The Cascadia Subduction Zone (CSZ) runs from Northern California to Vancouver, Canada, and has the potential to unleash a magnitude 9 earthquake and an accompanying tsunami that would devastate the Pacific Northwest. To address the health ramifications of this and other regional catastrophes, affected communities must develop resilience with the support of collaborative and innovative research that spans state and international borders. In September 2023, representatives of the University of Washington Center for Disaster Resilient Communities (CDRC) traveled to Vancouver,…