Mass Fatality Incident Planning and Preparation in Montgomery County, Ohio

1. Mass Fatality Incident Planning and Preparation in Montgomery County, Ohio 2012 National Homeland Security Conference Columbus, Ohio May 22, 2012 Robert L. Hunkeler III, MFS* Kent E. Harshbarger, MD, JD, MBA* Kenneth M. Betz, MS

2. ARE YOU READY? If you received a cell phone call right now telling you there were 50 deaths in an incident in your jurisdiction, do you know how you would handle it?

3. Overview Definition Mass Fatality Incident Response Plan Funding Resources Exercise

4. Introduction Montgomery County Coroner’s Office Dayton, Ohio Population 535,000 / 460 Square Miles Contract Autopsy Services for 29 counties Autopsies conducted for 1/3 of Ohio Many contracted counties are rural 4800 cases per year/1300 autopsies per year

5. Definition Mass Fatality Incident An incident where the number of fatalities overwhelms local resources. Natural Disaster Chemical, Biological, Radiological, Nuclear, Explosive Incendiary Transportation Incidents

6. Definition • Terrorist • Mass Murder • Epidemic • Building-Related Mishaps • Industrial Incidents

7. Mass Fatality Incident Response Plan Montgomery County Coroner’s Office Mass Fatality Incident Response Plan Distribution/Continuity Coordination Thumb drive to leadership/command trailer Caveat restricting access References

8. Mass Fatality Incident Response Plan • Purpose • Media Information and Press Releases • Sites of Operation under Coroner Direction • Roles and Responsibilities • Processing Capabilities • Incident Management • Response and Call-in Procedure • Scene Investigation

9. Mass Fatality Incident Response Plan • Search and Body Recovery Teams • Temporary Morgue/Examination Center Identification • Long Term Examination Sifting Site • Family Assistance Center • ID of Remains and Death Certification • Death Notification Procedure • Release of Remains & Personal Effects

10. Mass Fatality Incident Response Plan • Mass Burial • Financial Issues • Communication and Support • Weapons of Mass Destruction and Hazardous Materials • Mobilizing Other Agencies • Transportation and Storage • Storage Capacities • References

11. Funding • Homeland Security Grant • Office of Emergency Management • Federal Metropolitan Medical Response System • Greater Dayton Area Hospital Association • Regional Medical Response System

12. Resources Equipment Emergency Resource Field Inventory (ERFI) Supplies Computerized inventory for timely re-order Personnel Call-in (One call system) Shifts Volunteers Other Agency Support

13. Equipment • Command Trailer – 28 foot • Command Post • Supplies • Communication • 10KW generator • Exterior lighting

17. Equipment • Deployable Morgue • 22 foot trailer • 13.6’ x 33.6’ x 8.7’ Med Fatality Mgmt Ctr (2) • 13.6’ x 21.6’ x 8.7’ Small Fatality Mgmt Ctr • HVAC System – 3.5 ton (2) • 20 KW generator • Flooring • Carts • Lighting

22. Equipment • Two Refrigerated Morgue Trailers • 18 foot • 18 body capacity each • Aluminum trays • 400 pound capacity per tray • 6000 watt water-cooled generator • Power exchange capability to landline • Ramp access

24. Exercise Tabletop – discussion Functional – telephonic actions Full Scale – physical actions Homeland Security Exercise Evaluation Program (HSEEP) https://hseep.dhs.gov Evaluate Take Action

27. Summary Definition Mass Fatality Incident Response Plan Funding Resources Exercise

28. Questions? Robert Hunkeler 937-225-4156 hunkelerr@mcohio.org