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Hôpital Sacré Coeur, Milot, Haiti
Case Studies in Healthcare! Hôpital Sacré Coeur, Milot, Haiti! March 25, 2013! Mazzetti! We make the world a better place by ! creating better environments.! ! We envision with foresight: ! helping our clients build for the future.! ! We deliver with four sight: ! bringing visions to life through our four lenses.! our story! 2! foursight: bringing visions to life ! We help drive the future of infrastructure through research ! & policy.! We help clients make forwardlooking infrastructure investments with critical planning. ! We help clients understand & access creative ways to finance their infrastructure investments.! We develop high quality engineering solutions through project delivery & post-project delivery.! our story! 3! our work! Healthcare! MEPT Engineering! Mission Critical! Commissioning! Science & Technology! Equipment Planning! Higher Education! Sustainability! Domestic US! International! our story! 4! our work: secondary markets! Commercial! Government! K-12 Education! Retail! our story! 5! Our International Work ! Mazzetti Case Studies: Haiti! 6! Haiti: The Earthquake! On January 12, 2010, an earthquake of 7.0 magnitude hit Haiti. It killed ¼ million people, injured over 300,000 and left 1.6 million people homeless. (Photo credit: Reuters)! Mazzetti Case Studies: Haiti! 7! Hôpital Sacré Coeur saved thousands! Far from the epicenter, CRUDEM Foundation’s Hôpital Sacré Coeur survived the earthquake and thousands were flown in by helicopter. (Photo credit: CRUDEM Foundation)! Mazzetti Case Studies: Haiti! 8! Project HOPE sent engineers! When most NGOs sent medical workers, Project HOPE sent engineers. There were thousands of amputees due to emergency surgeries after the earthquake. With our help, Project HOPE safely installed portable prosthetics labs throughout Haiti. ! Mazzetti Case Studies: Haiti! 9! Project HOPE rebuilt lives! Our strong relationship with Haiti continued, transcending the earthquake and cholera epidemic that followed. (Photo credit: Project HOPE)! Mazzetti Case Studies: Haiti! 10! What we learned! In Haiti and many other parts of the world, engineering is a life-giving profession.! – Walt Vernon, President & CEO, Mazzetti! Mazzetti Case Studies: Haiti! 11! Haiti Needs: Safety, reliability & sustainability! Like many developing places, electricity in Haiti is tenuous on a good day, let alone a disaster. The needs are vast: ranging from short-term safety, to mid-term reliability, to long-term sustainability. Mazzetti works to address all three of these needs. ! (Photo credit: Rodrigo Abd/AP)! Mazzetti Case Studies: Haiti! 12! Hospitals at the center of life! Largest employer Medical volunteers Skills & education Potable water Reliable electricity Hospital Care for the hungry Public health ER & Chronic illness Mazzetti Case Studies: Haiti! 13! Re-engineering Hôpital Sacré Coeur! Located in Milot, this is the largest private hospital in the North of Haiti. It serves a large catchment area, far beyond the town. ! Mazzetti Case Studies: Haiti! 14! The Facts: Hôpital Sacré Coeur! u Founded in 1970s (in current location since 1987)! u 75,000sf healthcare campus! u 120 patient beds; doubled capacity during earthquake & cholera epidemic! u Several ad hoc additions built over the years ! u Electric grid destroyed in earthquake! u Cost to run generators: over $0.40/kWh*! u Great solar access! u But first needed to address basic safety & reliability needs! *including maintenance and amortization Mazzetti Case Studies: Haiti! 15! Overview: steps to renewable electricity! Alleviate safety issues • Put it underground • Rewire for safety Install stable conventional systems Install sustainable & renewable systems • Generators • Battery backups • Solar • Waste to energy Mazzetti Case Studies: Haiti! 16! Step 1: Alleviate safety issues! Fires, electrocutions and outages were all very real problems. The hospital was losing expensive medical equipment due to spikes. Loose wires hung out of boxes and broken outlets existed where children played. ! Mazzetti Case Studies: Haiti! 17! 1A. Put it underground! Lines were hit by trees and trucks. Residents tapped into the hospital’s electricity, with sometimes deadly consequences. The solution: put the distribution system underground. Mazzetti Case Studies: Haiti! ! 18! 1B. Rewire! For 3 years, we brought volunteer electricians down to do the job of rewiring the hospital to a basic level of safety and reliability. ! Mazzetti Case Studies: Haiti! 19! Step 2: Install stable conventional systems! Before! After! Mazzetti Case Studies: Haiti! 20! 3. Install sustainable & renewable systems! Solar panels provide much needed energy self-reliance for the hospital: diesel for their generators comes from Venezuela, where the supply is erratic, the prices are very high – energy is the #2 cost to operate this hospital, second only to staff. ! Mazzetti Case Studies: Haiti! 21! Financing Model: creative combinations! Shared investment costs! Power Purchase Agreement! Donations (supplies & monetary)! Local ! labor! Carbon offset credits! Volunteer vacations! Social impact investing! Mazzetti Case Studies: Haiti! 