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Mass Fatality Planning

Mass Fatality Planning. H1N1 Parish Summit 2009. 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.

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Mass Fatality Planning

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  1. Mass Fatality Planning H1N1 Parish Summit 2009 For Official Use Only - Do Not Distribute

  2. 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 For Official Use Only - Do Not Distribute

  3. Planning Outcomes • Coroner and hospital survey in 2007 • “In extremis” plan template in 2007 • Regional planning template in 2009 • DRC network in 2009 For Official Use Only - Do Not Distribute

  4. Coroner and Hospital Survey Results For Official Use Only - Do Not Distribute

  5. Coroner Storage Results • Very few have their own morgue • Most rely on local hospitals or larger parishes to assist them with storage Total Probable Statewide = 595 For Official Use Only - Do Not Distribute

  6. “In Extremis” Plan Template For Official Use Only - Do Not Distribute

  7. Basic Worse Case Plan • Goals • Keep critical healthcare facilities open and functioning • Take care of victims with as much respect as possible For Official Use Only - Do Not Distribute

  8. 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 For Official Use Only - Do Not Distribute

  9. Transfer Site: Human Resources • 24 Hour Operation • HR Movement • Document and Label HR/body bags • Site Supervisor • Security For Official Use Only - Do Not Distribute

  10. Transfer Site: Refrigeration 40’, 48’ and 53’ sizes For Official Use Only - Do Not Distribute

  11. Transfer Site: Refrigeration Capacity For Official Use Only - Do Not Distribute

  12. Transfer Site: Truck “Wraparound” • Fuel • Maintenance • Locks • Plastic locking tabs • Adequate lighting • Cover for company name Joe’s Grocery For Official Use Only - Do Not Distribute

  13. 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 For Official Use Only - Do Not Distribute

  14. 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 For Official Use Only - Do Not Distribute

  15. Transfer Site: Documentation • HR Recovery Form • Trailer Manifest • HR Recovery Log • Other: • Supply Requests • Accident/Incident Reports For Official Use Only - Do Not Distribute

  16. HR Recovery Form For Official Use Only - Do Not Distribute

  17. 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 For Official Use Only - Do Not Distribute

  18. Regional Planning Templates For Official Use Only - Do Not Distribute

  19. 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 For Official Use Only - Do Not Distribute

  20. Planning Factors For Official Use Only - Do Not Distribute

  21. What is the Process in Your Community? For Official Use Only - Do Not Distribute

  22. DRC Network For Official Use Only - Do Not Distribute

  23. 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 For Official Use Only - Do Not Distribute

  24. DRC Network For Official Use Only - Do Not Distribute

  25. Larger Issues For Official Use Only - Do Not Distribute

  26. 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 For Official Use Only - Do Not Distribute

  27. 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) For Official Use Only - Do Not Distribute

  28. 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. For Official Use Only - Do Not Distribute

  29. Questions? For Official Use Only - Do Not Distribute

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