· result from injury or poisoning ... the fatal outcome ... homicide occurs when the death...

105

Upload: trinhkhanh

Post on 06-May-2018

218 views

Category:

Documents


1 download

TRANSCRIPT

Office of the Medical Examiner

2016 Annual Report

2

Executive Summary

We are pleased to present our 2016 Annual Report. This report reflects the work of the Medical Examiner’s Office during the 2016 calendar year. Only those deaths that fall within the geographical jurisdiction of the Medical Examiner, which is based on the county in which death was pronounced, are included. We pride ourselves on providing outstanding service to the communities we serve. Our commitment to excellence was recognized in 2009, when our office was granted full accreditation by the National Association of Medical Examiners (NAME), and that full accreditation status was renewed by NAME in 2014. We have developed a regional system that delivers consistency and standardization. Thanks to leadership provided by Sparrow Forensic Pathology, there is an expected process which ensures quality, compassionate care when people need it most. It would not be possible for the Medical Examiner’s Office to operate efficiently without our dedicated staff. Additionally, our investigators are essential to our success and we are grateful for their service. The investigators are listed by county in the text of this report.

Barry County Eaton County Ingham County Ionia County Isabella County Livingston County Montcalm County Shiawassee County

3

Sparrow Forensic Pathology Office of the Medical Examiner 2016 Staff

Michael A. Markey, M.D.—Medical Director John A. Bechinski, D.O. Philip R. Croft, M.D., J.D. Stephanie A. Dean, M.D. Patrick A. Hansma, D.O.

Luke R. Vogelsberg, D-ABMDI - Supervisor, Chief Investigator, Pathology Assistant Elizabeth Reust - Supervisor & Chief Investigator Holly Marsh - Administrative Assistant Debra Parsons - Team Advisor & Autopsy Assistant Haley Scott - Autopsy Assistant Bradley Phelps - Autopsy Assistant & Investigator Samantha Schaeffer - Autopsy Assistant Alyssa Nielsen - Autopsy Assistant Krystin Smith - Autopsy Assistant

4

Medical Examiner Services Investigation of Deaths

As the Medical Examiner's Office for eight counties in Michigan, we perform autopsies and other postmortem examinations as an important part of the death investigation process. Each county in Michigan has a licensed Physician, appointed by the county commissioners, who is responsible for investigating deaths as defined by the Michigan Compiled Laws.

In general, the deaths investigated by our office include those that are thought to result from injury or poisoning (such as homicide, suicide, and accidental deaths), and those deaths that are sudden, unexpected, and not readily explainable at the time of death. Because deaths occur around the clock, the Medical Examiner's Office is staffed 24 hours a day, 365 days a year.

The typical sequence of events that occurs following a death is:

A death is reported to the on-call Medical Examiner Investigator (MEI).

The MEI assesses whether we have legal authority and duty to investigate the death.

The death scene is visited and investigated, if indicated.

Investigative information is obtained about the decedent's medical and social history, as well as other information surrounding the events that were associated with the death.

If an examination is indicated, the body is transported to the forensic pathology laboratory at Sparrow Hospital in Lansing, MI.

5

If the investigator believes the death may not require a postmortem investigation, the on-call Medical Examiner is contacted and the case is discussed before the body is released to the funeral home.

An investigative report is written by the MEI.

When applicable, the decedent’s primary care physician is contacted and notified of the death, and medical history is confirmed.

A death certificate is generated by either the decedent's personal physician, the attending physician in the medical facility, or the assigned Medical Examiner.

If a postmortem examination is performed, following receipt of all appropriate test results, a postmortem examination report is written.

Permanent records are maintained for future use, as needed, and distributed to those who have requested a copy of the report and are authorized to receive the report.

Occasionally, some deaths require follow-up investigations, which are conducted by our In-House Investigators based at Sparrow Hospital. For 2016, these investigators were Brad Phelps, Luke Vogelsberg, Lynne Mark, and Mary Stevens.

Death Certification

The main focus of our investigation is to determine the cause and manner of death, and to clarify circumstances surrounding the death. The cause of death is related to the underlying disease or injury that resulted in the individual's death. The manner of death, in the state of Michigan, is limited to these possibilities: natural, accident, suicide, homicide, or indeterminate. In addition, information gathered during the investigation of event(s) before death and/or evidence collected may be critical for future legal proceedings.

6

Case Management Approach

A board-certified Forensic Pathologist is assigned to each death and determines the level of medical investigation required. Cases are handled by one of the following approaches:

Direct Release - The body is released directly from the scene to the funeral

director. The MEI is at the scene and views the body. Based upon scene and medical history information provided by the MEI to the on-call Medical Examiner, a decision may be made to release a body directly to the funeral home chosen by the family.

View - A cursory examination is performed to further evaluate the case and

to rule out trauma or the need for further in-depth examination.

Limited or External Examination – A limited examination generally is

within an anatomic boundary (such as a brain only examination) to recover a foreign body, hardware or to answer specific questions. These examinations may include toxicology testing. An external examination includes a detailed record of observations, possible laboratory/toxicology testing and a written report.

Complete Autopsy - A complete examination includes external and

internal examinations, with toxicology.

7

Decision to Autopsy

The Medical Examiners and Deputy Medical Examiners use standards established by the National Association of Medical Examiners (NAME) to determine whether an autopsy is indicated. The standards, most recently revised in September 2016, state: The Forensic Pathologist shall perform a forensic autopsy when:

The death is known or suspected to have been caused by apparent criminal violence.

The death is unexpected and unexplained in an infant or child.

The death is associated with police action.

The death is apparently non-natural and in custody of a local, state, or federal institution.

The death is due to acute workplace injury.*

The death is caused by apparent electrocution.*

The death is by apparent intoxication by alcohol, drugs, or poison, unless a significant interval has passed, and the medical findings and absence of trauma are well documented.

The death is caused by unwitnessed or suspected drowning.*

The body is unidentified and the autopsy may aid in identification.

The body is skeletonized.

The body is charred.

The forensic pathologist deems a forensic autopsy is necessary to determine cause or

manner of death, or document injuries/disease, or collect evidence.

The deceased is involved in a motor vehicle incident and an autopsy is necessary to

document injuries and/or determine the cause of death.

* unless sufficient antemortem medical evaluation has adequately documented findings and issues of

concern that would otherwise have required autopsy performance

8

Accreditation

All of the Medical Examiners’ offices that contract for services from Sparrow Forensic Pathology Services have been accredited by the National Association of Medical Examiners (NAME). In 2014, Ingham, Ionia, Isabella and Montcalm counties received accreditation for the first time. Barry, Eaton, Livingston and Shiawassee counties’ NAME accreditations were renewed.

Only three percent of offices that conduct death investigations and autopsies in the U.S. are accredited by NAME. Of the 17 NAME-accredited county medical examiners’ offices in Michigan, eight are served by Sparrow Forensic Pathology.

Manner of Death

Guidelines for classifying the manner of death include:

Natural deaths are due solely or nearly totally to disease and/or the aging process.

Accident applies when an injury or poisoning (including drug overdoses) causes death and there is little or no evidence that the injury or poisoning occurred with intent to harm or cause death. In essence, the fatal outcome was unintentional.

Suicide results from an injury or poisoning as a result of an intentional self-inflicted act committed to do self-harm or cause the death of one's self.

Homicide occurs when the death results from a volitional act committed by another person to cause fear, harm, or death. Intent to cause death is a common element but is not required for classification as a homicide. It has to be emphasized that the classification of homicide for the purpose of death certification is a "neutral" term and neither indicates nor implies criminal intent, which remains a determination within the province of legal processes.

9

Indeterminate is a classification used when the information pointing to one manner of death is no more compelling than one or more other competing matters of death, in thorough consideration of all available information.

In general, when death involves a combination of natural processes and external factors, such as injury or poisoning, preference is given to the non-natural manner of death.

Cremation Permit Authorizations

Michigan law requires funeral directors to obtain a signed cremation permit from the Medical Examiner. Our office reviews thousands of cremation permit requests each year. We review the death certificates to ensure that deaths that should have been reported to our office were in fact reported. Deaths that were not properly reported are investigated before cremation is authorized.

Testimony at Trials

The Medical Examiners and Deputy Medical Examiners are often called upon to provide testimony in criminal and civil matters. They meet regularly with members of law enforcement, prosecutors, defense attorneys and civil litigators.

Public Health and Safety Issues

Although the major purpose of the Medical Examiner’s Office is to conduct death investigations, the information obtained from individual death investigations may also be studied collectively to gather information that may be used to address public health and safety issues. Our office participates with the Michigan Child Death Review process in all counties, providing significant information regarding how children died, with the goal of preventing future deaths. Our offices anticipate increased involvement with elder death review teams in future years.

10

Education

We have a strong affiliation with Michigan State University. Our staff teaches pathology and provides regular lectures to forensic science students. We routinely have medical students who rotate through our office to gain experience and exposure to forensic pathology. Additionally, we participate in many programs designed to teach youth about careers in forensic pathology.

Comment on Methods and Terms

This annual report reflects the activities of our medical examiner offices during a given calendar year. With rare exception (e.g., deaths reported to the wrong medical examiner office), the data include only those cases over which the county’s medical examiner can exercise jurisdiction. Jurisdiction is determined by where the individual was pronounced dead rather than the county of residence or the county in which the incident leading to death might have occurred. Furthermore, the data reflect the calendar year in which the deaths were reported to the respective medical examiner offices, regardless of the year in which the death actually occurred. The category “Total Deaths in the County” is based upon numbers provided by that county’s Clerk’s Office. Occasionally, these numbers may change after the time of publication of this report.

The category “Referrals to Gift of Life” does not include in-hospital deaths reported to the medical examiner, which are referred to Gift of Life by hospital staff rather than the medical examiner office. For “Accidental Deaths,” the subcategory “Vehicle” consists of deaths that were classified as transportation-related fatalities, and include all forms of transport; drivers/operators, passengers, and pedestrians; this category does not include types of death that might otherwise fall into a different subclassification, such as vehicle fires and traumatic asphyxia.

11

Barry County Medical Examiner Philip R. Croft, M.D., J.D.

Deputy Medical Examiners John A. Bechinski, D.O. Stephanie A. Dean, M.D. Michael A. Markey, M.D. Patrick A. Hansma, D.O.

Medical Examiner Investigators Dustin MacKellar Chad Klutman Tina Smelker William Rentz, D-ABMDI Joseph Huebner Jerry Sarver, D-ABMDI Pattrick Jansens William Warren Kim Tolan Mitch Tolan Philip Clinton

Administrative Assistant Ann Wilson

12

Barry County Summary of Cases

2012 2013 2014 2015 2016

TOTAL DEATHS IN THE COUNTY 360 380 351 416 399

DEATHS REPORTED TO THE ME 106 111 90 125 130

CASES ACCEPTED FOR INVESTIGATION1

103 106 87 118 124

MEI SCENE INVESTIGATIONS 96 95 84 112 120

DEATH CERTIFICATES SIGNED BY ME 50 54 47 53 57

BODIES TRANSPORTED TO SPARROW

38 44 43 43 47

COMPLETE AUTOPSY 24 36 32 35 37

LIMITED AUTOPSY 3 1 1 1 0

EXTERNAL EXAMINATION 9 5 8 6 8

STORAGE ONLY 2 1 2 1 2

UNCLAIMED BODIES 1 0 0 1 0

REFERRALS TO GIFT OF LIFE 21 24 28 40 48

TISSUE/CORNEA DONORS 0 5 9 6 17

CREMATION PERMITS REVIEWED 208 217 185 238 257

1 Not every case that is reported to the Medical Examiner’s office falls within our jurisdiction. We accept cases for investigation based on the circumstances surrounding the death and the law that governs the Medical Examiner’s authority (MCL 52.202). We declined jurisdiction in 6 cases that were reported to us in 2016.

