Performance of the healthcare facilities during the 2016–2017 Central Italy seismic sequence

This paper presents an overview on the response of the healthcare system in the area mostly affected by the 2016 Central Italy earthquake based on specific surveys and information from local health authorities. The authors collected in the field information on the seismic response capacity of the healthcare system. They surveyed five hospital complexes from medium to small dimension whose maximum capacity was up to 50 beds. This type of hospitals are representative of those ones present in the small towns located along the Apennines mountain range, usually including few buildings (i.e. 3–5) constructed in different periods and with different structural types. In all the surveyed hospitals there were partially or totally unusable buildings causing severe limitations to the functionality of the healthcare services, forcing to move many patients to other hospitals and to stop outpatient treatment. This was due mainly to severe damage to non-structural components and, in some cases, to moderate damage to structural components. In the present paper, two hospital case studies, namely "Tolentino" and "San Severino" hospitals, both located in Marche region, are analysed and discussed in detail in order to better understand their performance to the earthquakes, by also estimating their seismic risk via simplified methods, including the WHO Safety Index and the Cosenza and Manfredi (in: Fajfar and Krawinkler (eds) Seismic design methodologies for the next generation of codes, Balkema, Rotterdam, 1997) damage index.