During an urban flooding scenario, Healthcare Critical Infrastructure (HCI) represents a critical and essential resource. As the flood levels rise and the existing HCI facilities struggle to keep up with the pace, the under-preparedness of most urban cities to address this challenge becomes evident. Due to the disruptions in the interdependent Critical Infrastructures (CI) network (i.e., water supply, communications, electricity, transportation, etc.), during an urban flooding event, the operations at the healthcare CI facilities are inevitably affected. Hence, there is a need to identify cascading CI failure scenarios to visualize the propagation of failure of one CI facility to another CI, which can impact vast geographical areas. The goal of this work is to develop an interdependent HCI simulation model in a spatiotemporal environment to understand the dynamics in real-time and model the propagation of cascading CI failures in an interdependent HCI network. The model is developed based on a real-world cascading CI failure case study on an interdependent HCI network during the flood disaster event in December 2015 at Chennai, TamilNadu, India. The interdependencies between the CI networks are modeled by using the Stochastic Colored Petri Net (SCPN) based modeling approach. SCPN is used to model a real-word process that occurs in parallel or concurrently. Furthermore, a geographic information system-based interface is integrated with the simulation model, to visualize the dynamic behavior of the interdependent HCI SCPN simulation model in a spatiotemporal environment. Such a dynamic simulation model can assist the decision-makers and emergency responders to rapidly simulate ‘what if’ kind of scenarios and consequently respond rapidly.

The Healthcare Critical Infrastructure (HCI) protects all sectors of the society from hazards such as terrorism, infectious disease outbreaks, and natural disasters. HCI plays a significant role in response and recovery across all other sectors in the event of a natural or manmade disaster. However, for its continuity of operations and service delivery HCI is dependent on other interdependent Critical Infrastructures (CI) such as Communications, Electric Supply, Emergency Services, Transportation Systems, and Water Supply System. During a mass casualty due to disasters such as floods, a major challenge that arises for the HCI is to respond to the crisis in a timely manner in an uncertain and variable environment. To address this issue the HCI should be disaster prepared, by fully understanding the complexities and interdependencies that exist in a hospital, emergency department or emergency response event. Modelling and simulation of a disaster scenario with these complexities would help in training and providing an opportunity for all the stakeholders to work together in a coordinated response to a disaster. The paper would present interdependencies related to HCI based on Stochastic Coloured Petri Nets (SCPN) modelling and simulation approach, given a flood scenario as the disaster which would disrupt the infrastructure nodes. The entire model would be integrated with Geographic information based decision support system to visualize the dynamic behaviour of the interdependency of the Healthcare and related CI network in a geographically based environment.