13

Barry County Manner of Death

The data on the following pages refers to those deaths that were reported to the Medical Examiner’s Office.

Manner of Death 2012 2013 2014 2015 2016

NATURAL 71 79 60 93 99

ACCIDENT 20 19 19 18 18

SUICIDE 14 10 10 12 9

HOMICIDE 0 1 0 1 2

INDETERMINATE 1 1 1 1 22

TOTAL 106 110 90 125 130

2 (1) unknown cause of death - found body with severe decomposition; (1) pedestrian struck by motor vehicle in unclear

circumstances

0

20

40

60

80

100

120

140

2012 2013 2014 2015 2016

Manner of Death

Total

Natural

Accident

Suicide

14

Barry County Accidental Deaths

2012 2013 2014 2015 2016

VEHICLE 6 7 11 5 4 DRUG-RELATED 3 3 2 5 7 DROWNING 1 2 0 0 0 FALL 6 4 5 7 6 FIRE 0 1 0 1 0 ASPHYXIA 2 1 0 0 0 HYPOTHERMIA 1 0 0 0 0 FARM ANIMAL 0 0 1 0 0 OTHER 13 14 0 0 15 TOTAL 20 19 19 18 18

3 Acute water intoxication 4 Falling tree 5 Leg injury of unclear etiology

0

5

10

15

20

25

2012 2013 2014 2015 2016

Accidental Deaths

Total

Vehicle

Drug Related

Fall

15

Barry County Drug Related Deaths

For purposes of this report, drug related fatalities are deaths in which an overdose of a combination of drugs or a single drug caused or contributed to the death. These deaths do not include situations in which intoxication might have been a factor in an incident leading to death, such as motor vehicle crashes, falls, choking while eating, or environmental exposures.

Manner of Death 2012 2013 2014 2015 2016

ACCIDENT 3 3 2 5 7

SUICIDE 3 1 1 2 1

INDETERMINATE 1 0 0 1 0

TOTAL 7 4 3 8 8

0

2

4

6

8

10

2012 2013 2014 2015 2016

Drug Related Deaths

Total

Accident

Suicide

Indeterminate

16

2016 Drug Related Deaths

TOTAL 8 Cases

SEX 3 Female, 5 Male

RACE 8 White

AGE RANGE 32-71 years

AVERAGE AGE 52.5 years

MEDIAN AGE 50 Years

OPIOID-RELATED 7 Cases involved an opiate or opioid (87.5%)

MANNER OF DEATH 7 Accidents, 1 Suicide

17

Barry County Suicides Suicide Totals by Year

2012 2013 2014 2015 2016

14 10 10 12 9

Suicide Methods

2012 2013 2014 2015 2016

FIREARM 8 8 5 7 7

HANGING 3 1 3 3 1

DRUG INTOXICATION 3 1 1 2 1

SUFFOCATION 0 0 1 0 0

Suicides by Age

2012 2013 2014 2015 2016

0 – 17 0 0 0 1 1

18 – 25 2 0 1 0 0

26 – 44 4 2 2 7 1

45 – 64 5 5 5 4 5

65 + 3 3 2 0 2

18

Barry County Reported Deaths of Children Reported Deaths of Children by Age

2012 2013 2014 2015 2016

Stillborn 0 0 0 0 0

<1 year 0 0 0 0 0

1-5 0 0 0 2 0

6-10 0 0 0 0 0

11-17 2 0 0 1 1

TOTAL 2 0 0 3 1

Reported Deaths of Children by Manner of Death Manner of Death 2012 2013 2014 2015 2016

NATURAL 0 0 0 0 0

ACCIDENT 2 0 0 2 0

SUICIDE 0 0 0 1 1

HOMICIDE 0 0 0 0 0

INDETERMINATE 0 0 0 0 0

AGE SEX CAUSE OF DEATH MANNER

2016

17 years F Hanging Suicide

19

Eaton County Medical Examiner Michael A. Markey, M.D.

Deputy Medical Examiners John A. Bechinski, D.O. Philip R. Croft, M.D., J.D. Stephanie A. Dean, M.D. Patrick A. Hansma, D.O.

Medical Examiner Investigators David Lowndes Ruth Grant, D-ABMDI Jessica Nicholson Daniel Sowles, D-ABMDI

20

Eaton County Summary of Cases

2012 2013 2014 2015 2016

TOTAL DEATHS IN THE COUNTY 723 833 838 903 817

DEATHS REPORTED TO THE ME 171 162 167 183 170

CASES ACCEPTED FOR INVESTIGATION6

170 161 159 176 154

MEI SCENE INVESTIGATIONS 155 157 154 172 158

DEATH CERTIFICATES SIGNED BY ME 77 88 84 88 84

BODIES TRANSPORTED TO SPARROW

58 81 667 69 78

COMPLETE AUTOPSY 43 53 47 55 64

LIMITED AUTOPSY 2 1 2 3 2

EXTERNAL EXAMINATION 8 16 9 9 7

STORAGE ONLY 5 11 6 2 5

UNCLAIMED BODIES 1 0 1 1 2

REFERRALS TO GIFT OF LIFE 17 43 49 68 61

TISSUE/CORNEA DONORS 4 4 7 19 16

CREMATION PERMITS REVIEWED 304 450 407 482 452

6 Not every case that is reported to the Medical Examiner’s office falls within our jurisdiction. We accept cases for investigation based on the circumstances surrounding the death and the law that governs the Medical Examiner’s authority (MCL 52.202). We declined jurisdiction in 16 cases that were reported to us in 2016. 7 Includes one non-human tissue case

21

Eaton County Manner of Death

The data on the following pages refers to those deaths that were reported to the Medical Examiner’s Office.

Manner of Death 2012 2013 2014 2015 2016 NATURAL 126 115 119 119 116 ACCIDENT 33 35 29 43 36 SUICIDE 8 9 15 18 11 HOMICIDE 0 0 1 2 2 INDETERMINATE 3 3 2 1 48 TOTAL 170 162 1669 183 17010

8 (2) multiple drug intoxication, (1) multiple injuries – pedestrian struck by motor vehicle, (1) undetermined cause; severely

decomposed body 9 Cases with no manner of death: (1) non-human tissue 10 Cases with no manner of death: (1) non-human bones

0

20

40

60

80

100

120

140

160

180

200

2012 2013 2014 2015 2016

Manner of Death

Total

Natural

Accident

Suicide

22

Eaton County Accidental Deaths

2012 2013 2014 2015 2016

VEHICLE 7 9 6 9 6 DRUG-RELATED 13 14 12 19 19 DROWNING 0 1 0 0 0 FALL 12 8 8 11 7 FIRE 0 1 1 2 0 ASPHYXIA 0 2 2 0 0 HYPOTHERMIA 1 0 0 1 2 FARM MACHINERY 0 0 0 1 0 TOTAL 33 35 29 43 3611

11 Other accidental deaths: (1) rib fractures due to injury from back brace, (1) ruptured quadriceps tendon following syncopal

episode

0

10

20

30

40

50

2012 2013 2014 2015 2017

Accidental Deaths

Total

Vehicle

Drug Related

Fall

23

Eaton County Drug Related Deaths

For purposes of this report, drug related fatalities are deaths in which an overdose of a combination of drugs or a single drug caused or contributed to the death. These deaths do not include situations in which intoxication might have been a factor in an incident leading to death, such as motor vehicle crashes, falls, choking while eating, or environmental exposures.

Manner of Death 2012 2013 2014 2015 2016

ACCIDENT 13 14 12 19 19

SUICIDE 2 1 2 3 1

INDETERMINATE 1 0 0 0 2

TOTAL 16 15 14 22 22

0

5

10

15

20

25

2012 2013 2014 2015 2016

Drug Related Deaths

Total

Accident

Suicide

Indeterminate

24

2016 Drug Related Deaths

TOTAL 22 Cases

SEX 10 Female, 12 Male

RACE 20 White, 2 Black

AGE RANGE 23-69 years

AVERAGE AGE 42.1 years

MEDIAN AGE 39 Years

OPIOID-RELATED 19 Cases involved an opiate or opioid (86.4%)

MANNER OF DEATH 19 Accidents, 1 Suicide, 2 Indeterminate

25

Eaton County Suicides

Suicide Totals by Year 2012 2013 2014 2015 2016

8 9 15 18 11

Suicide Methods 2012 2013 2014 2015 2016

FIREARM 4 6 7 7 9

HANGING 1 1 5 4 1

DRUG INTOXICATION 2 1 2 3 1

SHARP FORCE INJURY 0 1 0 1 0

SUFFOCATION 0 0 1 2 0

OTHER 112 0 0 113 0

Suicides by Age 2012 2013 2014 2015 2016

0 – 17 1 0 1 2 2

18 – 25 0 2 2 1 0

26 – 44 2 1 6 8 1

45 – 65 3 4 5 4 6

66 + 2 2 1 3 2

12 Electrocution 13 Drove in front of train

26

Eaton County Reported Deaths of Children

Reported Deaths of Children by Age

2012 2013 2014 2015 2016

Stillborn 1 0 0 0 0

<1 year 1 1 1 0 0

1-5 0 0 1 0 0

6-10 0 0 0 0 0

11-17 1 1 2 5 2

TOTAL 3 2 4 5 2

Reported Deaths of Children by Manner of Death

Manner of Death 2012 2013 2014 2015 2016

NATURAL 0 0 1 0 0

ACCIDENT 0 1 2 2 0

SUICIDE 1 0 1 2 2

HOMICIDE 0 0 0 1 0

INDETERMINATE 1 1 0 0 0

AGE SEX CAUSE OF DEATH MANNER

2015 16 years M Intraoral Shotgun Wound Suicide

17 years M Intraoral Gunshot Wound Suicide

27

Ingham County Medical Examiner Michael A. Markey, M.D.

Deputy Medical Examiners John A. Bechinski, D.O. Philip R. Croft, M.D., J.D. Stephanie A. Dean, M.D. Patrick A. Hansma, D.O.

Medical Examiner Investigators Kathleen Brooks Bradley Phelps Joy Dempsey Brett Ramsden Steven Gipe Dan Sowles, D-ABMDI Steven Dexter, R.N. Mary Stevens Ruth Grant, D-ABMDI Luke Vogelsberg, D-ABMDI Lynne Mark Jane Wankmiller Jessica Nicholson John Whitehurst

28

Ingham County Summary of Cases

. 2012 2013 2014 2015 2016

TOTAL DEATHS IN THE COUNTY 2578 2740 2763 2717 2655

DEATHS REPORTED TO THE ME 736 853 826 843 824

CASES ACCEPTED FOR INVESTIGATION14

634 731 704 672 660

MEI SCENE INVESTIGATIONS 589 710 634 654 677

DEATH CERTIFICATES SIGNED BY ME

394 443 452 407 424

BODIES TRANSPORTED TO SPARROW

303 349 342 328 26715

COMPLETE AUTOPSY 206 228 244 255 286

LIMITED AUTOPSY 7 3 4 5 9

EXTERNAL EXAMINATION 54 54 34 40 46

STORAGE ONLY 36 61 48 28 32

UNCLAIMED BODIES 9 3 24 21 20

REFERRALS TO GIFT OF LIFE 24 72 243 292 308

TISSUE/CORNEA DONORS 8 5 45 74 95

CREMATION PERMITS REVIEWED 1321 1574 1582 1717 1721

14 Not every case that is reported to the Medical Examiner’s office falls within our jurisdiction. We accept cases for investigation based on the circumstances surrounding the death and the law that governs the Medical Examiner’s authority (MCL 52.202). We declined jurisdiction in 164 cases that were reported to us in 2016. 15 In previous years, this number was listed as the sum of exams (complete, limited, external) and bodies for storage only. In

2016, this number was obtained from the contracted transport provider, and thus excludes decedents who died at Sparrow

hospital and would have been transported to the Sparrow morgue by Sparrow staff irrespective of their status as a ME or non-

ME case.

