We usually treat earthquakes as an engineering problem that just tests concrete.
They actually trigger a systemic failure called operational collapse.
Take a Dhaka hospital that survives a tremor perfectly intact on the outside,
but goes entirely dark on the inside.
20 million people live in a city where normal dengue seasons overflow emergency rooms,
and mental health capacity is just 0.16 psychiatrists per 100,000 people.
This baseline fragility means non-structural damage becomes the ultimate trigger.
Snapped oxygen lines, failed generators, and cracked stairwells force a structurally sound hospital to shut down.
This operational collapse unfolds in waves.
First, immediate physical injuries go untreated.
Then the collapse cascades into public health failures and sanitation breakdowns.
Finally, unmanageable psychological distress paralyzes the community.
And when a city's health system fails, its workforce instantly follows.
Factories miss export deadlines, business continuity breaks, and the broader economy shatters.
So that structurally sound darkened hospital isn't just a medical failure.
It is a guaranteed economic shutdown for the entire city.
Human in purpose. Systemic in method. Protective in outcome.