resource factors in mass fatality managementresource factors in mass fatality management tsunami...
TRANSCRIPT
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Resource Factors in Mass Fatality Management
Tsunami Health ConferenceWorld Health Organization
May 5, 2005
Thomas J. BrondoloDeputy Commissioner
Office of Chief Medical ExaminerCity of New York
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Purpose of Talk
• To identify and discuss four factors of Mass Fatality Incidents (MFI’s) that impact resource requirements.
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Presentation Outline• Identification:
– The primary medicolegal task in an MFI• Four factors
– Number of fatalities– Rate of recovery– Manifest– Condition of remains
• Three Case Studies:– WTC Terrorist Attack– Crash of Flight 587– Thailand tsunami disaster
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Identification
• Four Factors– Number of fatalities– Rate of recovery– Manifest– Condition of remains
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SEPTEMBER 11, 2001
WORLD TRADE
CENTER
NEW YORK CITY
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WTC – Four Events
• 8:46am Flight 11 hits North Tower• 9:03am Flight 175 hits South Tower• 9:58am South Tower collapses• 10:28am North Tower collapses
Within 10 seconds 1,350ft tower reduced to 70 foot pile of compressed rubble
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Manifest
Manifest
Partial Manifest
Partial Manifest
Fragmented Remains
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FragmentationSlow Recovery
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Triage Station
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Memorial Park
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Distribution of Fatalities• North tower, above impact 1356• South tower, above impact 618• Both towers, below impact 146
– Approx 15,000 escaped • Unknown location in towers 26• Bystanders/nearby bldgs 18• No information 17• First responders 421
– NYFD 343– PAPD 37– NYPD 23– Other 18
• Airplanes 147• Total 2749
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Importance of a ManifestNumber of Fatalities
Totals09/11/01 20,00010/01/01 7,00012/01/01 3,05001/01/04 2,749
Initially 20,000 (88 foreign countries)Now 2,749 (67 foreign countries)
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Rate of Recovery 9//11/01 - 9/11/04Condition of Remains
0
100
200
300
400
500
600
9/11
/200
1
11/1
1/20
01
1/11
/200
2
3/11
/200
2
5/11
/200
2
7/11
/200
2
9/11
/200
2
11/1
1/20
02
1/11
/200
3
3/11
/200
3
5/11
/200
3
7/11
/200
3
9/11
/200
3
11/1
1/20
03
1/11
/200
4
3/11
/200
4
5/11
/200
4
7/11
/200
4
9/11
/200
4
Date
Rem
ains Received
R-IDV-ID
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WTC Summary
-High volume-Fragmented-No Manifest-Slow recovery
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American Airlines Flight 587 November 12, 2001
• Airbus 300 – 600• JFK to Santo Domingo• 251 passengers and 9 crew• Belle Harbor, Queens, 81 sec. after takeoff• 5 fatalities on ground
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American Airlines #587
• 265 total fatalities, all identified in 1month• Remains recovered: 2,058• Remains identified: 1,750 85%• Remains not identified: 308 15%
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Final Disposition
• Family groups have not decided on resting place for unidentified and unclaimed remains.
• Hundreds of unidentified and unclaimed remains are stored in a trailer at our office.
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Flight 587 Summary
-Med volume-Fragmented-Manifest-Fast recovery
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Thailand Tsunami• High number of fatalities (5,395)
– Over large geographic area (across six provinces)• No manifest
– Multiple nationalities– Limited antemortem data
• Fast recovery– Many collection points
• Intact bodies– High heat, fast decay
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Thai Tsunami Summary
-High volume-Intact bodies-No Manifest-Fast recovery
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Resource Issues
– Number of fatalities• Higher the number
– More labor intensive– Need for quick command and control– Body storage, primary goal
– Manifest• No manifest
– Dedicated resources to antemortem collection
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Resources Issues
– Rate of Recovery• Fast recovery
– Will overwhelm initial resources– Need for quick command and control– Body storage, primary goal
– Condition of Remains• Fragmented or decomposed remains
– No manifest, the identification process will take months, even years
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Case Study SummaryRemainsExam
DNA Death Certificate
Cost IT/Records ResourceFactors
WTC 6/2002 Continues Continues $100 million
< $530,000
<$ ???
High volumeFragmentedNo ManifestSlow recovery
Flight 587 5 days 20 days 30 days
Continues
60 daysMed volumeFragmentedManifestFast recovery
ThaiTsunami
> 4 months
Continues ContinuesContinues
High volumeIntact bodiesNo ManifestFast recovery
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