29

Ingham County Manner of Death

Manner of Death 2012 2013 2014 2015 2016

NATURAL 516 596 568 564 535

ACCIDENT 150 179 194 198 199

SUICIDE 34 41 33 46 51

HOMICIDE 15 13 17 14 13

INDETERMINATE 18 16 11 19 22

TOTAL 73316 84517 82318 84119 82020

16 Cases with no manner of death: (3) stillbirths 17 Cases with no manner of death: (3) non-human bones 18 Cases with no manner of death: (2) stillbirths; (1) non-human bones 19 Cases with no manner of death: (1) products of conception; (1) stillbirth 20 Cases with no manner of death: (3) stillbirths; (1) human bone of no contemporary forensic interest

0

100

200

300

400

500

600

700

800

900

2012 2013 2014 2015 2016

Manner of Death

Total

Natural

Accident

Suicide

Homicide

Indeterminate

30

Ingham County Accidental Deaths

2012 2013 2014 2015 2016

VEHICLE 32 29 40 35 36 DRUG-RELATED 48 59 65 77 88 DROWNING 3 1 2 2 3 FALL 55 76 82 75 63 FIRE 0 2 1 0 1 ASPHYXIA 7 6 3 1 3 FALLING TREE 0 1 1 1 0 CARBON MONOXIDE 1 1 0 0 1 HYPOTHERMIA 0 2 0 1 221 OTHER 422 223 0 624 225 TOTAL 150 179 194 198 199

21 Both decedents also acutely intoxicated with ethanol (these cases not included in drug-related category) 22 (1) anaphylaxis or other reaction to IV injection; (1) hemoperitoneum due to surgical injury; (2) blunt force injuries of head 23 (1) exacerbation of chronic obstructive pulmonary disease by chemical respiratory irritant; (1) complications of dog bite 24 (2) gunshot wound deaths; (1) struck by person falling from a ladder; (1) bowel obstruction by foreign object; (1) perforated bowel; (1) remote diving accident 25 (1) heart disease associated with anabolic androgenic steroid use; (1) methadone therapy contributing to complications of

chronic ethanol abuse

0

50

100

2012 2013 2014 2015 2016

Accidental Deaths

Vehicle

Drug-Related

Fall

31

Ingham County Drug Related Deaths

For purposes of this report, drug related fatalities are deaths in which an overdose of a combination of drugs or a single drug caused or contributed to the death. These deaths do not include situations in which intoxication might have been a factor in an incident leading to death, such as motor vehicle crashes, falls, choking while eating, or environmental exposures.

Manner of Death 2012 2013 2014 2015 2016

ACCIDENT 48 59 65 77 88

SUICIDE 1 3 5 6 6

INDETERMINATE 5 6 3 5 8

TOTAL 54 68 73 88 102

0

50

100

150

2012 2013 2014 2015 2016

Drug Related Deaths

Total

Accident

Suicide

Indeterminate

32

2016 Drug Related Deaths26

TOTAL 102 Cases

SEX 33 Female, 69 Male

RACE 91 White, 9 Black,

1 Asian, 1 Native American

AGE RANGE 18-83 years

AVERAGE AGE 42.14 years

MEDIAN AGE 41.5 years

OPIOID-RELATED 87 Cases involved an opiate or opioid (85.3%)

MANNER OF DEATH 88 Accidents, 6 Suicides, 8 Indeterminate

26 This table excludes one outlier case: 1-year-old white female who died of oxycodone intoxication with

indeterminate manner of death

33

Ingham County Suicides Suicide Totals by Year

2012 2013 2014 2015 2016 34 41 33 46 51

Suicide Methods 2012 2013 2014 2015 2016 FIREARM 11 13 16 19 26 HANGING 16 19 11 16 10 DRUG INTOXICATION 1 3 5 6 6 SUFFOCATION 1 1 0 2 3 SHARP FORCE INJURY 2 0 0 1 1 JUMP FROM HEIGHT 1 1 1 1 3 DROWNING 0 1 0 0 0 MOTOR VEHICLE CRASH 2 1 0 0 1 CARBON MONOXIDE 0 2 0 0 0 STRUCK BY TRAIN 0 0 0 1 0 OTHER 0 0 0 0 127

Suicides by Age 2012 2013 2014 2015 2016 0 – 17 2 4 1 2 3 18 – 25 6 11 3 9 9 26 – 44 14 12 10 12 21 45 – 64 9 11 16 18 7 65 + 3 3 3 5 11

27 Penetrating head trauma – shot self with nail gun

34

Ingham County Reported Deaths of Children

Sudden Unexplained Infant Death (SUID) refers to the death of an infant less than 1 year of age in which investigation, autopsy, medical history, review, and appropriate laboratory testing fails to identify a specific cause of death. SUID includes deaths that meet the definition of sudden infant death syndrome (SIDS).

Reported Deaths of Children by Age 2012 2013 2014 2015 2016

Stillborn 3 0 5 2 3

<1 year 10 12 7 8 10

1-5 6 3 0 5 6

6-10 2 3 2 1 2

11-17 7 5 3 6 10

TOTAL 28 23 17 22 31

Reported Deaths of Children by Manner of Death Manner of Death 2012 2013 2014 2015 2016

NATURAL 8 8 4 8 9

ACCIDENT 6 2 1 2 5

SUICIDE 2 3 1 2 3

HOMICIDE 4 3 2 1 4

INDETERMINATE 5 7 4 7 7

35

AGE SEX CAUSE OF DEATH MANNER

2016 0 F Stillborn – intrauterine fetal demise None 0 M Stillborn – intrauterine fetal demise None 0 M Stillborn – intrauterine fetal demise None

30 days M Meningitis Natural 1 month M Sudden unexplained infant death Indeterminate 1 month F Sudden unexplained infant death Indeterminate

1 month M Sudden unexplained infant death associated with

unsafe sleep environment Indeterminate

1 month M Sudden unexplained infant death associated with

unsafe sleep environment Indeterminate

2 months M Complications of caregiver neglect Homicide 2 months M Diffuse alveolar damage – etiology uncertain Indeterminate

5 months F Sudden unexplained infant death associated with

unsafe sleep environment Indeterminate

7 months M Drowning Accident 8 months F Blunt force head injuries Homicide

12 months M Systemic Staphylococcus aureus infection complicating

acute lymphoproliferative disorder Natural

14 months F Oxycodone intoxication Indeterminate 17 months M Closed head injury – motor vehicle crash Accident

2 years M Acute pneumonia, complications of Noonan Syndrome Natural 3 years M Acute exacerbation of asthma Natural 5 years F Stab Wounds of the Chest Homicide 8 years M Acute and chronic asthma Natural

10 years F Blunt force injuries of the head – motor vehicle crash Accident

11 years M Complications of blunt force injuries of the head –

pedestrian struck by motor vehicle Accident

11 years F Complications of ulcerative colitis Natural 12 years F Multiple blunt force injuries – motor vehicle crash Accident 13 years F Complications of neuromuscular disease Natural 13 years M Multiple blunt force injuries – pedestrian Suicide 14 years M Complications of spastic quadriplegia Natural 15 years F Hanging Suicide 16 years F Complications of brain tumor Natural 16 years M Stab wound of chest Homicide 16 years M Multiple injuries –jumped from bridge Suicide

36

Ionia County Medical Examiner Michael A. Markey, M.D.

Deputy Medical Examiners John A. Bechinski, D.O. Philip R. Croft, M.D., J.D. Stephanie A. Dean, M.D. Patrick A. Hansma, D.O.

Medical Examiner Investigators Jim Buxton Dwain Dennis Kate Dernocoeur James Jones Matthew Kasper, D-ABMDI Derek Schroeder Timothy Thelen Rick Vriesenga Ann Ward Thomas Wodarek

37

Ionia County Summary of Cases Our contract with Ionia began in mid-January, 2014. The 2014 data reflect deaths that occurred between Jan. 22, 2014, and Dec. 31, 2014.

2014 2015 2016

TOTAL DEATHS IN THE COUNTY 316 321 324

DEATHS REPORTED TO THE ME 86 92 95

CASES ACCEPTED FOR INVESTIGATION28 85 91 92

MEI SCENE INVESTIGATIONS 60 69 92

DEATH CERTIFICATES SIGNED BY ME 46 48 47

BODIES TRANSPORTED TO SPARROW 45 42 38

COMPLETE AUTOPSY 36 36 33

LIMITED AUTOPSY 2 0 2

EXTERNAL EXAMINATION 3 4 2

STORAGE ONLY 3 2 1

UNCLAIMED BODIES 2 0 1

REFERRALS TO GIFT OF LIFE 34 40 34

TISSUE/CORNEA DONORS 5 9 13

CREMATION PERMITS REVIEWED 173 166 196

28 Not every case that is reported to the Medical Examiner’s office falls within our jurisdiction. We accept cases for investigation based on the circumstances surrounding the death and the law that governs the Medical Examiner’s authority (MCL 52.202). We declined jurisdiction in 3 cases that were reported to us in 2016.

38

Ionia County Manner of Death

Manner of Death 2014 2015 2016

NATURAL 55 62 69

ACCIDENT 16 19 17

SUICIDE 10 7 6

HOMICIDE 1 2 1

INDETERMINATE 4 2 229

TOTAL 86 92 95

29 (2) multiple drug intoxication deaths

0

10

20

30

40

50

60

70

80

2014 2015 2016

Manner of Death

Natural

Accident

Suicide

Homicide

Indeterminate

39

Ionia County Accidental Deaths

2014 2015 2016

VEHICLE 2 3 5

DRUG-RELATED 11 8 5

DROWNING 0 1 0

FALL 1 3 3

FIRE 0 2 2

ASPHYXIA 1 1 1 WATER INTOXICATION

1 0 0

HYPOTHERMIA 0 0 1

INDUSTRIAL ACCIDENT

0 1 0

TOTAL 16 19 17

0

2

4

6

8

10

12

Vehicle Drug-Related

Drowning Fall Fire Asphyxia Other

Cause of Accidental Deaths

2014

2015

2016

40

Ionia County Drug Related Deaths For purposes of this report, drug related fatalities are deaths in which an overdose of a combination of drugs or a single drug caused or contributed to the death. These deaths do not include situations in which intoxication might have been a factor in an incident leading to death, such as motor vehicle crashes, falls, choking while eating, or environmental exposures.

2014 2015 2016

ACCIDENT 11 8 5

SUICIDE 2 0 2

INDETERMINATE 0 1 2

2016 Drug Related Deaths

TOTAL 9 Cases

SEX 4 Female, 5 Male

RACE 9 White

AGE RANGE 29-77 years

AVERAGE AGE 45.3 years

MEDIAN AGE 34 years

OPIOD-RELATED 5 Cases involved an opiate or opioid (55.6%)

MANNER OF DEATH 5 Accidents, 2 Suicides, 2 Indeterminate

41

Ionia County Suicides

Suicide Totals by Year 2014 2015 2016

10 7 6

Suicide Methods

2014 2015 2016

FIREARM 5 2 4 HANGING 3 3 0 DRUG INTOXICATION

2 0 2

CARBON MONOXIDE

0 1 0

MOTOR VEHICLE CRASH

0 1 0

Suicides by Age

Age 2014 2015 2016

0 – 17 1 0 0

18 – 25 3 1 0

26 – 44 3 4 4

45 – 64 1 2 0

65+ 2 0 2

42

Ionia County Reported Deaths of Children Sudden Unexplained Infant Death (SUID) refers to the death of an infant less than 1 year of age in which investigation, autopsy, medical history, review, and appropriate laboratory testing fails to identify a specific cause of death. SUID includes deaths that meet the definition of sudden infant death syndrome (SIDS).

