mass fatality planning h1n1 parish summit 2009 for official use only - do not distribute

Mass Fatality Planning

H1N1 Parish Summit

2009

For Official Use Only - Do Not Distribute

Planning to Date

Built on Katrina experience Plans, procedures, problems, mistakes

Major mass fatality planning meetings 2006 – 2007 – work group meetings October 2008 – pandemic flu focus February 2009 April 2009


Planning Outcomes

Coroner and hospital survey in 2007 “In extremis” plan template in 2007 Regional planning template in 2009 DRC network in 2009


Coroner and Hospital Survey Results


Coroner Storage Results Very few have their own morgue Most rely on local hospitals or larger parishes to

assist them with storage

5.0% 90.0% 5.0%

495.3 696.6

350400450500550600650700750800850

0.000

0.001

0.002

0.003

0.004

0.005

0.006

0.007

Probable Total Coroner Storage

Probable Total Coroner Storage

Minimum 383.0284Maximum 813.3502Mean 594.9999Std Dev 61.4575Values 10000

Total Probable Statewide = 595


“In Extremis” Plan Template


Basic Worse Case Plan

Goals Keep critical healthcare

facilities open and functioning

Take care of victims with as much respect as possible


Additional Plans and Tools

Transfer Site Operating Plan Procedures Forms “Grocery List” of supplies and equipment

Imagination… Developing plan for web-based victim tracking

application based on current infrastructure


Transfer Site: Human Resources 24 Hour Operation HR Movement Document and Label HR/body bags Site Supervisor Security


Transfer Site: Refrigeration


40’, 48’ and 53’ sizes

Transfer Site: Refrigeration Capacity


# of HR2 wide

# of HR3 wide

# of HR4 wide

40ft 10 15

48ft 12 18

53ft 14 21 28

Transfer Site: Truck “Wraparound” Fuel Maintenance Locks Plastic locking tabs Adequate lighting Cover for company name


Joe’s Grocery

Transfer Site: Supplies

Facility – trailers, tents, etc. Major Equipment

X-Ray units Cameras Coolers, Refrigerated Trucks/Containers Refrigerator/Freezers Carts Cadaver transports

PPE and First Aid


Transfer Site: Supplies

Supplies Body Bags Identification and tagging materials Disinfectant Fingerprint/DNA/Anthropology equipment Dental equipment Specimen tools and containers

Communications/Computer Equipment Telephones, cell phones, etc. Radios Laptops, printers Electronic tagging equipment Data/voice lines


Transfer Site: Documentation

HR Recovery Form Trailer Manifest HR Recovery Log Other:

Supply Requests Accident/Incident

Reports


HR Recovery Form


HR Recovery Form

Date:________________ Time:____________________ Case #______________________

Name:____________________________________________________DOB_____________

Address:___________________________________________________________________

Race__________ Sex_________ SS#________________ Of Hispanic Origin_____________

Highest Level of Education:_________________ Armed Forces (yes/no)________________

Marital Status_______________ Spouse (if wife give maiden)________________________

Usual Occupation_________________________Business/Industry____________________

Informant: Name_________________________________Phone:_____________________

Address:__________________________________________________________

NOK: Name:_____________________________________Phone:_____________________

Address:______________________________________________________________

Relationship:_______________________________email:______________________

Location of Removal_________________________________________________________

Place of death (if different)____________________________________________________

Date of Death:________________ Time of Death:________________

Who pronounced: Name___________________________________Phone:_____________

Title:__________________________Agency:______________________

Recovery Personnel: Name:_____________________________Phone:_________________

Address;__________________________________________________

Organization:______________________________________________

Personal Effects:____________________________________________________________

Disposition of PE:____________________________________________________________

Funeral Home: Name______________________________________Phone:_____________

Refer Trailer: Trailer #___________________ Location in

Trailer:_____________________Notes:______________________________________________________________________

______________________________________________________________________________________________________

___Field Number:___________

Transfer Site: Procedures

Receiving HR Moving and Placing HR in Refrigerated

Trailers Determine Layout of Trailers Refrigerated Trailer Departure Procedures Tracking HR from point to point Release procedures Law enforcement interface


Regional Planning Templates


Regional Template Components Coroner decedent operations:

Human Remains Recovery Morgue Services Family Assistance

Other decedent operations: Family Assistance (Investigations, Family Affairs/Victim Release,

components of DNA identification operations, mental health services, other social services).

Public Communication Vital Records Coordination with the Death Care Industry


Planning Factors


What is the Process in Your Community?


DRC Network



DRC Job Description

DRCs in all 9 regions Duties:

Serve as the voice of regional coroners in real-time decision-making Coordinate the delivery of essential supplies within the region Coordinate the assignment of staffing resources Lead role in developing surge capacity resources Assist in the development of an immediate storage, staffing and

transportation inventory by type and institution for the region Attend DRC emergency preparedness committee and other related sub-

committee meetings Assist with the coordination and execution of regional Emergency

Preparedness drills

DRC Network


Larger Issues


Larger Issues

Standard definition for “event-related” deaths Standard guidelines for managing deaths during an

event Standard procedures for victim recovery and

documentation Mutual Aid agreements Defining the chain of command when a jurisdictional

coroner is out of commission or during a multi-jurisdictional incident

Funding for planning and preparation


Statewide Planning Commission Proposed Members:

State Health Officer Director, GOHSEP 1 representative of the elected Coroners from each DHH Region. President of the Louisiana Funeral Directors Association President of the Embalmers and Funeral Directors of Louisiana Superintendent, Louisiana State Police Executive Director of the Louisiana Forensic Anthropology and

Computer Enhancement Services laboratory (FACES Lab)


Commission Duties

Enhancing the mass fatality planning efforts of the state of Louisiana by linking state, parish, and local government efforts;

Recommending policy and endorsing initiatives within all fields of expertise related to mass fatality preparedness and management;

Recommending updates and improvements to the state’s mass fatality management strategy consistent with national and state policy and technological advances and innovations;

Providing a process for analyzing state and local assets for a possible response requirement;

Ensuring coordination with state and national homeland security, emergency preparedness and defense objectives; and

Notifying and informing the governor, the state legislature and Louisiana’s congressional delegation on all mass fatality initiatives requiring congressional action.


Questions?


mass fatality planning h1n1 parish summit 2009 for official use only - do not distribute

Documents

official use

joes grocery slide

equipment imagination

extremis plan template

planning outcomes coroner

refrigerated trailers

regional planning templates

supplies facility trailers