Management of the Dead Management of Human Remains for PUIs and - PowerPoint PPT Presentation

NATIONAL TASK FORCE FOR COVID-19 Task Group for Response Operations Management of the Dead Management of Human Remains for PUIs and confirmed COVID-19 cases

Overview of Management of the Dead and Missing Persons (MDM)

National Disaster Response Plan

Policy Statements Salient Features of NDRRMC MC No. 19 s. 2016 Dead persons have to be found, retrieved, identified, and buried according to their religious and culturally acceptable norms. The inherent dignity of the dead shall be observed at all times.

Organizational / Functional Chart in Support to MDM

Management of the Dead for Coronavirus Disease 2019 (COVID-19)

Policy Issuances

Sub-Clusters at Work Initially for COVID-19, Disposition of the Dead and Management of the Bereaved Families are activated In extreme cases, such as MCI, all sub-clusters will eventually be activated

DILG MC No. 2020-063 Interim Guidelines on the Management of Human Remains for PUIs and confirmed COVID-19 cases Salient Features In handling the human remains, universal, Special considerations should be given in standard and transmission-based precautions respect to various religious and cultural and DOH-recommended guidelines and practices. LGUs with identified Muslim procedures must be strictly observed to avoid cemetery shall not restrict a Muslim who died further spread of the disease. as a PUI or a confirmed COVID-19 case. Per PAHO and WHO, human remains with LGUs shall designate and commission confirmed COVID-19 cases can be buried and reputable funeral parlors and crematoriums to cremated, the same shall apply with PUIs. handle the remains of confirmed COVID-19 cases and PUIs. Burial, preferably cremation, shall be done The inherent dignity of the dead shall be within 12 hours after death. observed at all times.

DILG MC No. 2020-063 Specific Provisions 1. General precautionary measures for all, but not limited to health care workers, responders, retrieval teams, funeral and mortuary staff, 3. Precaution for All Human Remains retrieved relatives who are likely to come into contact with a. Care for Human Remains and the PUI or confirmed COVID-19 human remains: Environmental Controls in MORTUARY a. Vaccination b. Care for Human Remains and b. Personal Hygienic Measures and Environmental Controls in MORTUARY Protective Equipment and FUNERAL WORKERS c. Accidental Exposure to Blood or Body 4. Requirements for Burial/Cremation Fluids 5. Procedure for Burial and Cremation d. Health Care Waste Management 6. Shipment of Human Remains/Cremains outside e. Environmental Control area of jurisdiction 2. Packaging, Removal and Transportation of 7. Recommended precaution for relatives when Human Remains (PUIs and/or COVID-19 handling human remains Positive) 8. For Non-COVID-19 related deaths (excluding a. From Referral Facility/Hospital for COVID- PUIs) 19 Positive 9. Cost of burial or cremation b. From Home Quarantine for PUIs or 10. Prohibitions symptomatic person who died similar with COVID-19

Management of Human Remains for PUIs INTERIM MANUAL and confirmed COVID-19 cases

Management of Human Remains for PUIs INTERIM MANUAL and confirmed COVID-19 cases

Observing Proper Burial for Muslim Filipinos/Foreign Nationals Burial, preferably cremation, shall be done within 12 hours after death. However, cremation or burial of human remains, to the most possible extent, shall be in accordance with the deceased person’s wish, decision of those who have the duty to make funeral/burial arrangements, and religious and culturally-acceptable norms of the deceased (DILG MC 2020-063 Item 4.15) Special considerations should be given in respect to various religious and cultural practices. LGUs with identified Muslim Cemetery shall not restrict a Muslim who died as a PUI or a confirmed COVID-19 case, as long as the processing and handling of the human remains be in accordance to the universal, standard and transmission-based precautions (DILG MC 2020-063 Item 4.22) The human remains of a Muslim foreign national who died as a PUI or a confirmed COVID-19 case in the country shall be given decent burial in the nearest cemetery following the appropriate Islamic burial rites, ensuring that the processing and handling shall be in accordance to universal and standard precaution (DILG MC 2020-063 Item 4.23)

DATA MDM Monitoring as of 10PM 13 April 2020 Actions National NCR Luzon Visayas Mindanao 27% or 420 out of 82% or 16 out of 28% or 225 out of 34% or 108 out of 12% or 71 out of Convened the MDM Cluster/Team 1,634 LGUs (C/M) 17 LGUs (C/M) 754 LGUs (C/M) 408 LGUs (C/M) 455 LGUs (C/M) Getting Organized 51% or 747 out of 76% or 16 out of 28% or 225 out of 78% or 175 out of 27% or 136 out of Organized MDM Cluster/Team 1,634 LGUs (C/M) 17 LGUs (C/M) 754 LGUs (C/M) 408 LGUs (C/M) 455 LGUs (C/M) Number of Funeral Parlors 1,996 160 1,114 475 247 Funeral Number of Crematorium 108 12 68 9 19 Parlors/Crematoriums willing to accept PUIs and Number of Funeral Parlors with Crematorium 119 23 63 12 21 Confirmed COVID-19 Cases Number of Muslim Funeral Facility 63 0 33 13 17 Number of Funeral Parlors/Crematorium Orientation of Funeral Oriented on universal, standard and 382 33 219 82 48 Parlors/Crematorium transmission-based precautions 908 (C/M) with 1,963 17 (C/M) with 79 415 (C/M) with 237 (C/M) with 239 (C/M) with Non- Muslims Burial Sites Burial Sites 838 Burial Sites 430 Burial Sites 616 Burial Sites Identified Burial Sites 171 (C/M) with 187 2 (C/M) with 2 42 (C/M) with 45 22 (C/M) with 25 105 (C/M) with Muslims Burial Sites Burial Sites Burial Sites Burial Sites 115 Burial Sites Number of Cadaver Bags Available 14,877 7,816 3,900 1,928 1,233 Cadaver Bags Number of Cadaver Bags Needed 27,627 3,100 16,302 4,563 3,662 If applicable, Local Sangunian to enact an ordinance to put a price cap or issue an Price Freeze 238 LGUs (C/M) 1 LGUs (C/M) 111 LGUs (C/M) 54 LGUs (C/M) 72 LGUs (C/M) Executive Order to impose a price freeze on funeral services within their area jurisdiction Died as PUM 12 0 7 3 2 Number of person who died similar with COVID-19 and Died as PUI under Home Quarantine 21 14 3 1 3 served by the Funeral Died as PUI admitted in a referral 321 211 63 22 25 Parlors/Crematoriums facility/hospital Number of confirmed COVID-19 Cases who died and served by the Funeral Parlors/ 199 198 0 0 1 Crematoriums

Issues and Concerns ● Lack of crematoriums in some LGUs; ● Fund support/augmentation in cremation for bereaved families of non-indigent victims; ● Coordination mechanism between DOH referral facilities/hospitals, MDM Cluster and LGUs and bereaved families on data sharing; ● Muslim dead victims (PUI and COVID19+) were refused burial in Muslim cemeteries by some LGUs

“Coordination is the Essence of Management”