AGE SEX CAUSE OF DEATH MANNER

2016

None

43

Isabella County Medical Examiner Michael A. Markey, M.D.

Deputy Medical Examiners John A. Bechinski, D.O. Philip R. Croft, M.D., J.D. Stephanie A. Dean, M.D. Patrick A. Hansma, D.O.

Medical Examiner Investigators Matthew Drake Kari Duman Christy Mead Michael Rohn Richard Clark Philip Nartker

44

Isabella County Summary of Cases

2014 2015 2016

TOTAL DEATHS IN THE COUNTY 475 485 507

DEATHS REPORTED TO THE ME 110 113 100

CASES ACCEPTED FOR INVESTIGATION30 106 104 91

MEI SCENE INVESTIGATIONS 65 100 93

DEATH CERTIFICATES SIGNED BY ME 59 54 48

BODIES TRANSPORTED TO SPARROW 39 46 41

COMPLETE AUTOPSY 30 44 35

LIMITED AUTOPSY 0 1 1

EXTERNAL EXAMINATION 9 1 3

STORAGE ONLY 0 0 2

UNCLAIMED BODIES 0 4 2

REFERRALS TO GIFT OF LIFE 33 53 40

TISSUE/CORNEA DONORS 2 6 8

CREMATION PERMITS REVIEWED 269 277 267

30 Not every case that is reported to the Medical Examiner’s office falls within our jurisdiction. We accept cases for investigation based on the circumstances surrounding the death and the law that governs the Medical Examiner’s authority (MCL 52.202). We declined jurisdiction in 9 cases that were reported to us in 2016.

45

Isabella County Manner of Death

Manner of Death 2014 2015 2016

NATURAL 80 79 66

ACCIDENT 19 30 25

SUICIDE 9 1 6

HOMICIDE 0 1 0

INDETERMINATE 2 1 2

TOTAL 110 11231 10032

31 Case with no manner of death: Stillborn following motor vehicle crash 32 Case with no manner of death: stillbirth

0

20

40

60

80

100

2014 2015 2016

Manner of Death

Natural

Accident

Suicide

Homicide

Indeterminate

46

Isabella County Accidental Deaths

2014 2015 2016 VEHICLE 9 14 9 DRUG-RELATED 3 13 12 DROWNING 1 1 0 FALL 5 0 1 ASPHYXIA 0 1 0 HYPOTHERMIA 0 1 1 ANIMAL 1 0 0 FALLING TREE 0 0 1 PINNED IN MACHINERY

0 0 1

TOTAL 19 30 25

0

5

10

15

20

25

30

35

Total Vehicle DrugRelated

Drowning Fall Asphyxia Other

Cause of Accidental Deaths

2014

2015

2016

47

Isabella County Drug Related Deaths For purposes of this report, drug related fatalities are deaths in which an overdose of a combination of drugs or a single drug caused or contributed to the death. These deaths do not include situations in which intoxication might have been a factor in an incident leading to death, such as motor vehicle crashes, falls, choking while eating, or environmental exposures.

Manner of Death

2014 2015 2016

ACCIDENT 3 13 12

SUICIDE 1 0 1

INDETERMINATE 0 1 2

2016 Drug Related Deaths

TOTAL 15 Cases

SEX 6 Female, 9 Male

RACE 11 White, 4 Native American

AGE RANGE 21 - 56 years

AVERAGE AGE 37.1 years

MEDIAN AGE 33 years

OPIOD-RELATED 9 Cases involved an opiate or opioid (60%)

MANNER OF DEATH 12 Accidents, 1 Suicide, 2 Indeterminate

48

Isabella County Suicides

Suicide Totals by Year 2014 2015 2016

9 1 6

Suicide Methods

2014 2015 2016 FIREARM 5 1 3 HANGING 3 0 1 ASPHYXIA 0 0 1

DRUG INTOXICATION 1 0 2

Suicides by Age

Age 2014 2015 2016

0 – 17 0 0 0

18 – 25 4 0 1

26 – 44 2 0 3

45 – 64 1 0 2

65+ 2 1 0

49

Isabella County Reported Deaths of Children

AGE SEX CAUSE OF DEATH MANNER

2014

1 year F Blunt Force Trauma (Struck by a horse)

Accident

2015

0 M Stillborn None

4 months M Asphyxia associated with unsafe

sleep environment Accident

2016

0 M Stillborn None

50

Livingston County Medical Examiner Michael A. Markey, M.D.

Deputy Medical Examiners John A. Bechinski, D.O. Philip R. Croft, M.D., J.D. Stephanie A. Dean, M.D. Patrick Hansma, D.O.

Medical Examiner Investigators Richard Cruz, D-ABMDI Jonathon Black Bill Hough, D-ABMDI Edwin Moore, D-ABMDI

51

Livingston County Summary of Cases

2012 2013 2014 2015 2016

TOTAL DEATHS IN THE COUNTY 935 948 1113 1025 1401

DEATHS REPORTED TO THE ME 294 288 299 281 319

CASES ACCEPTED FOR INVESTIGATION33

270 279 282 262 277

MEI SCENE INVESTIGATIONS 258 272 276 263 292

DEATH CERTIFICATES SIGNED BY ME

116 136 139 117 156

BODIES TRANSPORTED TO SPARROW

96 120 111 95 136

COMPLETE AUTOPSY 71 89 94 75 107

LIMITED AUTOPSY 4 4 4 7 8

EXTERNAL EXAMINATION 15 14 12 12 13

STORAGE ONLY 6 12 0 1 8

REFERRALS TO GIFT OF LIFE 37 32 41 87 84

TISSUE/CORNEA DONORS 9 6 5 31 34

UNCLAIMED BODIES 1 0 3 2 0

CREMATION PERMITS REVIEWED 510 592 619 659 637

33 Not every case that is reported to the Medical Examiner’s office falls within our jurisdiction. We accept cases for investigation based on the circumstances surrounding the death and the law that governs the Medical Examiner’s authority (MCL 52.202). We declined jurisdiction in 42 cases that were reported to us in 2016.

52

Livingston County Manner of Death

Manner of Death 2012 2013 2014 2015 2016

NATURAL 221 208 208 203 217

ACCIDENT 44 49 58 48 62

SUICIDE 22 24 26 22 35

HOMICIDE 1 3 2 0 1

INDETERMINATE 5 2 5 8 4

TOTAL 29334 28635 299 281 319

34 Cases with no manner of death: (1) non-human bones 35 Cases with no manner of death: (1) perinatal death, unsure if born alive; (1) non-human bones

0

50

100

150

200

250

300

350

2012 2013 2014 2015 2016

Manner of Death

Total

Natural

Accident

Suicide

Homicide

Indeterminate

53

Livingston County Accidental Deaths

2012 2013 2014 2015 2016

VEHICLE 14 14 13 8 17

DRUG-RELATED 20 19 29 23 27

DROWNING 2 1 0 0 1

FALL 5 10 10 11 12

FIRE 0 1 2 1 2

ASPHYXIA 2 1 1 3 2

HYPOTHERMIA 0 2 2 0 0

FALLING TREE 0 1 0 1 0

OTHER 136 0 137 138 139

TOTAL 44 49 58 48 62

36 Multiple injuries--decedent working on tractor when it rolled over decedent 37 Inhalation of carbon monoxide from a generator 38 Head injury of unknown origin 39 Anaphylaxis due to insect stings

0

10

20

30

40

50

60

70

2012 2013 2014 2015 2016

Accidental Deaths

Total

Vehicle

Drug Related

Fall

54

Livingston County Drug Related Deaths For purposes of this report, drug related fatalities are deaths in which an overdose of a combination of drugs or a single drug caused or contributed to the death. These deaths do not include situations in which intoxication might have been a factor in an incident leading to death, such as motor vehicle crashes, falls, choking while eating, or environmental exposures.

Manner of Death 2012 2013 2014 2015 2016

ACCIDENT 20 19 29 23 27

SUICIDE 1 3 4 2 6

INDETERMINATE 1 0 2 4 1

TOTAL 22 22 35 29 34

0

5

10

15

20

25

30

35

40

2012 2013 2014 2015 2016

Drug Related Deaths

Total

Accident

Suicide

Indeterminate

55

2016 Drug Related Deaths

TOTAL 34 Cases

SEX 12 Female, 22 Male

RACE 33 White, 1 Black

AGE RANGE 23 – 67 years

AVERAGE AGE 40.9 years

MEDIAN AGE 37.5 years

OPIOD-RELATED 28 Cases involved an opiate or opioid (82.4%)

MANNER OF DEATH 27 Accidents, 6 Suicides, 1 Indeterminate

56

Livingston County Suicides Suicide Totals by Year

2012 2013 2014 2015 2016

22 24 26 22 35

Suicide Methods 2012 2013 2014 2015 2016

FIREARM 11 11 13 11 22

HANGING 6 5 6 7 5

DRUG INTOXICATION 1 3 4 2 6

CARBON MONOXIDE 1 1 2 1 1

SHARP FORCE INJURY 1 1 1 0 1

SUFFOCATION 0 1 0 1 0

OTHER 240 241 0 0 0

Suicides by Age Age 2012 2013 2014 2015 2016

0 – 17 2 1 2 1 2

18 – 25 2 4 2 2 5

26 – 44 4 6 9 6 8

45 – 64 10 10 10 10 13

65+ 4 3 3 3 7

40 (1) drowning; (1) self-inflicted cross-bow wound 41 (1) jumped from height; (1) house fire

57

Livingston County Reported Deaths of Children Reported Deaths of Children by Age

2012 2013 2014 2015 2016 Stillborn 0 0 1 0 0 <1 year 2 1 2 1 0 1-5 2 0 0 1 1 6-10 1 0 0 0 0 11-17 1 1 4 1 4 TOTAL 6 2 7 3 5

Reported Deaths of Children by Manner of Death Manner of Death 2012 2013 2014 2015 2016

NATURAL 0 2 2 1 1

ACCIDENT 2 0 0 0 1

SUICIDE 0 1 2 1 2

HOMICIDE 0 1 0 0 0

INDETERMINATE 0 1 2 1 1

AGE SEX CAUSE OF DEATH MANNER

2016

5 years M Complications of Menkes disease Natural

13 years M Head and neck injuries – off-road vehicle crash Accident

14 years F Undetermined cause of death Indeterminate

15 years M Hanging Suicide

17 years M Gunshot wound of head Suicide

58

Montcalm County Medical Examiner Michael A. Markey, M.D.

Deputy Medical Examiners John A. Bechinski, D.O. Philip R. Croft, M.D., J.D. Stephanie A. Dean, M.D. Patrick A. Hansma, D.O.

Medical Examiner Investigators Darin Dood, Lead Medical Examiner Investigator Amy Ederer Mark Crawfis Ed Lingeman Bill Simpson, Sr. Mark Walters Trinda Martin

59

Montcalm County Summary of Cases

2012 2013 2014 2015 2016

TOTAL DEATHS IN THE COUNTY 461 498 506 454 485

DEATHS REPORTED TO THE ME 154 156 156 149 160

CASES ACCEPTED FOR INVESTIGATION42

128 129 141 132 145

MEI SCENE INVESTIGATIONS 123 122 123 126 152

DEATH CERTIFICATES SIGNED BY ME 69 62 77 63 57

BODIES TRANSPORTED TO SPARROW 40 39 53 49 49

COMPLETE AUTOPSY 36 34 42 37 39

LIMITED AUTOPSY 0 2 4 2 3

EXTERNAL EXAMINATION 2 2 7 9 5

STORAGE ONLY 2 1 0 1 2

REFERRALS TO GIFT OF LIFE 13 18 58 53 47

TISSUE/CORNEA DONORS 0 0 11 11 9

UNCLAIMED BODIES 0 0 1 0 0

CREMATION PERMITS REVIEWED 240 276 308 311 291

42 Not every case that is reported to the Medical Examiner’s office falls within our jurisdiction. We accept cases for investigation based on the circumstances surrounding the death and the law that governs the Medical Examiner’s authority (MCL 52.202). We declined jurisdiction in 15 cases that were reported to us in 2016.

