MASS FATALITY PREPAREDNESS ELEMENTS AMONGST AUTOPSY SURGEONS IN INDIA

Authors

  • M Chauhan Assistant Professor, Department of Forensic Medicine & Toxicology, Government Medical College & Hospital, Sector-32, Chandigarh-160030, India Author
  • M Sreenivas Director Professor and Head, Department of Forensic Medicine and Toxicology, Maulana Azad Medical College, New Delhi, India Author
  • SK Khanna Ex. Director Professor and Head, Department of Forensic Medicine and Toxicology, Maulana Azad Medical College, New Delhi, India Author
  • VK Chhoker Professor and Head, Department of Forensic Medicine and Toxicology, Rama Medical College, Hapur, Uttar Pradesh, India Author

Keywords:

Disaster, mass fatality, autopsy surgeons, morgue services, management of dead

Abstract

Background: The present study assessed the managerial capabilities of autopsy surgeons in India in future response as preparedness to disaster. The need for this was further highlighted by various disasters or similar situations that have been witnessed by the mankind during the 21st century, including the ongoing Covid-19 pandemic, with its latest variant of concern “Omicron”. Aims and objectives: To provide literature related to mass fatality management related benchmarks, and correlates of actual preparedness as a response to a future disaster, and suggest action plan (if any) in the light of the results. Materials and Methods: This cross sectional study was conducted as an anonymous survey by utilizing a pre tested and validated self-administered questionnaire that was made available via electronic mail to the study Results: Maximum respondents were seen in the age group of 26-35 years. The commonest duration of experience ranged from 2-5 years after attaining post-graduate qualification. The commonest type of employment was contractual/adhoc basis. A significant majority of subjects did not receive any formal training in disaster mortuary response, and not even a single subject participated in a simulated real world disaster. Infection control policies were in place to the extent of 98%. All the subjects reported having up to date contact phone list for staff and key contacts. The formal arrangements of supplies and repair service providers needed to ensure the smooth functioning of mortuary services during a future disaster event was not up-to the mark. The written inventory of the key items was not updated in majority of the cases. All the respondents indicated the need of training programmes in routine for efficient management and disaster preparedness Conclusions: The current job position of the autopsy surgeon as a factor showed the strongest association with most of the key parameters related to mortuary preparedness elements. 

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References

Scanlon J, McMahon T. Dealing with mass death in disasters and pandemics: Some key differences but many similarities. Disaster Prev Manag. 2011; 20(2):172-185.

Wikipedia, the Free Encyclopedia. https:// en.wikipedia.org/wiki/Disaster. Accessed November 13, 2021.

training.fema.gov/hiedu/docs/hazdem/session%206– defining%20disaster%20slides.ppt. Accessed November 13, 2021.

National Association of medical examiners. Mass Fatality Plan 2007. http://www.dmort.org/ FilesforDownload/NAMEMFIplan.pdf.

https://asprtracie.hhs.gov/technical-resources/65/ fatality-management/0 Accessed November 13, 2021

Gershon et al. Mass fatality preparedness among medical examiners/coroners in the United States. BMC Public Health 2014; (14):1275.

department of Homeland Security, 2008 Washington DC, USA. FEMA Publications warehouse.

support function annexes: introduction. http:// www.fema.gov/pdf/emergency/nrf/nrfesf.

and Justice (Legislative Department) India - New Delhi, the 26th December, 2005.

CourtRules/CourtRuleFile_WAP7CR9Z.PDF Page no 1.

Spranger CB, Villegas D, Kazda MJ, Harris AM, Mathew S, Migala W. Assessment of physician preparedness and response capacity to bioterrorism or other public health emergency events in a major metropolitan area. Disaster Manag Response. 2007 Jul-Sep; 5(3):82-6.

Cowan AE, Ching PL, Clark SJ, Kemper AR. Willingness of private physicians to be involved in smallpox preparedness and response activities. Biosecur Bioterror. 2005; 3(1):16-22.

Williams J, Nocera M, Casteel C. The effectiveness of disaster training for health care workers: a systematic review. Ann Emerg Med. 2008 Sep; 52(3):211-22, 222.e1-2.

Alder SC, Clark JD, White GL Jr, Talboys S, Mottice S. Physician preparedness for bioterrorism recognition and response: a Utah-based needs assessment. Disaster Manag Response. 2004 Jul-Sep; 2(3):69-74.

Gangu S, Qureshi S and Shimabukuro K. Assessment

of disaster preparedness amongst pediatricians. Critical Care Medicine 2014; 42:A1435.10.1097/ 01.ccm.0000457808.17052.2b. Accessed November 17 2021.

Conway, Mike. Sudden Death: A Disaster Mortuary Response—Practitioner Perspective. 2020 10.1007/ 978-3-030-33140-5_10. Accessed November 17 2021.

Tanner Alexa, Doberstein Brent. Emergency preparedness amongst university students. International Journal of Disaster Risk Reduction. 2015; 13. 10.1016/j.ijdrr.2015.08.007. Accessed November 17 2021.

