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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

Mass Fatality Planning

H1N1 Parish Summit

2009

For Official Use Only - Do Not Distribute

planning to date
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

planning outcomes
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

coroner and hospital survey results

Coroner and Hospital Survey Results

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coroner storage results
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

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in extremis plan template

“In Extremis” Plan Template

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basic worse case plan
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

additional plans and tools
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

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transfer site human resources
Transfer Site: Human Resources
  • 24 Hour Operation
  • HR Movement
  • Document and Label HR/body bags
  • Site Supervisor
  • Security

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transfer site refrigeration
Transfer Site: Refrigeration

40’, 48’ and 53’ sizes

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transfer site refrigeration capacity
Transfer Site: Refrigeration Capacity

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transfer site truck wraparound
Transfer Site: Truck “Wraparound”
  • Fuel
  • Maintenance
  • Locks
  • Plastic locking tabs
  • Adequate lighting
  • Cover for company name

Joe’s Grocery

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transfer site supplies
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

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transfer site supplies14
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

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transfer site documentation
Transfer Site: Documentation
  • HR Recovery Form
  • Trailer Manifest
  • HR Recovery Log
  • Other:
    • Supply Requests
    • Accident/Incident Reports

For Official Use Only - Do Not Distribute

hr recovery form
HR Recovery Form

For Official Use Only - Do Not Distribute

transfer site procedures
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

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regional planning templates

Regional Planning Templates

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regional template components
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

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planning factors
Planning Factors

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what is the process in your community
What is the Process in Your Community?

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drc network

DRC Network

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drc job description
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

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drc network24
DRC Network

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larger issues

Larger Issues

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larger issues26
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

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statewide planning commission
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)

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commission duties
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.

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questions

Questions?

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