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1 Coroner s Fatality Management Satellite Broadcast July 9, 2009 Cindy Lesinger
2 Purpose of Today s Broadcast Continue state pandemic fatality management (FM) planning State Pandemic Influenza (PI) Operations Plan (Op Plan) Assistant Secretary of Planning and Response (ASPR) Cooperative Agreement Assist with local pandemic FM planning Move the FM Template into a plan
3 Pandemic Deaths 11 pandemics in last 300 years 4 pandemics in last 100 years Year US Deaths Global Deaths ,000 50,000, ,000 1,500, , ,
4 Nonpharmaceutical Interventions Voluntary isolation Voluntary quarantine Dismissal of students (NPIs) Reduce out-of-school contact Decrease number of social contacts Increase distance between people Modify, postpone or cancel public gatherings Modify work place schedules and practices
5 Pandemic Severity Index (PSI) Gauge the potential severity and impact of a pandemic and the appropriate actions communities can take to limit the spread of the disease.
6 Your Assistance Is Required All NPI decisions are based on the PSI category PSI is based on the case-fatality ratio We need accurate timely death information, especially early in pandemic Delay in accurate information could cause additional loss of life
7 PI Op Plan Sub-objectives B.8 Secure process tracking to the State Department of Health Plan for behavioral health/grief community education that includes an expectation of death at home Plan for behavioral health/grief public messages to address stress management.
8 FM Planning Activities 2006 Fatality Management (FM) Workgroup created 2007 ASPR FM grant funds for supply caches 2007 FM Statewide Survey FM Conference Series 2008 Alabama County Commission Association (ACCA) FM Templates contract
9 FM Planning Activities ASPR grant funds for supply caches 2008 CoronerME and laptops purchased 2009 ASPR PI grant funds for supply caches 2009 FM Toolkit created
10 ACCA FM Template Issues County FM Team County Capacity Indefinite Temporary Storage Alternate Transportation Report Daily Deaths Community Education on County Plan
11 FM Template Criteria EMA Director or Designee Signature County Commissioner Chairperson Signature ACCA and ADPH assume appropriate steps will be taken to incorporate the templates into the county EMA EOP Share plan with team members
12 County FM Team County Commissioner EMA ADPH PHA EP Team Law Enforcement Dispatch/911/PSAP Fire Coroner/Medical Examiner Funeral Home Faith-based EMS Local Hospital
13 County Capacity Must know capacity before an event to plan Staff and supplies Determine county trigger
14 Indentify Local Options Temporary Storage Cold Non-cold Local Authorities Alternate Transportation Not EMS Not Law Enforcement Public works
15 Report Daily Deaths Each county must determine a report process In AL, ACA has agreed to CoronerME
16 ADPH, ACA, and CoronerME ADPH granted funds to ACA software and computers In return, ADPH is asking coroners to enter basic information ADPH has been granted access to basic info for emergency events General aggregate data, names only for deduplicating ADPH asked for data dump to excel & autofill features in cause & mechanism of death
17 Community Education on County Plan New PSAP/E911 procedures Collection Point Notification from street a decedent needs pick-up
18 FM Toolkit Intended for Coroners and all county FM planning team members Dead Body Manual Binder contains relevant resources Toe Tags Zip Ties
19 Table of Contents Joint letter from State Health Officer and Alabama Coroner Association President ADPH Area Emergency Preparedness Teams Map County and Municipal Fatality Management Planning Template Estimated Pandemic Daily Deaths by County
20 Table of Contents Hospital Mass Fatality Plan Checklist Coping with Stress After a Traumatic Event Operations, Identification and Command and Control of Mass Fatalities resulting from a Pandemic Influenza Event in U.S. Cultural & Religious Considerations During a Mass Fatality: A Coroner's Guide from a Public Perception
21 Table of Contents The Medical Examiner/Coroner's Guide For Contaminated Deceased Body Management The Provision of Family Assistance and Behavioral Health Services in the Management of Mass Fatalities Resulting from a Pandemic Influenza in U.S. Mass Fatality Incident Management: Guidance for Hospitals and Other Healthcare Entities
22 Table of Contents OSHA Fact Sheet - Health and Safety Recommendations for Workers Who Handle Human Remains Frequently Asked Questions on the Management of Cadavers Forms Fatality Management Toolkit Reference Page Contact Information - EMA Directors and Coroners
23 Intro to Dr. Higginbotham Video Disclaimer He mentions DMORT but he is not referring to federal asset.
24 2008 ASPR Survey ADPH conducts an annual hospital survey Has your hospital completed DRAFT plans for mass fatality management? Yes - 66 No - 16 Does your hospital have FINALIZED WRITTEN plans? Yes - 59 No - 26
25 2010 ASPR Guidance Facility level planning integrated into local/jurisdictional and state plans, include Proper identification Handling and storage of remains
26 Local Planning Has your hospital been involved with county Emergency Management Agency s (EMA) Local Emergency Planning Committee (LEPC), Emergency Preparedness (EP) Teams PI Planning Committee, or County FM Team? If not, it is time 52 out of the 67 counties submitted a FM Template between 11/1/08-12/15/0812/15/08
27 Hospital Planning Issues Do not accept bodies from outside the hospitals Do not plan for FM surge, plan with you county FM team Who in your county will pick up decedents?
28 Hospital Planning Issues Does your hospital have staff to transport decedents to a local collection point? Does your plan include procedures to report death to the local authorities? Does your plan have 3-deep back-up for staff to enter data into Alabama Incident Management System (AIMS)?
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