60

Montcalm County Manner of Death

Manner of Death 2012 2013 2014 2015 2016

NATURAL 122 125 116 112 123

ACCIDENT 20 20 27 24 28

SUICIDE 3 10 9 10 9

HOMICIDE 1 0 1 2 0

INDETERMINATE 8 0 2 0 0

TOTAL 154 15543 15544 14845 160

43 Case with no manner of death: non-human bone 44 Case with no manner of death: non-human bone 45 Case with no manner of death: human bone of no contemporary forensic interest

0

20

40

60

80

100

120

140

160

180

2012 2013 2014 2015 2016

Manner of Death

Total

Natural

Accident

Suicide

Homicide

Indeterminate

61

Montcalm County Accidental Deaths

2012 2013 2014 2015 2016

VEHICLE 5 6 1146 4 8

DRUG-RELATED 6 5 7 15 10

DROWNING 2 2 0 0 3

FALL 6 6 7 5 5

ASPHYXIA 0 1 1 0 2

CARBON MONOXIDE 1 0 0 0 0

OTHER 0 0 147 0 148

TOTAL 20 20 27 24 2849

46 Includes one death related to complication of a motor vehicle crash in 2008 47 Carbon monoxide 48 Entangled in farm equipment 49 One death falls into categories DRUG-RELATED and FALL: complications of quadriplegia due to neck injury (from

fall) complicated by tramadol intoxication

0

5

10

15

20

25

30

2012 2013 2014 2015 2016

Accidental Deaths

Total

Vehicle

Drug Related

Fall

62

Montcalm County Drug Related Deaths

For purposes of this report, drug related fatalities are deaths in which an overdose of a combination of drugs or a single drug caused or contributed to the death. These deaths do not include situations in which intoxication might have been a factor in an incident leading to death, such as motor vehicle crashes, falls, choking while eating, or environmental exposures.

Manner of Death 2012 2013 2014 2015 2016

ACCIDENT 6 5 7 15 10

SUICIDE 0 2 1 1 1

INDETERMINATE 1 0 0 0 0

TOTAL 7 7 8 16 11

0

5

10

15

20

2012 2013 2014 2015 2016

Drug Related Deaths

Total

Accident

Suicide

Indeterminate

63

2016 Drug Related Deaths

TOTAL 11 Cases

SEX 5 Female, 6 Male

RACE 11 White

AGE RANGE 17 - 65 years

AVERAGE AGE 35.9 years

MEDIAN AGE 32 years

OPIOD-RELATED 10 Cases involved an opiate or opioid (90.9%)

MANNER OF DEATH 10 Accidents, 1 Suicide

64

Montcalm County Suicides

Suicide Totals by Year 2012 2013 2014 2015 2016

3 10 9 10 9

Suicide Methods 2012 2013 2014 2015 2016

FIREARM 3 6 6 6 5

HANGING 0 2 1 3 2

DRUG INTOXICATION

0 2 1 1 1

Other 1 1 150 0 151

Suicides by Age Age 2012 2013 2014 2015 2016

0 – 17 0 0 0 0 0

18 – 25 0 0 0 3 1

26 – 44 2 6 0 2 2

45 – 64 1 4 6 3 5

65+ 0 0 3 2 1

50 Drowning after driving vehicle into a body of water 51 Carbon monoxide intoxication

65

Montcalm County Reported Deaths of Children Reported Deaths of Children by Age

2012 2013 2014 2015 2016

Stillborn 0 0 0 0 0

<1 year 2 0 1 0 1

1-5 0 1 0 2 0

6-10 0 0 0 0 0

11-17 3 0 1 0 2

TOTAL 5 1 2 2 3

Reported Deaths of Children by Manner of Death Manner of Death 2012 2013 2014 2015 2016

NATURAL 0 1 0 1 0

ACCIDENT 2 0 1 1 3

SUICIDE 0 0 0 0 0

HOMICIDE 0 0 0 0 0

INDETERMINATE 3 0 1 0 0

AGE SEX CAUSE OF DEATH MANNER

2015

1 month M Smothering Accident

12 years M Multiple injuries – off-road vehicle

crash Accident

17 years M Multiple drug intoxication Accident

66

Shiawassee County Medical Examiner Michael A. Markey, M.D.

Deputy Medical Examiners John A. Bechinski, D.O. Philip R. Croft, M.D., J.D. Stephanie A. Dean, M.D. Patrick A. Hansma, D.O.

Medical Examiner Investigators Mark Pendergraff – D-ABMDI, Lead Medical Examiner Investigator Shane Grinnell Lawrence Goff Jessica Nicholson Nicholas Stratton Dennis Campbell MaryLynn Jordan

67

Shiawassee County Summary of Cases

2012 2013 2014 2015 2016

TOTAL DEATHS IN THE COUNTY 533 587 651 600 629

DEATHS REPORTED TO THE ME 164 159 164 162 158

CASES ACCEPTED FOR INVESTIGATION52

143 145 145 142 130

MEI SCENE INVESTIGATIONS 139 138 137 138 133

DEATH CERTIFICATES SIGNED BY ME

70 71 81 72 64

BODIES TRANSPORTED TO SPARROW

44 54 54 52 48

COMPLETE AUTOPSY 31 32 39 45 44

LIMITED AUTOPSY 2 5 4 1 1

EXTERNAL EXAMINATION 7 15 11 5 2

STORAGE ONLY 4 2 0 1 1

REFERRALS TO GIFT OF LIFE 16 16 31 28 43

TISSUE/CORNEA DONORS 4 2 2 7 15

UNCLAIMED BODIES 0 0 1 0 1

CREMATION PERMITS REVIEWED 243 265 308 298 375

52 Not every case that is reported to the Medical Examiner’s office falls within our jurisdiction. We accept cases for investigation based on the circumstances surrounding the death and the law that governs the Medical Examiner’s authority (MCL 52.202). We declined jurisdiction in 28 cases that were reported to us in 2016.

68

Shiawassee County Manner of Death

Manner of Death 2012 2013 2014 2015 2016

NATURAL 132 120 122 125 125

ACCIDENT 18 18 25 22 21

SUICIDE 10 17 16 12 6

HOMICIDE 1 1 0 1 1

INDETERMINATE 0 3 1 2 4

TOTAL 16153 159 164 162 15854

53 Cases with no manner of death: (2) stillbirths; (1) non-human material 54 Cases with no manner of death: stillbirth

0

20

40

60

80

100

120

140

160

180

2012 2013 2014 2015 2016

Manner of Death

Total

Natural

Accident

Suicide

Homicide

Indeterminate

69

Shiawassee County Accidental Deaths

2012 2013 2014 2015 2016

VEHICLE 5 5 7 4 8

DRUG-RELATED 5 6 7 7 10

DROWNING 2 0 0 0 0

FALL 3 2 5 6 2

FIRE 0 1 2 0 1

ASPHYXIA 3 2 3 1 0

INSECT STING(S) 0 0 0 2 0

HYPOTHERMIA 0 0 1 0 0

OTHER 0 255 0 256 0

TOTAL 18 18 25 22 21

55 (1) carbon monoxide toxicity; (1) electrocution 56 (1) perforated artery during attempt at catheter placement; (1) compressed by machinery

0

5

10

15

20

25

30

2012 2013 2014 2015 2016

Accidental Deaths

Total

Vehicle

Drug Related

Fall

70

Shiawassee County Drug Related Deaths For purposes of this report, drug related fatalities are deaths in which an overdose of a combination of drugs or a single drug caused or contributed to the death. These deaths do not include situations in which intoxication might have been a factor in an incident leading to death, such as motor vehicle crashes, falls, choking while eating, or environmental exposures.

Manner of Death 2012 2013 2014 2015 2016

ACCIDENT 5 6 7 7 10

SUICIDE 2 1 1 1 1

INDETERMINATE 0 0 1 1 0

TOTAL 7 7 9 9 11

0

2

4

6

8

10

12

2012 2013 2014 2015 2016

Drug Related Deaths

Total

Accident

Suicide

Indeterminate

71

2016 Drug Related Deaths

TOTAL 11 Cases

SEX 4 Female, 7 Male

RACE 11 White

AGE RANGE 27 - 59 years

AVERAGE AGE 42.3 years

MEDIAN AGE 43 years

OPIOID-RELATED 10 Cases involved an opiate or opioid (90.9%)

MANNER OF DEATH 10 Accidents, 1 Suicide

72

Shiawassee County Suicides

Suicide Totals by Year 2012 2013 2014 2015 2016

10 17 16 12 6

Suicide Methods 2012 2013 2014 2015 2016

FIREARM 6 10 7 4 3

HANGING 1 5 7 6 1

DRUG INTOXICATION 2 1 1 1 1

CARBON MONOXIDE 1 0 1 0 0

MOTOR VEHICLE CRASH 0 0 0 0 0

STRUCK BY TRAIN 0 1 0 1 157

Suicides by Age Age 2012 2013 2014 2015 2016

0 – 17 1 0 1 0 0

18 – 25 0 4 2 1 0

26 – 44 2 3 7 6 1

45 – 64 3 8 4 3 5

65+ 4 2 2 2 0

57 Motor vehicle parked on train trucks – struck by train in motor vehicle

73

Shiawassee County Reported Deaths of Children Reported Deaths of Children by Age

2012 2013 2014 2015 2016

Stillborn 2 1 1 0 1

<1 year 1 2 1 1 2

1-5 0 0 0 0 0

6-10 0 0 0 0 1

11-17 2 2 1 0 0

TOTAL 5 5 3 1 4

Reported Deaths of Children by Manner of Death Manner of Death 2012 2013 2014 2015 2016

NATURAL 0 0 0 0 0

ACCIDENT 2 2 1 0 1

SUICIDE 1 0 1 0 0

HOMICIDE 0 1 0 0 1

INDETERMINATE 0 1 0 1 1

AGE SEX CAUSE OF DEATH MANNER

2015

0 F Stillbirth – intrauterine fetal demise None

4 months F Complications of neglect Homicide

5 months M Sudden unexplained infant death Indeterminate

10 years M Multiple injuries – motor vehicle crash Accident

74

Comparisons Across Counties Barry Eaton Ingham Ionia Isabella Livingston Montcalm Shiawassee

POPULATION 59,314 108,801 286,085 64,223 70,698 187,316 62,945 68,619

TOTAL DEATHS 399 817 2655 324 507 1401 485 629

DEATHS REPORTED TO THE ME (% OF TOTAL DEATHS)

130 (33%)

170 (20%)

824 (31%)

95 (29%)

100 (20%)

319 (23%)

160 (33%)

158 (25%)

CASES ACCEPTED FOR INVESTIGATION

124 154 660 92 91 277 145 130

MEI SCENE INVESTIGATION

120 158 677 92 93 292 152 133

DEATH CERTIFICATES SIGNED BY ME

57 84 424 47 48 156 57 64

TOTAL EXAMS (% OF CASES ACCEPTED)

45 (36%)

73 (47%)

341 (52%)

37 (40%)

39 (43%)

128 (46%)

47 (32%)

47 (36%)

NATURAL DEATHS (% OF DEATHS REPORTED)

99 (76%)

116 (68%)

535 (65%)

69 (73%)

66 (66%)

217 (68%)

123 (77%)

125 (79%)

ACCIDENTAL DEATHS (% OF DEATHS REPORTED)

18 (14%)

36 (21%)

199 (24%)

17 (18%)

25 (25%)

62 (19%)

28 (18%)

21 (13%)

75

Barry Eaton Ingham Ionia Isabella Livingston Montcalm Shiawassee

SUICIDES(% OF DEATHS REPORTED)

9 (7%)

11 (6%)

51 (6%)

6 (6%)

6 (6%)

35 (11%)

9 (6%)

6 (4%)

HOMICIDES(% OF DEATHS REPORTED)

2 (1%)

2 (1%)

13 (2%)

1 (1%)

0 (0%)

1 (0.3%)

0 (0%)

1 (0.6%)

INDETERMINATE (% OF DEATHS REPORTED)

2 (1%)

4 (2%)

22 (3%)

2 (2%)

2 (2%)

4 (1%)

0 (0%)

4 (3%)

DRUG-RELATED DEATHS (% OF DEATHS REPORTED)

8 (6%)

22 (13%)

103 (13%)

9 (9%)

15 (15%)

34 (11%)

11 (7%)

11 (7%)

REFERRALS TO GIFT OF LIFE

48 61 308 34 40 84 47 43

TISSUE/CORNEA DONORS

17 16 95 13 8 34 9 15

UNCLAIMED BODIES

0 2 20 1 2 0 0 1

76

Additional Information

In the eight counties for which Sparrow Forensic Pathology served as the Office of

the Medical Examiner in 2016:

Zero bodies were exhumed for examination

Zero bodies remained unidentified at the time a final disposition for the

remains was determined

Toxicology testing was performed in 734 of the 757 examinations

performed58

58 Toxicology testing is performed in nearly all cases in which an examination is performed. Exceptions to this may

include (but are not limited to): cases sent in for identification purposes only, apparent natural deaths sent in for

external examination to rule out trauma, and cases for which adequate toxicology specimens cannot be obtained

(due to prolonged stay in hospital following initial event, or decomposition).

