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Foundation: in response of the health system before a hurricane, municipalities and establishments have a protagonist role. Objective: to describe the Aguada de Pasajeros municipal health system at the Irma hurricane’s path across its territory. Methods: prospective cross study, in the health and service system, developed in the Aguada de Pasajeros Municipality between September the 7th and 30th, 2017. The universe was the territory total of workers and institutions, all involved in the response to Irma’s hurricane. A documentary review was included (plans, instructions from the Defense Councils, and the Minister of Health) and participating observation. Indicators of possible impact and municipal health situation. Results: a total of 88 actions by the municipal health system; 50 during the informative phase and 9 in alert. The plan for disaster reduction was totaly achieved, to which 9 new tasks were added. There were no deaths due to the hurricane nor morbidity after the event. There was maintained assistance coverage in sites of difficult access and shelters. All the institutions maintained vitality. Conclusion: the actions developed in the municipality allowed maintaining the health situation, the comprehensive care to the people who demanded medical services during the path of the natural phenomena across the territory institutional vitality.

Background: Hurricane Denis (July 2005) affected Cienfuegos province, causing great economic lost, no life was lost though. Health sector put in practice the previewed plans, including the levelled unfolding of 11 Integral Health Brigades up to the most affected places since the beginnings of the recovering phase. Objectives: to analyze the impact of the Integral Health Brigades in the affected areas. Method: For the article it were revised the statistics, enquiries to the population and workers of the health sector carried out by each Brigade, as well as the conclusions of the experience, analyzed in a provincial meeting for this purpose. Results: There was no disease outbreak, not even changes in morbidity. The psychological affection was very little. Population expressed its satisfaction for the immediate attention offered by health system. It allowed the direct work with people of greatest vulnerability and the stratification of their management in a more integral way. The labour bettered communitarian education and health promotion. Conclusions: in the most affected areas it was a necessary and positive element to elevate integral health attention to the community as part of the support to the civil defence sector.