This research aims at demonstrating that wayfinding solutions can improve the effectiveness of the evacuation processes in complex architectural spaces such as those of cruise ships. We investigated the behaviours of passengers in maritime disaster to figure out whether people act similarly during buildings egress and ships evacuation. Data were collected through questionnaires administered in 2015 to passengers boarding various cruise ships at the port of Ancona (Italy), and through the analysis of real footage of the evacuation of the Costa Concordia. The open source software Fire Dynamics Simulator with Evacuation (FDS+EVAC), used in building egress analyses, was adapted to include these behavioural and event information such as familiarity with ship layout, ship rotation and lifeboats boarding. Simulation results on the case study confirmed similarities between ships and buildings evacuations, underlining the effectiveness of wayfinding solutions to improve passengers' evacuation flows and routes selection. This study also demonstrated that computer simulation could benefit the ship design process, the preparation of safety guidelines, and the crewmembers during naval emergency management training.

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Students'mobililty has grown considerably in the last decades and student housing has recently started to be studied more consistently, because of the high pressure on the private market. However, its implication for policy making and societal resilience remains a marginal topic in the scientific debate and further studies are needed to meet the goals of the Sendai Framework for Disaster Risk Reduction. Students could be seen as a vulnerable category to be considered to understand and reduce disaster risk, and to develop tailored strategies for the mitigation of human losses. In this paper, we investigate which factors influence university students' decision to rent a room with a focus on risk perception and safety awareness. The research focuses on a case study in Ancona, Central Italy, where we surveyed 338 students of the University of Ancona, which shares similar characteristics with the 2009 precursor in L'Aquila. Our results highlight that safety is not the paramount factor influencing students' choice for an accommodation and that not all the students were able to define the risk level of the city they live in. On the contrary, students considered the rent as the most important factor influencing their choices, followed by the proximity of the accommodation to services. The discussion points out that decision makers must integrate vulnerability reduction strategies on student housing plans at three different level, especially education and awareness strategies. The conclusions suggest some priorities to be undertaken in policies, define limitations and open questions to be addressed in future researches.

When a disaster exceeds the capacity of the affected country to cope with its own resources, the provision of external rescue and health services is required, and the deployment of relief units requested. Recently, the cost of international relief and the belief that such deployment is cost-effective has been questioned by the international community; unfortunately, there is still little informed debate and few detailed data are available. This paper presents the results of a comparative review on the cost-effectiveness analysis (CEA) of search and rescue (SAR) and Emergency Medical Team (EMT) deployment. The aim of this work is to provide an overview of the topic, highlight the criteria used to assess the effectiveness, and identify gaps in existing literature. The results show that both deployments are highly expensive, and their success is strongly related to the time they need to be operational; SAR deployments are characterized by limited outcomes in terms of lives saved, and EMTs by insufficient data and lack of detailed assessment. This research highlights that the criteria used to assess the effectiveness need to be explored further, considering different purposes, lengths of stay, and different activities performed, especially for any comparison. This study concludes that data reporting should be mandatory for humanitarian response agencies.

Closed university buildings proved to be one of the main hot spots for virus transmission during pandemics. As shown during the COVID-19 pandemic, physical distancing is one of the most effective measures to limit such transmission. As universities prepare to manage in-class activities, students’ adherence to physical distancing requirements is a priority topic. Unfortunately, while physical distancing in classrooms can be easily managed, the movement of students inside common spaces can pose high risk of close proximity. This paper provides an experimental analysis of unidirectional student movement inside a case-study university building to investigate how physical distancing requirements impact student movement and grouping behaviour. Results show general adherence with the minimum required physical distancing guidance, but spaces such as corridors pose higher risk of exposure than doorways. Doorway width, in combination with group behaviour, affect the students' capacity to keep the recommended physical distance. Furthermore, questionnaire results show that students report higher perceived vulnerability while moving along corridors. Evidence-based results can support decision-makers in understanding individuals’ exposure to COVID-19 in universities and researchers in developing behavioural models in preparation of future outbreaks and pandemics.

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ABSTRACT Objective: The effectiveness of Emergency Medical Teams (EMTs) is strongly related to their time of arrival, and usually only few teams arrive within 24-48 h postdisaster. The decision to deploy and the scale of deployment rely heavily on context and nature of the event and consequently a rapid assessment of needs/gaps is critical to an appropriate and customized response. Methods: In this study, we describe a desk-based study that provides: (1) knowledge about the medical needs that can be anticipated according to the phases of the disaster that is not rich in literature; and (2) a decision support framework for the deployment of EMTs to earthquakes that combines the results of a literature research and a Delphi study involving the opinion of 12 experts in the field. Results: The resulting framework is a tool that will help better mapping the configuration to the needs on the ground at the time the team becomes operational in the field and will assist those responsible for deploying and/or accepting EMTs in making informed decisions on deployment after an earthquake. Conclusions: With additional research the framework approach may be adapted to other types of international relief such as to deploy a Search And Rescue (SAR) team.

Medical and epidemiological documentation in disasters is pivotal: the former for recording patient care and the latter for providing real-time information to the host country. Furthermore, documentation informs post-hoc analysis to improve the effectiveness of future deployments.Although documentation is considered important and indeed integral to health care response, there are many barriers and challenges. Some of these challenges include: working without well-established standards for medical documentation; and working with international guidelines which provide minimal guidance as to how health data should be managed practically to ensure accuracy and completion. Furthermore, there is a shift in mindset in disaster contexts wherein most health care focus shifts to direct clinical care and diverts almost all attention from quality documentation.This report distinguishes between the tasks of the epidemiologist and the data manager (DM) in an emergency medical team (EMT) and discusses the importance of data collection in the specific case of an EMT deployment. While combining these roles is sometimes possible if resources are limited, it is better to separate them, as the two are quite distinct. Although there is overlap, to achieve the goals of either role, preferentially they should be carried out by two people working closely together with complementary skill sets. The main objective of this report is to provide guidance and task descriptions to EMTs and field hospitals when training, recruiting, and preparing DMs and epidemiologists to work within their teams. Clear delineation of tasks will lead to better quality data, as it commits DMs to being concerned with the provision of real-time documentation from patient arrival through to compiling daily reports. It also commits epidemiologists to providing enhanced disease surveillance; outbreak investigation; and a source of reliable and actionable information for decision makers and stakeholders in the disaster management cycle.