JAIL - BOARDING

Fiscal Year

2016-2017 MARCH 2017

ANNUALIZED FISCAL YEAR ANNUALIZED Percent

PAYEE REVENUE CURRENT FISCAL Y-T-D % OF BUDGET PROJECTED PROJECTED FISCAL Y-T-D PROJECTED Collected vs

ACCOUNT BUDGET COLLECTED COLLECTED COLLECTIONS VARIANCE BILLED BILLINGS Billed

Prisoner Boarding Fund Housing Only

JAIL REDUCTION &

COMM. TREATMENT

PROGRAM Housing $4,350.00 $2,392.50 55.0% $4,785.00 $435.00 $2,392.50 $4,785.00 100%

PAROLE VIOLATORS MDOC HOUSING $230,000.00 $7,800.00 3.4% $15,600.00 ($214,400.00) $7,800.00 $15,600.00 100%

STATEWIDE Housing $145,000.00 $4,753.00 3.3% $9,506.00 ($135,494.00) $4,753.00 $9,506.00 100%

TOTAL BOARDING $379,350.00 $14,945.50 3.9% $29,891.00 ($349,459.00) $14,945.50 $29,891.00 100%

GENERAL FUND - OTHER

ANNUALIZED FISCAL YEAR ANNUALIZED Percent

SENTENCED CURRENT FISCAL Y-T-D % OF BUDGET PROJECTED PROJECTED FISCAL Y-T-D PROJECTED Collected vs

INMATES BUDGET COLLECTED COLLECTED COLLECTIONS VARIANCE BILLED BILLINGS Billed

INDIVIDUALS HOUSING $40,000.00 $23,263.18 58.2% $46,526.36 $6,526.36 $229,504.00 $459,008.00 10%

OUIL IMPAIRED $14,000.00 $3,324.00 23.7% $6,648.00 ($7,352.00) $10,642.00 $21,284.00 31%

FALSE ALARMS $4,000.00 $1,095.00 27.4% $2,190.00 ($1,810.00) $3,080.00 $6,160.00 36%

ABAN. VEHICLES $5,000.00 $600.00 12.0% $1,200.00 ($3,800.00) $2,000.00 $4,000.00 30%

INMATE MEDICAL $5,000.00 $37.00 0.7% $74.00 ($4,926.00) $1,252.00 $2,504.00 3%

TOTALS $68,000.00 $28,319.18 41.6% $56,638.36 ($11,361.64) $246,478.00 $492,956.00 11%

3/29/2017 Prepared by Pam Tobias, Financial Services

2016-2017 Analysis of Sheriff Department Overtime by Division

Through month end date 12

Year-to-Date Estimated Total

Department Overtime Payrolls Per Payroll Payrolls Projected Budget Variance

County

301 71,991.60 12.00 5,999.30 26.00 155,981.80 160,000.00 4,018.20$

301 -Detective 13,815.69 12.00 1,026.31 26.00 26,684.00 30,000.00 3,316.01

85,807.29 7,025.61 182,665.80 190,000.00 7,334.20

Delta

303 58,628.90 12.00 4,635.74 26.00 120,529.28 125,000.00 4,470.72$

303 -Detective 11,308.95 12.00 942.41 26.00 24,502.73 30,000.00 5,497.28

69,937.85 5,578.15 145,032.01 155,000.00 9,967.99

Jail

351 68,882.44 12.00 5,406.87 26.00 140,578.62 145,000.00 4,421.38$

General Fund 224,627.58 18,010.63 468,276.42 490,000.00 21,723.58$

Jail Millage

281.301.351 36,589.84 12.00 2,715.82 26.00 70,611.32 73,000.00 2,388.68$

3/31/2017

2016-2017 Analysis of Sheriff Department Overtime by Division

Through month end date 3/31/2017 12

Department

Amended

Budget Y-T-D

% of

Budget

% of

Payroll

Charged

Projected to

End of Year Final Total Variance

County

301.704 Regular 2,203,520.00 966,906.03 43.88% 46.15% 1,182,223.70 2,149,129.73 54,390.27

301.706 Overtime 160,000.00 71,991.60 44.99% 155,981.80 4,018.20

301.704.002 Detective OT 30,000.00 13,815.69 46.05% 26,684.00 3,316.01

2,393,520.00 1,052,713.32 2,331,795.53 61,724.47

Delta

303.702 Regular 1,920,122.00 867,871.62 45.20% 46.15% 980,016.89 1,847,888.51 72,233.49

303.704 Overtime 125,000.00 58,628.90 46.90% 120,529.28 4,470.72

303.704.002 Detective OT 30,000.00 11,308.95 37.70% 24,502.73 5,497.28

2,075,122.00 937,809.47 1,992,920.52 82,201.48

Jail

351.702 Regular 2,020,933.00 913,520.40 45.20% 46.15% 1,098,273.80 2,011,794.20 9,138.80

351.704 Overtime 145,000.00 68,882.44 47.51% 140,578.62 4,421.38

2,165,933.00 982,402.84 2,152,372.82 13,560.18

General Fund Total 6,634,575.00 2,972,925.63 6,477,088.87 157,486.14

Jail Millage Fund

281.301.351.702.000 Regular 672,742.00 331,500.52 49.28% 46.15% 330,417.27 661,917.79 10,824.21

281.301.351.704 Overtime 73,000.00 36,589.84 50.12% 46.15% 70,611.32 2,388.68

745,742.00 368,090.36 732,529.11 13,212.89

Day

Building

Total

Eaton

County Pop.

Female

Inmates MDOC State Wide

% of

Capacity

% of Eaton

County Pop

1 195 190 35 4 0 52% 51%

2 194 189 34 4 0 52% 51%

3 203 197 35 5 0 54% 53%

4 225 210 40 14 0 60% 56%

5 230 215 40 14 0 61% 58%

6 213 198 37 14 0 57% 53%

7 214 193 38 20 0 57% 52%

8 216 192 38 23 0 58% 51%

9 210 191 36 18 0 56% 51%

10 211 193 37 17 0 56% 52%

11 220 202 40 17 0 59% 54%

12 220 202 38 17 0 59% 54%

13 209 192 37 16 0 56% 51%

14 204 189 35 14 0 55% 51%

15 202 190 34 11 0 54% 51%

16 197 187 32 9 0 53% 50%

17 200 189 32 10 0 53% 51%

18 209 198 30 10 0 56% 53%

19 211 200 30 10 0 56% 54%

20 201 190 28 10 0 54% 51%

21 194 184 27 9 0 52% 49%

22 201 188 28 12 0 54% 50%

23 190 179 28 10 0 51% 48%

24 198 185 30 12 0 53% 50%

25 211 199 32 11 0 56% 53%

26 213 201 35 11 0 57% 54%

27 205 193 33 11 0 55% 52%

28 200 187 33 12 0 53% 50%

29 199 189 36 9 0 53% 51%

30 201 188 36 12 0 54% 50%

31 204 190 35 13 0 55% 51%

TOTAL 1059 379 0 55% 50%

Bldg Total 6400

Avg/Day 206

Eaton Cty. Total 5813

Avg/Day 188

Housing Total 379

Avg/Day 12

Female Total 1059

Avg/Day 34

JAIL COUNT SUMMARY

Mar-17

Court Security Screening Monthly Report 2017

People Scanned Guns Confiscated / Returned Knives Confiscated / Returned Chemical Agents Other

January 12014 2 54 3 44

February 11932 0 92 13 43

March 13407 0 83 11 91

April

May

June

July

August

September

October

November

DecemberTotals

Juvenile Court Security Screening Monthly Report 2017

People Scanned Guns Confiscated / Returned Knives Confiscated / Returned Chemical Agents Other

January 4472 0 2 1 2

February 5238 0 1 0 6

March 6408 0 2 1 0

April

May

June

July

August

September

October

November

DecemberTotals

Eaton County Central Dispatch 911 Courthouse Dr | Charlotte, MI 48813 | Office 517-543-4913 | Fax 517-543-3036

Michael Armitage, Director

Lara O’Brien, Deputy Director

Monthly Report March 2017

12,479 Total telephone calls o 4,096 on emergency lines o 8,383 on non-emergency lines

13 Texts-to-911

8,625 Incidents o 6,586 Law Enforcement o 1,318 EMS o 721 Fire

29 New addresses issued

Training:

All department members received in-house training on dog bites.

Four employees attended ‘Active Shooter and Mass Casualty Incidents.’

Four employees attended ‘Taking Care of the Telecommunicator and the Center.’

Two employees attended ’40-Hour Advanced Dispatch.’

Director Armitage and Radio Manager John Imeson attended the International Wireless Communications Expo.

Technology and Radios:

The Radio Advisory Workgroup met and unanimously approved a recommendation to move to the Michigan Public Safety Communications System (MPSCS).

Several meetings were held between staff and the MPSCS as well as Motorola.

Operations:

Please see attached report from the windstorm on March 8, 2017.

Met with the Michigan State Police Communications about the possibility of utilizing their Lansing Regional Communication Center as a back-up center for Eaton County.

Outreach:

Media were invited into the center during the wind event on March 8, 2017. Several took advantage of the offer, including WILX, which did live broadcasts from dispatch.

Director Armitage participated in several discussions with state 911 officials and Senator Peter’s office to develop language for consideration in the recently announced draft NG-911 legislation.