Sharma Rahul, Kumar Vikas and Raja Dinesh. Disaster preparedness amongst women, the invisible force of resilience: A study from Delhi, India. International Journal of Health System and Disaster Management. 2015; 3(3) 163. 10.4103/2347-9019.157402.

Anderson M, Leditschke J, Bassed R, Cordner SM, Drummer OH. Mortuary operations following mass fatality natural disasters: a review. Forensic Sci Med Pathol. 2017 Mar; 13(1):67-77.

Rajesh G, Kumar Gaurav C, Shetty Preetha J., Prasad KVV, Javali SB. A survey on disaster management among post-graduate students in a private dental institution in India 2011; 6(5). https://doi.org/10.5055/ ajdm.2011.0070

Gershon RR, Magda LA, Qureshi KA, Riley HE, Scanlon E, Carney MT, Richards RJ, Sherman MF. Factors associated with the ability and willingness of essential workers to report to duty during a pandemic. J Occup Environ Med. 2010 Oct; 52(10):995-1003.

Qureshi K, Gershon RR, Sherman MF, Straub T, Gebbie E, McCollum M, Erwin MJ, Morse SS. Health care workers’ ability and willingness to report to duty during catastrophic disasters. J Urban Health. 2005 Sep; 82(3):378-88.

Hossain MA, Rashid MUB, Khan MAS, Sayeed S, Kader MA, Hawlader MDH. Healthcare Workers’ Knowledge, Attitude, and Practice Regarding Personal Protective Equipment for the Prevention of COVID 19. J Multidiscip Healthc. 2021 Feb 2; 14:229-238.

Deressa W, Worku A, Abebe W, Gizaw M, Amogne W. Risk perceptions and preventive practices of CoVid 19 among healthcare professionals in public hospitals in Addis Ababa, Ethiopia. PLoS ONE 2021; 16(6):1-17 e0242471.

Murty OP. General aspects of Forensic Medicine and Toxicology in Indian set-up. Working arrangements and problems of medico-legal work. Journal of Forensic Medicine and Toxicology 2010; 27(2):1-28

Sirohiwal BL, Paliwal PK, Sharma L, Chawla H. Design and Layout of Mortuary Complex for a Medical

College and Peripheral Hospitals. J Forensic Res. 2011; 2(6):1-4.

Gershon RR, Magda LA, Riley HE, Merrill JA. Mass fatality preparedness in the death care sector. J Occup Environ Med. 2011 Oct; 53(10):1179-86.

Kuboyama Kazutoishi, Kurokawa Kayoko, Murakami Noriko, Nagasaki Yasushi, Ukai, Takashi, Yamazaki Tatsue, Yoshinaga Kazumasa. Development and Challenges of Japan DMORT Association. Pre-hospital and Disaster Medicine 2019; 34:s117. 10.1017/ S1049023X19002504.

Rutty GN, Robinson CE, BouHaidar R, Jeffery AJ, Morgan B. The role of mobile computed tomography in mass fatality incidents. J Forensic Sci. 2007 Nov; 52(6):1343-9.

Plunkett Patrick. Management of Disasters and their Aftermath.BMJ 1995. 310. 1615. 10.1136/ bmj.310.6994.1615.

Ed W Angus Wallace, John M Rowles, Christopher L Colton. BMJ Publishing Group, pounds sterling36, pp 314 ISBN 0 7279 0841 3.

Nolte KB, Hanzlick RL, Payne DC, Kroger AT, Oliver WR, Baker AM, McGowan DE, DeJong JL, Bell MR, Guarner J, Shieh WJ, Zaki SR. Medical examiners,

coroners, and biologic terrorism: a guidebook for surveillance and case management. MMWR Recomm Rep. 2004 Jun 11; 53(RR-8):1-27.

Horahan Kevin and Lee Scott. The federal medical response to disasters 2021. 10.1002/ 9781119756279.ch98.

Yang Hyun-Mo and Kim Gyoung-Yong. A Study on Disaster Field Response Procedure and Triage Using Disaster Tabletop. Asia-pacific Journal of Convergent Research Interchange 2021; 7:89-98. 10.47116/ apjcri.2021.09.08.

McGuone Declan, Sinard John, Gill James, Masters Amanda, Liu Chen, Morotti Raffaella, and Parkash Vinita. Autopsy services and emergency preparedness of a tertiary academic hospital mortuary for the CoVid-19 Public Health Emergency: The Yale Plan. 2020 Advances in Anatomic Pathology. Publish Ahead of Print. 10.1097/PAP.0000000000000274.

Gershon RR, Magda LA, Riley HE, Merrill JA. Mass fatality preparedness in the death care sector. J Occup Environ Med. 2011 Oct; 53(10):1179-86.

Fishbein M and Ajzen I. Belief, Attitude, Intention, and Behavior: An Introduction to Theory and Research. Reading, MA: Addison-Wesley 1975.

Published

2024-06-07

How to Cite

MASS FATALITY PREPAREDNESS ELEMENTS AMONGST AUTOPSY SURGEONS IN INDIA . (2024). Journal of Forensic Medicine & Toxicology, 38(2), 1-9. https://jfmtonline.com/index.php/jfmt/article/view/226