Year in review in Intensive Care Medicine 2011: III. ARDS and ECMO, weaning, mechanical ventilation, noninvasive ventilation, pediatrics and miscellanea

SCOPUS: re.jinfo:eu-repo/semantics/publishe

Simple method for identifying interdependencies in service delivery in critical infrastructure networks

Abstract Critical infrastructure failures from natural hazard events affect the economic and social well-being of communities. This is particularly true in lower income countries, where infrastructure may be less resistant to natural hazards and disaster recovery is often limited by available resources. The interconnectivity of these systems can strongly affect the services they deliver, and the failure of one infrastructure system can result in cascade failures with wide-reaching consequences. Unfortunately, interconnectivity has been particularly difficult to measure. We present a method for identifying service-oriented interdependencies in interconnected networks. The approach uses well-established methods for network analysis and is demonstrated for healthcare services in the Commonwealth of Dominica, a small island state in the Caribbean. We show that critical links in road networks necessary for healthcare service delivery are important for more than just patient access to a facility, but also on the supply chains that enable the hospitals to function (e.g., water, fuel, medicine). Once identified, the critical links can be overlaid with known hazard vulnerabilities to identify the infrastructure segments of highest priority, based on the risk and consequences of failure. An advantage of the approach presented is that it requires relatively little input data when compared to many network prioritization models and can be run using open-source geospatial data such as OpenStreetMap. The method can be expanded beyond road networks to assess the service-oriented criticality of any infrastructure network