Yours Truly,

Michael Armitage Director

Eaton County Central Dispatch EMS Calls For Service

March 2017

Agency Month To Date Year To Date

Calls %/Total Calls %/Total

Bellevue MFR 13 1.0% 44 1.2%

Benton Twp. EMS 46 3.5% 159 4.2%

Delta Twp. EMS 492 37.3% 1,421 37.8%

Eaton Area EMS 514 39.0% 1,444 38.4%

Grand Ledge EMS 150 11.4% 385 10.2%

Vermontville EMS 7 0.5% 25 0.7%

Windsor Twp. EMS 91 6.9% 262 7.0%

Outside Agencies* 5 0.4% 21 0.6%Life

Total EMS Calls 1,318 100.0% 3,761 100.0%

* Agencies Outside Eaton County

911ADMIN\REPORTS\PFEPFE-2017.xls MarEMS 4/3/2017

Eaton County Central Dispatch Fire Calls For Service

March 2017

Agency Month To Date Year To Date

Calls %/Total Calls %/Total

Bellevue Fire 15 2.1% 23 1.3%

Benton Twp Fire 24 3.3% 50 2.9%

Charlotte Fire 94 13.0% 205 11.8%

Delta Fire 247 34.3% 672 38.6%

Eaton Rapids City 61 8.5% 135 7.7%

Eaton Rapids Twp. 61 8.5% 135 7.7%

Grand Ledge Fire 56 7.8% 162 9.3%

Hamlin Twp Fire 20 2.8% 43 2.5%

Olivet Fire 28 3.9% 67 3.8%

Potterville City Fire 10 1.4% 21 1.2%

Roxand Twp. Fire 15 2.1% 34 2.0%

Sunfield Fire 35 4.9% 77 4.4%

Vermontville Fire 19 2.6% 30 1.7%

Windsor Fire 26 3.6% 65 3.7%

Outside Agencies* 10 1.4% 23 1.3%

LTFD

Total Fire Calls 721 100.0% 1,742 100.0%

* Agencies Outside Eaton County

911ADMIN\REPORTS\PFEPFE-2017.xls MarFD 4/3/2017

Eaton County Central Dispatch Police Calls For Service

March 2017

Agency Month To Date Year To Date

Calls %/Total Calls %/Total

Bellevue Police 71 1.1% 264 1.5%

Charlotte Police 740 11.2% 2,078 11.4%

Eaton County Sheriff 3,490 53.0% 9,572 52.6% Delta 1,887 28.7% 5,162 28.4% Out County 1,429 21.7% 3,979 21.9% Animal Control 174 2.6% 431 2.4%

Eaton Rapids Police 446 6.8% 1,367 7.5%

Grand Ledge Police 700 10.6% 2,170 11.9%

Michigan State Police 614 9.3% 1,350 7.4%

Olivet Police 65 1.0% 179 1.0%

Potterville Police 447 6.8% 1,161 6.4%

Outside Agencies* 13 0.2% 40 0.2%Lans, ME

Total Police Calls 6,586 100.0% 18,181 100.0%

911ADMIN\REPORTS\PFEPFE-2017.xls MarPD 4/3/2017

Eaton County New BuildsMarch 2017 New Addresses

Certificate # New Address City Zip CodeDate Issued Permit Type2017-36 VERMONTVILLE8333 VALLEY HWY 49096March 1, 2017 COMMERCIAL2017-43 LANSING1534 YOSEMITE DR 48917March 7, 2017 NEW BUILD2017-38 GRAND LEDGE6379 E SAGINAW HWY 48837March 7, 2017 ACCESSORY BUILDING2017-37 LANSING8202 AMARYLLIS WAY 48917March 7, 2017 NEW BUILD2017-39 LANSING1582 YOSEMITE DR 48917March 7, 2017 NEW BUILD2017-40 LANSING1570 YOSEMITE DR 48917March 7, 2017 NEW BUILD2017-42 LANSING1546 YOSEMITE DR 48917March 7, 2017 NEW BUILD2017-44 LANSING1585 YOSEMITE DR 48917March 7, 2017 NEW BUILD2017-45 LANSING1573 YOSEMITE DR 48917March 7, 2017 NEW BUILD2017-46 LANSING1561 YOSEMITE DR 48917March 7, 2017 NEW BUILD2017-47 LANSING1549 YOSEMITE DR 48917March 7, 2017 NEW BUILD2017-48 LANSING1537 YOSEMITE DR 48917March 7, 2017 NEW BUILD2017-41 LANSING1558 YOSEMITE DR 48917March 7, 2017 NEW BUILD2017-54 LANSING383 BARRINGTON CR 48917March 13, 2017 4 UNIT CONDO2017-55 LANSING385 BARRINGTON CR 48917March 13, 2017 4 UNIT CONDO2017-56 LANSING387 BARRINGTON CR 48917March 13, 2017 4 UNIT CONDO2017-53 LANSING381 BARRINGTON CR 48917March 13, 2017 4 UNIT CONDO2017-52 LANSING377 BARRINGTON CR 48917March 13, 2017 4 UNIT CONDO2017-51 LANSING375 BARRINGTON CR 48917March 13, 2017 4 UNIT CONDO2017-50 LANSING373 BARRINGTON CR 48917March 13, 2017 4 UNIT CONDO2017-49 LANSING371 BARRINGTON CR 48917March 13, 2017 4 UNIT CONDO2017-57 CHARLOTTE933 W BROADWAY HWY 48813March 14, 2017 NEW BUILD2017-58 CHARLOTTE2430 S BRADLEY RD 48813March 14, 2017 NEW BUILD2017-59 LANSING8121 DOE PASS 48917March 20, 2017 NEW BUILD2017-60 DIMONDALE8526 JACARANDA DR 48821March 21, 2017 NEW BUILD

1

Certificate # New Address City Zip CodeDate Issued Permit Type2017-61 VERMONTVILLE8431 W MT HOPE HWY 49096March 21, 2017 NEW BUILD2017-62 LANSING8212 AMARYLLIS WAY 48917March 27, 2017 NEW BUILD2017-63 CHARLOTTE1501 BRIGGS HWY 48813March 28, 2017 AG EXEMPT2017-64 SUNFIELD11699 WINDY HILL LN 48890March 28, 2017 NEW BUILD

2

1

Michael ArmitageFrom: Noah Reiter <[email protected]>Sent: Sunday, April 2, 2017 8:01 AMTo: Michael ArmitageSubject: Your Monthly Rave 911 Suite UsageFollow Up Flag: Flag for follow upFlag Status: Completed

Your Monthly Rave 911 Suite Update Hi MICHAEL, Here is the monthly overview of your agency's usage of the Rave 911 Suite. The Rave Admin View containing your activity dashboard, as well as all other controls, can be accessed anytime through our online Customer Portal, www.RaveCustomer.com, or directly by clicking the button below.

168

SMS Chat Sessions

97

Safety Profile Pops

99

Facility Profile Pops

R A V E A D M I N V I E W

If you need assistance logging into the Rave Admin View, please contact Support through the Customer Portal. Sincerely, Your Partners at Rave Mobile Safety

Rave Mobile Safety, 492 Old Connecticut Path, 2nd Floor, Framingham, MA 01701

Don't want to receive these emails? Unsubscribe

March 8, 2017

Eaton County Central Dispatch – Non-convective wind event

Windstorm(03/08/2017)

PreviousWednesday(03/01/2017)

PercentChange

Incoming Calls Received 1014 302 235.76%

Outgoing Calls Made 258 78 230.77%

Incidents Dispatched 543 319 70.22%

Average Calls Rcv'd/hour 42 13 223.08%

Hourly Call Count

0 200 400 600 800 1000 1200

Incoming Calls Received

Outgoing Calls Made

Incidents Dispatched

Average Calls Rcv'd/hour

Wind Storm Call Volume vs.Week Prior (average conditions)

Wind Storm (03/08/2017) Wednesday Prior (03/01/2017)

Social Media Response:

Private message to Eaton County 911: “You all did an amazing job yesterday during

the storms. Delta Fire was well taken care of and it does not go unnoticed. Excellent

work keeping things organized during the mass chaos. �”

Emails Received:

I would like to extend my sincere thanks to your dispatch crew from yesterday for the

awesome job they did to get us through yesterday’s high wind warning. Even though it

was extremely chaotic, your staff handled it with the utmost professionalism and they

really made a difficult day easier on our end which I know my staff and I appreciate. I

believe we are very fortunate here in Eaton County to have such a great team that

works so well together that will do whatever it takes to get the job done efficiently and

with as little delay as possible.

If you could extend my thanks to your crew I would appreciate it.

Sincerely.

Phillip A. Miller

Chief

Windsor Township Emergency Services

Good morning , Lara just wanted to thank you on behalf of Roxand Township. Dispatch

did a great job yesterday considering the conditions. Please let them know. Thanks

again Chief Waldo Roxand Township.

Media Coverage:

An invitation was sent to the media to come in and witness the work of our center in

action. That invitation was well received.

• The Lansing State Journal took video inside the dispatch center and posted the

following video and article:

http://www.lansingstatejournal.com/videos/news/local/2017/03/08/video-eaton-

county-dispatch-busy-weather-calls/98910534/

• WLNS sent a crew and filmed in dispatch and interviewed Deputy Director Lara

O’Brien.

• WILX reported live from dispatch at 5:00, 5:30 (Fox 47), and 6:00pm.

Eaton County

Public Safety Radio System

Recommendation

EATON COUNTY PUBLIC SAFETY RADIO SYSTEM RECOMMENDATION

[DOCUMENT SUBTITLE]

EATON COUNTY CENTRAL DISPATCH RADIO SYSTEM ADVISORY WORKGROUP

APRIL 3, 2017

EATON COUNTY PUBLIC SAFETY RADIO SYSTEM RECOMMENDATION

4/3/2017 2

TABLE OF CONTENTS

Executive Summary ....................................................................................................... 3

Overview of the Radio System Advisory Workgroup .................................................... 4

Analysis of Options ........................................................................................................ 4

Recommended Solution ................................................................................................ 6

Financial Recommendations ......................................................................................... 7

EATON COUNTY PUBLIC SAFETY RADIO SYSTEM RECOMMENDATION

4/3/2017 3

EXECUTIVE SUMMARY

A public safety radio system is a lifeline between citizens and first responders. It is also a lifeline that is relied upon by over 900 men and women of the Law Enforcement, Fire, and EMS communities. Eaton County’s public safety radio system is aging and outdated, putting that lifeline at risk of failure.

Eaton County currently uses a 400 MHz simulcast radio system for public safety communications.

The current solution was first implemented in the 1970’s making its components up to 45 years old. This outdated technology poses many challenges and risks to public safety users including limited coverage, interference (some service-impacting), limited interoperability, and system failures. Major components of the current system will not be supported beginning April of 2018, meaning that parts will no longer be readily available. Having equipment that is no longer supported will provide challenges when it comes to acquiring parts which could lead to system vulnerability and extended system outages. The system is at the end of its serviceable life and has been experiencing an ever-increasing number of failures that require immediate resolution.

For the past two years, the Radio System Advisory Workgroup (RSAW) has been diligently collecting information, identifying options, and performing site visits to determine the correct solution for the County. This report includes the work of the group and includes a review of different system options. Ultimately, the RSAW unanimously recommends that Eaton County join the Michigan Public Safety Communication System (MPSCS) by expanding their network into Eaton County. This will provide a robust solution including enhanced voice communication coverage, future-ready next-generation technological capabilities, and a reliable and serviceable system to protect persons and property. This solution also provides financial benefits as the MPSCS already has their main tower located in Eaton County, which would be utilized to for coverage in the northeast corner of the county. Additionally, users of the system benefit from MPSCS network monitoring maintenance services at cost. The MPSCS also has a strong and respected track record of upgrading all of the equipment at the tower sites located on the network, which would eliminate significant long term costs to the county for replacement of aging equipment.

Yours Truly,

Michael Armitage Director Eaton County Central Dispatch

EATON COUNTY PUBLIC SAFETY RADIO SYSTEM RECOMMENDATION

4/3/2017 4

OVERVIEW OF THE RADIO SYSTEM ADVISORY WORKGROUP

MEMBERS

Undersheriff Jeff Cook, Eaton County Sheriff Department

Sergeant Aaron Brown, Eaton County Sheriff Department

Chief Larry Weeks, Eaton Rapids Police Department

Chief Shane Bartlett, Potterville Police Department

Lieutenant Joseph Thomas, Michigan State Police

Assistant Chief Tyger Fullerton, Charlotte Fire Department

Assistant Chief John Fullerton, Charlotte Fire Department

Chief John Clark, Delta Township Fire Department

Director John Truba, Eaton Area EMS

Dan Sowles, Eaton Area EMS

Chief Roger McNutt, Eaton Rapids Fire Department

Chief Rodney VanDeCasteele, Grand Ledge Fire Department

Captain Cliff VanDeusen, Grand Ledge Fire Department

Chief Phil Miller, Windsor Township Fire Department/EMS

Assistant Chief Bill Fabijancic, Windsor Township Fire Department/EMS

HISTORY

The Radio System Advisory Workgroup began meeting in 2015 to study options for reliable and interoperable communications for public safety personnel in Eaton County. The group made visits to other areas in Michigan to see other radio solutions being used and to talk with users of those systems. These visits include trips to Washtenaw County, Downriver Mutual Aid, and Midland County.

