi Arabia’s eastern province hospitals. Sustainability. 2023; 16: 198.

[33] Klokman VW, Barten DG, Peters NA, Versteegen MG, Wijnands JJ, van Osch FH, et al. A scoping review of internal hospital crises and disasters in the Netherlands, 2000–2020. PLOS ONE. 2021; 16: e0250551.

[34] Manoochehry S, Hoseinzadeh E, Taha P, Rasouli HR, Hoseinzadeh S. Field hospital in disasters: a systematic review. Trauma Monthly. 2019; 24: 1–9.

[35] Kerola A, Hirvensalo E, Franc J. The impact of previous disasters on hospital disaster surge capacity preparedness in Finland. Prehospital and Disaster Medicine. 2023; 38: s96.

[36] Epping-Jordan JE. Improving the quality of health care for chronic conditions. Quality and Safety in Health Care. 2004; 13: 299–305.

[37] Wilfond BS. Collaborative partnership. In Wilfond B, Duenas DM, Johnson JL, Taylor HA (eds.) Challenging Cases in Clinical Research Ethics (pp. 7–67). 1st edn. Routledge: London. 2023.

[38] Kabrah SM, Abuzerr S, Flemban A, Jambi L, Kabrah A, Alghamdi S, et al. Perceptions, attitudes, and barriers towards the use of central board for accreditation of healthcare institutions (CBAHI) standards among Saudi healthcare providers. Healthcare. 2024; 12: 183.

[39] Aiken LH, Sermeus W, Van den Heede K, Sloane DM, Busse R, McKee M, et al. Patient safety, satisfaction, and quality of hospital care: cross sectional surveys of nurses and patients in 12 countries in Europe and the United States. The BMJ. 2012; 344: e1717.

[40] McNaught R. The application of collaborative governance in local level climate and disaster resilient development—a global review. Environmental Science & Policy. 2024; 151: 103627.

[41] Goniewicz K, Khorram-Manesh A, Burkle FM, Hertelendy AJ, Goniewicz M. The European Union’s post-pandemic strategies for public health, economic recovery, and social resilience. Global Transitions. 2023; 5: 201–209.

[42] Khorram-Manesh A, Goniewicz K, Burkle FM. Unleashing the global potential of public health: a framework for future pandemic response. Journal of Infection and Public Health. 2024; 17: 82–95.

[43] Shakespeare-Finch J, Scully PJ, Bruenig D. Trauma, Resilience, and Posttraumatic Growth in Frontline Personnel. 1st edn. Taylor & Francis: London. 2024.

[44] Ciottone G. Sage Advice: WADEM Keynote Address. 2023. Available at: https://www.dropbox.com/scl/fi/u807hgglorrvh4ke9ey2u/WADEM-Keynote.pptx?rlkey=um3knip5l28kcwk42vc2u8fll&dl=0 (Accessed: 21 April 2024).

[45] Muhamad Salleh N, Agus Salim NA, Jaafar M, Sulieman MZ, Ebekozien A. Fire safety management of public buildings: a systematic review of hospital buildings in Asia. Property Management. 2020; 38: 497–511.

[46] Goniewicz K, Goniewicz M, Włoszczak-Szubzda A, Burkle FM, Hertelendy AJ, Al-Wathinani A, et al. The importance of pre-training gap analyses and the identification of competencies and skill requirements of medical personnel for mass casualty incidents and disaster training. BMC Public Health. 2021; 21: 114.