Making Cities Resilient:
My City is Getting Ready
Essential Eight: Increase Infrastructure Resilience

"Assess the capacity and adequacy of, as well as linkages between, critical infrastructure systems and upgrade these as necessary according to risk identified in essential 2."


Critical infrastructure includes that required for the operation of the city and that required specifically for emergency response, where different. As such, special attention must be paid to their safety and risk reduction efforts must focus on ensuring they can continue providing services when most needed. Critical infrastructure required for city operation may include but is not limited to: transport (roads, rail, airports and other ports), vehicle and heating fuel suppliers, telecommunication systems, utilities systems, hospitals and healthcare facilities, educational institutes and school facilities, food supply chain, police and fire services, etc. They also carry out essential functions during and after a disaster, where they are likely to provide recovery and relief. 

Assessment the capacity and adequacy of critical infrastructure
Strengthen/retrofit the vulnerable infrastructure
Establish alliances with environmental managers and the private sector
Recognize the relevance of priority services and operations during and after a disaster
Cayman Islands
Making Health Care Facilities Safer

The Cayman Islands are one of the most frequent targets of Atlantic hurricanes, and in 2004, Hurricane Ivan, the worst storm in 86 years, struck the largest island, Grand Cayman, damaging 90% of the buildings. Power, water and communications were disrupted for months in some areas. The island began a major rebuilding process, and within the National Strategic Framework for Disaster Risk Reduction, the Health Services Authority addressed structural, non-structural, functional and workforce issues. For instance, the 124-bed Cayman Islands Hospital (the territory’s principal healthcare facility) which had been built to Category 5 hurricane standards, remained functional during and after Hurricane Ivan, while providing an impromptu shelter to more than 1,000 people. However, older facilities needed to be upgraded to new local and international building codes and protocols for healthcare facilities. Seismic risk reduction elements were also introduced into the design of new facilities.
For more information:


Hospital Safety Index
Will My Hospital Be Able to Function in a Disaster?

A growing number of countries worldwide are using the Hospital Safety Index, a low-cost tool that helps health facilities assess their safety and avoid becoming a casualty of disasters. The Hospital Safety Index provides a snapshot of the likelihood that a hospital or health facility can continue to function in emergency situations, based on structural, nonstructural and functional factors, including the environment and the health services network to which it belongs. By determining a hospital’s safety index or score, countries and decision makers will have an overall idea of its ability to respond to major emergencies and disasters. The Hospital Safety Index does not replace costly and detailed vulnerability studies. However, because it is relatively inexpensive and easy to apply, it is an important first step towards prioritizing investments in hospital safety. The Hospital Safety Index is available in English, Spanish, Arabic, Russian and French.
Download the background information and forms at

Tools and Resources