ANALYSIS OF OPTIONS

1. RETAIN AND REPAIR THE CURRENT SYSTEM

This option does not address the core needs identified by the workgroup. The current system, even if outfitted with new equipment, does not meet the interoperability needs of first responders both when communicating amongst agencies in Eaton County and with neighboring jurisdictions. The current system would not meet the future requirements of a P25 system nor is it able to provide digital coverage. The current system is unable to support features such as GPS mapping and it is extremely vulnerable to interference. Being a system that is not trunked, channel availability is limited and there are more vulnerabilities with single points of failure.

EATON COUNTY PUBLIC SAFETY RADIO SYSTEM RECOMMENDATION

4/3/2017 5

2. BUILD A STAND-ALONE 700/800 MHZ DIGITAL TRUNKED SYSTEM

This option would build a county-wide 700/800 MHz system, fully owned and operated by Eaton County. This option would meet the identified needs of the first responders in Eaton County by providing a P25 system with interoperability between disciplines and agencies within Eaton County and between neighboring jurisdictions, although the interoperability would not be as seamless as if on the MPSCS system. This option would be built to allow for >95% in building coverage utilizing seven tower sites. While this option does meet the objectives of the workgroup, it was found to be cost prohibitive and does not provide the best option for interoperability with agencies outside of Eaton County.

There are several factors that make this solution both more expensive initially, as well having more recurring and long-term costs. We will address that in below with option 3. For the purposes of analyzing this option, the same tower sites were considered when estimating pricing for the systems, with one exception. With an MPSCS solution, Eaton County would be able to utilize the existing MPSCS tower in Windsor Township. For option 2 in a stand-alone system, Eaton County would need to own and/or operate the seventh tower to fill in areas in and around the Windsor Township area. The below financial projection also includes all user-radio equipment, in addition to the tower sites. Below is a 10 year projection for ‘option 2’ and ‘option 3:’

Stand-alone MPSCS

Purchase $17,594,476 $14,444,476

Year 1 $425,000 $800

Year 2 $446,250 $840

Year 3 $468,563 $882

Year 4 $491,991 $926

Year 5 $516,590 $972

Year 6 $542,420 $1,021

Year 7 $569,541 $1,072

Year 8 $598,018 $1,126

Year 9 $627,919 $1,182

Year 10 $659,314 $1,241

Total $22,940,080 $14,454,538

3. JOIN THE MPSCS, AUGMENTING COVERAGE WITH COUNTY-OWNED INFRASTRUCTURE

This option would augment and utilize existing MPSCS infrastructure and add an additional six county-owned and operated towers. Since the headquarters of MPSCS is already located in Eaton County at the State Secondary Complex, the core tower for the system (referred to as 1102) is located in Eaton County. This is a significant piece of infrastructure that would be utilized as part of an MPSCS solution for Eaton County. This would mean a total of seven towers in Eaton County.

EATON COUNTY PUBLIC SAFETY RADIO SYSTEM RECOMMENDATION

4/3/2017 6

This option would meet the identified needs of the first responders in Eaton County by providing a P25 system with interoperability between disciplines and agencies within Eaton County and between neighboring jurisdictions. This option would be implemented to achieve >95% in-building coverage utilizing seven tower sites. It is a trunked system designed with availability in mind, meaning that points of failure would be reduced. The system would have redundant equipment and links between the towers. MPSCS has high engineering requirements to ensure reliability and resiliency for systems joining their network. Additionally, a digital trunked system significantly decreases interference problems, allows for accountability by displaying and recording the IDs of every radio that transmits on the system, and allows a large amount of flexibility to create and personalize talkgroups as needed by the first responders in Eaton County.

In addition to meeting the public safety needs as identified by the RSAW, it also provides additional features such as the ability to utilize MPSCS radio towers in areas outside of Eaton County. This is significant when it comes to providing continuous and reliable communication when first responders are involved in an incident that may go beyond our county borders. Additionally, there are statewide channels available for officers to have direct radio contact with any radio on the channel, anywhere across the state.

Another additional benefit is that MPSCS monitors the network and performs maintenance at cost. The MPSCS also has a strong and respected track record of upgrading all of the equipment at the tower sites located on the network, which would eliminate significant long term costs to the county of replacing aging equipment.

In addition to the long-term reduced maintenance costs in selecting MPSCS over a stand-alone system, there are also projected savings over current-day operations. Currently, our maintenance costs run approximately $30,000 annually. Those expenses are mainly bandages to keep the system up and running. Along with those costs come staff time. The current radio manager spends the majority of his time trouble shooting problems as they arise; and is on call 24 hours a day, 7 days a week responding to these issues. This would be alleviated by reducing the urgency of most problems, due to the system redundancy, as well as with the partnership with MPSCS to either address the issue at their expense or at cost allowing the radio manager to focus on system enhancements rather than daily operation.

The MPSCS now has a fee schedule that charges an ‘activation fee’ when a radio is brought on to the system. This is a one-time fee and is no longer an annual fee. Those fees would be more than covered by credits given to Eaton County by MPSCS for the infrastructure the county would add to their network. Additionally, those credits could be used to cover our current lease of space on the 1102 tower for the microwave dish that provides connectivity to our radio consoles in dispatch.

RECOMMENDED SOLUTION

On March 23, 2017, the RSAW unanimously recommended switching to the MPSCS system for the reasons outlined above in ‘option 3.’ Staff has spent the last six months working with Motorola Solutions, the manufacturer of the state system, designing an appropriate solution to achieve the goals of the County. Among these, an early solution was identified but later

EATON COUNTY PUBLIC SAFETY RADIO SYSTEM RECOMMENDATION

4/3/2017 7

revised to immediately save the County more than $2 million dollars without sacrificing any performance. This design has been reviewed and approved by the MPSCS and should be contracted and implemented as soon as possible. Normal implementation schedules of a project of this magnitude can reach 24 months. Since our current equipment is 12 months from end of support, it is essential that we begin implementation as soon as possible.

FINANCIAL CONSIDERATIONS

Working with Motorola Solutions, Director Armitage has negotiated a solution discount valued at $1.095 million for a contract by August 25, 2017. If possible, a contract as soon as possible is recommended in order to achieve the best pricing. Motorola has gone through the state bid process and is the approved vendor for solutions being added to the MPSCS system.

As the manufacturer, Motorola Solutions offers lease-purchase financing. A lease-purchase of ten years will allow for immediate deployment and debt service at or below the market rate. On a quarterly basis, Motorola Solutions identifies projects for which a rate discount may be applied and Eaton County has been selected to receive a rate discount of approximately 60 basis points below the market rate. This is the most economical method for procurement.

A thorough review and analysis of a lease-purchase financing solution and its impact on the County’s operational cost structure within the current millage that expires in 2018 is being conducted.

EATON COUNTY BOARD OF COMMISSIONERS

APRIL 19, 2017

RESOLUTION TO AUTHORIZE APPLICATION FOR SCAO

VETERANS COURT GRANT RENEWAL

Introduced by the Public Safety Committee

WHEREAS, the Eaton County Trial Courts began operating a Veterans’ Treatment Court (J.

Sauter Veterans Treatment Court) in the fall of 2013; and

WHEREAS, the State of Michigan is making grant funds available for the period of October 1,

2017 to September 30, 2018 with no required cash match; and

NOW, THEREFORE BE IT RESOLVED, that the Board of Commissioners authorize the

Community Corrections Department to submit a grant application in an amount not to exceed

$125,000 which includes funding of a case manager; and

BE IT FURTHER RESOLVED, that if the grant is not continued or requires a County

appropriation, the continuation of the grant funded positions will be reviewed by the appropriate

committees to determine the necessity of the General Fund commitment; and

BE IT FURTHER RESOLVED, that the Controller be authorized to approve any necessary

budget amendments to increase expenditures and increase grant revenue if the grant is approved

by the State of Michigan; and

BE IT FURTHER RESOLVED, that the Chairperson of the Board of Commissioners or his

designee be authorized to sign any necessary contracts or documents.

EATON COUNTY BOARD OF COMMISSIONERS

APRIL 19, 2017

RESOLUTION TO AUTHORIZE APPLICATION FOR SWIFT AND SURE

SANCTIONS PROBATION PROGRAM GRANT RENEWAL

Introduced by the Public Safety Committee

WHEREAS, the State Court Administrative Office has Swift and Sure Sanctions

Probation Program Grant funds available; and

WHEREAS, Eaton County currently operates a Swift and Sure Sanctions Probation

Program; and

WHEREAS, the Community Corrections Department is desirous of continuing the

program focusing on high-risk felony probationers with a demonstrated history of

probation failures due to behavioral noncompliance or three or more probation violations.

This grant would provide funding to operate the Swift and Sure Sanctions Probation

Program (SSSPP); and

WHEREAS, the SSSPP primary goal is to increase compliance with probation terms by

imposing certain, swift, and consistent sanctions for probation violations; and

WHEREAS, the grant funding request an amount not to exceed $125,000, providing for

one full time caseworker, Assistant Prosecutor hours and defense attorney hours, with no

County match for the award period of October 1, 2017 through September 30, 2018.

NOW, THEREFORE BE IT RESOLVED, that the Board of Commissioners authorize

the Community Corrections Department to submit the SSSPP grant application; and

BE IT FURTHER RESOLVED, that if the County’s participation in the grant is

discontinued or requires a County General Fund contribution, the continuation of the

grant funded positions will be reviewed by the appropriate committees to determine the

necessity of General Fund commitment; and

BE IT FURTHER RESOLVED, that the Controller be authorized to approve any

necessary budget amendments to increase expenditures and increase grant revenue if the

grant is approved by the State of Michigan; and

BE IT FURTHER RESOLVED, that the Chairperson of the Board of Commissioners

be authorized to sign any necessary documents.

EATON COUNTY BOARD OF COMMISSIONERS

April 19, 2017

RESOLUTION TO AUTHORIZE APPLICATION FOR GRANT UNDER THE

COMMUNITY CORRECTIONS ACT 1988, P.A. 511

Introduced by the Public Safety Committee

WHEREAS, Eaton County has operated programs under the Community Corrections Act, 1988,

P.A. 511; and

WHEREAS, the State of Michigan is making grant funds available for the period of October 1,

2017 to September 30, 2018; and

WHEREAS, the Eaton County Community Corrections Advisory Board will review on April

26, 2017 and is recommending, pending that review, the submission of a request for funds for the

2017/2018 fiscal year not to exceed $200,000 for comprehensive plans and services and $25,000

for Drunk Driver Jail Reduction Program.

NOW, THEREFORE, BE IT RESOLVED that the Board of Commissioners authorizes the

submission of the above entitled grants; and

BE IT FURTHER RESOLVED that if the grant is not continued or requires a County General

Fund contribution, the continuation of the grant funded positions will be reviewed by the

appropriate Committees to determine the necessity of General Fund commitment.

BE IT FURTHER RESOLVED that the Controller be authorized to approve any necessary

budget amendments to increase expenditures and increase grant revenue if the grant is approved

by the State of Michigan; and

BE IT FURTHER RESOLVED that the Chairman of the Board of Commissioners or his

designee be authorized to sign all of the necessary contracts or documents.