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Rapid Assessment for Resilient Recovery and ... - GFDRR

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Most private sector health facilities are located in urban areas, where floodwater currents<br />

were weaker, which helped mitigate structural damage. However, the total cost of damage<br />

to furniture is significant, due to the high number of large <strong>and</strong> small private medical <strong>and</strong><br />

dental clinics located across flooded urban areas. The flood not only ruined furniture<br />

directly exposed to water. Most of the furniture kept above the water level in nearby areas<br />

was also damaged through exposure to high humidity brought by the floodwater, as well as<br />

by fungi which grow rapidly in high humidity environments. Moldy furniture is commonplace<br />

in flooded hospitals <strong>and</strong> clinics.<br />

A number of pieces of expensive medical equipment, including MRI <strong>and</strong> CT scanners,<br />

X-ray machines, <strong>and</strong> laboratory equipment in public <strong>and</strong> private hospitals were also<br />

damaged. The damaged equipment was located on the first floor <strong>and</strong> basement of the<br />

hospitals, <strong>and</strong> was directly exposed to floodwater. The fact that the cost of damage to<br />

medical equipment in private health facilities is higher than those in public health facilities<br />

does not mean that medical equipment in public hospitals was less damaged than those<br />

in private hospitals. However, a number of public hospitals, which were flooded, have<br />

outsourced the operations of expensive medical equipment to private companies. The<br />

equipment is owned by private companies, <strong>and</strong> those public hospitals give the companies<br />

the rights to operate the equipment in public hospital compounds, as part of an integrated<br />

hospital service. Thus, the cost of damage to this equipment is not borne by the public<br />

hospitals, but by private companies.<br />

As well as private hospitals, large <strong>and</strong> small private dental clinics are believed to have<br />

incurred significant damage to dental equipment. Unlike private medical clinics, which do<br />

not need expensive medical equipment, large <strong>and</strong> small dental clinics need to be equipped<br />

with expensive dental equipment. One set of dental equipment costs around THB 200,000<br />

per unit. Each unit is heavy <strong>and</strong> immobile. Given the high number of dental clinics in the<br />

flooded areas of Greater Bangkok (including Pathum Thani <strong>and</strong> Nonthaburi), the damage<br />

to dental equipment in the private sector is expected to be high.<br />

The damage to drugs <strong>and</strong> other medical supplies is minimal, as floodwater in affected<br />

areas rose gradually <strong>and</strong> hospital/clinic staff had sufficient time to move medical supplies<br />

THAI FLOOD 2011 RAPID ASSESSMENT FOR RESILIENT RECOVERY AND RECONSTRUCTION PLANNING<br />

141

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