22! The Power Purchase Agreement! Size of plant: 10KW! 3.1% ROI! $7,851 ! $2,685 ! year! 0! 1! 2! 3! 4! 5! 6! 7! 8!($2,508)!9! 10! ($7,727)! ($12,972)! ($18,243)! ($23,541)! ($28,865)! Initial! project! cost! ($45,000)! ($34,217)! ($39,595)! Average annual payment! Cost per watt! Annual CO2 reduction! 10-year ROI! Mazzetti Case Studies: Haiti! $5,134! $4.50! 10 tons! 3.1%! 23! Logistics: how does a box car get to Haiti?! It goes through the Panama Canal! From this project we created a ready-made toolbox of equipment and supplies – much like Project HOPE’s prosthetics lab – which we can ship to any new project. ! Mazzetti Case Studies: Haiti! 24! Benefits: operational impact! Carbon reduction! Skilled workers! Energy resilience! Marketing and PR! No capital expense ! Lower, fixed costs! Mazzetti Case Studies: Haiti! 25! Teaching skills, transforming lives! The social impacts are incredible in a country with 80% unemployment and low education levels. We work with at least a 1:1 ratio: 1 Haitian to 1 American – to teach skills, provide local jobs and ensure the equipment maintenance. ! Mazzetti Case Studies: Haiti! 26! Benefits: social impact! • Stable, working hospital improve pride as well as health! • Old wires used for houses! • Boost to economy from jobs & volunteers spending money! • Bridge between societies! Improve public health! • Diesel fumes reduced! • Reliable Haitian hospital in times of disaster! • Jobs help Haitians feed & take care of their families! Impact local community! Provide jobs and skills! • Reduced outages from fuel embargos & high costs! • ICU and OR have reliable electricity & AC! • No fires in panels and wire nests! • No shocks when flipping on a switch! Save ! lives! Mazzetti Case Studies: Haiti! • 1:1 means we’re always teaching skills! • Many have gone on to use their skills regularly for income! • English skills, personal help from electricians! 27! Benefits: reverse innovation! Experience finds Haitian doctors wash hands with cold water! Research shows US systems actually breed legionella! Can we develop a way to simplify US systems?! Can we adapt current policies to allow for this new method?! Mazzetti Case Studies: Haiti! 28! Our Haiti work continues! ① ② ③ ④ GHESKIO Cholera Treatment Center! GHESKIO Tuberculosis Hospital! Two larger engineering projects in development! Three solar projects in development! Mazzetti Case Studies: Haiti! 29! GHESKIO Cholera Treatment Center! “We are impatiently waiting for the new center, because the tents are really unsafe and uncomfortable – they get very hot with the heat, and when it rains the patients get soaked.” – GHESKIO Nurse! Mazzetti Case Studies: Haiti! 30! GHESKIO Cholera Treatment Center! Goal: Create a low-cost, low-energy replicable model for cholera treatment and prevention.! u Innovative onsite wastewater and water treatment system purifies 25,000 gallons of sewage per year, stopping disease outbreak at its source.! u Water catchment system delivers rainwater through a cistern that filters and eliminates disease.! u Because symptoms of cholera are odorous, we developed a low-cost, low-energy ventilation and temperature control system utilizing large circulation fans. ! u 100% natural lighting minimizes energy use.! (Image: MASS Design Group)! Mazzetti Case Studies: Haiti! 31! The need for energy innovation! We need to create more energy at a lower cost. It’s essential. There must be creative ways to use more solar, more air, more wind… and waste in particular.! ! – Dr. Jean William Pape, Founder and Director, GHESKIO! and Professor of Medicine, Cornell University! Mazzetti Case Studies: Haiti! 32! Next Step: Waste to Energy! Waste to energy systems can solve several problems: public health affects of burning plastics and pharmaceuticals, emissions of diesel fuel burning in generators, and reliance on expensive and erratic diesel fuel for energy. ! Mazzetti Case Studies: Haiti! 33! Our partners! § § § § § § § § § § Rosendin Electric! Maltby Electric Supply Co.! Allied Tube & Conduit Co.! Empire Electrical Sales! EGS/Oz Gedney! Ewing Foley Co.! Lord & Sons! Hilti Corporation! Thomas & Betts Corporation! B Line Corporation ! § § § § § § § § § § Electro Rep Inc.! Westinghouse Electrical Supply Co.! Southwire/Senator! Electric Sales Unlimited! General Electric Supply Co.! General Electric Co.! Hubbell Wiring Device Company! Industrial Electric Manufacturing Co.! Graybar Electric Supply Co.! Ideal Industries! Mazzetti Case Studies: Haiti! 34! Testimonial! Mazzetti is a model for this industry. ! Long after the dust settled and the front page reporting left the scene, they continued grinding out the real work that a recovery consists of. They are enthusiastic and uncompromising…. It has been a privilege to spend time in the company of these good men and women.! ! – Tim Traynor, CRUDEM Foundation! Mazzetti Case Studies: Haiti! 35! Thank you!! Mazzetti Case Studies: Haiti! 36! Walter Vernon, President & CEO! [email protected]! 415.364.7222! Except where noted, photos and images by Change Catalyst/Mazzetti! Mazzetti Case Studies: Haiti! 37! Ron Bourgault, Principal! [email protected]! 303.629.8775! Except where noted, photos and images by Change Catalyst/Mazzetti! Mazzetti Case Studies: Haiti! 38!
