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

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?

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

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

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

Definition Terrorist Terrorist Mass Murder Mass Murder Epidemic Epidemic Building-Related Mishaps Building-Related Mishaps Industrial Incidents Industrial Incidents

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

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

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

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

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

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

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

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

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

Exercise Tabletop – discussion Tabletop – discussion Functional – telephonic actions Functional – telephonic actions Full Scale – physical actions Full Scale – physical actions Homeland Security Exercise Evaluation Program (HSEEP) Homeland Security Exercise Evaluation Program (HSEEP) Evaluate Evaluate Take Action Take Action

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

Questions? Robert Hunkeler