A new Oregon State Department of Geology report concludes that “no hospital facilities are likely to be functional due to the expected severity of a magnitude 9 Cascadia earthquake and tsunami damage. Seismic vulnerabilities include building structures; non-structural components that are part of the building as well as equipment; and the limitations of on-site utilities such as power and water. Four of the eleven hospitals are located in the tsunami evacuation zone and face difficulties with tsunami planning. ” The hospitals were constructed before CSZ earthquake expectations were known, and suffere from inadequate seismic resilience. There are worries about fuel and water accessibility post-quake in addition to the possible damage from the earthquake and tsunami. The hospitals are expected to take over three years to recover from such a quake.